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MCG HealthMH

Senior Gen AI Engineer, Salesforce Platform

MCG Health is a leader in providing evidence-based healthcare solutions through innovative technology and clinical guidelines, focusing on enhancing patient care and outcomes.

MCG Health

Employee count: 201-500

Salary: 154k-216k USD

United States only

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At MCG, we lead the healthcare community to deliver patient-focused care. We have a mission-driven team of talented physicians and technical experts developing our evidence-based content and innovating our products to accelerate improvements in healthcare. If you are driven to enhance the US healthcare system, MCG is eager to have you join our team. We cultivate a work environment that nurtures personal and professional growth, and this is a thrilling time to become a part of our organization. With dynamic roles that offer meaningful impact, you'll be able to fully realize your potential. Plus, you'll enjoy world-class benefits and the security, stability, and resources of our parent company, Hearst, with over 100 years of experience.

As a Senior Gen AI Engineer, Salesforce Platform you will lead the development of AI-powered solutions across our Salesforce platform to streamline end-to-end business operations. Partnering with the Manager of Salesforce Operations and the Principal AI Architect, you will implement orchestrated AI agents using Salesforce Einstein, Agentforce, and DataCloud, and deliver secure, scalable solutions via Apex, Visualforce, Lightning Web Components, and robust APIs.

You will leverage generative AI to enhance efficiency, reduce manual work, and create smarter systems and workflows across our organization. Candidates with a deep understanding of business operations and workflows are strongly preferred. You will play a critical role in delivering AI solutions and frameworks that drive transformative business value. This is a unique opportunity for full-stack development to experiment and solve for multiple use cases, as well as an opportunity to help educate business stakeholders on the power of AI solutions.

You will:

  • Design, develop, and deploy generative AI solutions that modernize business operations—automating workflows, surfacing insights, and delivering intelligent recommendations with a balance of speed, functionality, and long-term scalability.
  • Build, integrate, and operationalize AI agents and automations using Salesforce Agentforce (skills, actions, orchestration, guardrails) embedded within Sales, Service, and CPQ workflows.
  • Implement Einstein/Agentforce solutions, including prompt flows, tools, and custom actions grounded in Salesforce Data Cloud for personalized retrieval and contextual experiences.
  • Develop and secure APIs (REST/SOAP, Platform Events, Pub/Sub) to connect Salesforce with internal and external systems such as CPQ, CLM, provisioning, licensing, ERP, and finance platforms.
  • Engineer data interoperability across systems—collaborating with architects and data teams to break down silos, build ETL pipelines, and establish automated data workflows.
  • Build and deploy retrieval-augmented generation (RAG) patterns within Salesforce, implementing data indexing, grounding, safety measures, and evaluation loops.
  • Collaborate closely with the Principal Architect and Principal AI Engineer to translate high-level business objectives into production-ready AI-powered solutions, ensuring alignment with architectural and engineering best practices.
  • Prototype rapidly to validate new generative AI use cases and transition successful proofs-of-concept into stable, scalable, maintainable production applications.
  • Contribute to full-stack development efforts—from API design to front-end UI—when implementing AI features across various business systems.
  • Drive and contribute to CI/CD pipelines, code reviews, and release management using modern tooling (SFDX, GitHub Actions, Azure DevOps, etc.).
  • Ensure compliance, data security, and governance across all AI and integration solutions, including considerations for PII, data residency, consent management, and auditability.
  • Partner with business stakeholders (technical and non-technical) to understand requirements, gather feedback, and continuously improve AI-driven capabilities.
  • Work alongside data scientists and AI specialists to evaluate and optimize prompt strategies, fine-tune models, and implement organization-specific AI enhancements.
  • Lead knowledge sharing and enablement, mentoring teams and fostering adoption of AI technologies throughout the organization.
  • Monitor, evaluate, and iterate on AI solution performance to ensure quality, accuracy, and measurable business value.
  • Stay current on industry advancements in AI, automation, and Salesforce innovation, integrating relevant learnings into the organization’s technology roadmap.

What We’re Looking For:

  • Bachelor’s degree in computer science, Engineering, or a related field.
  • 8+ years of Salesforce engineering experience and 3+ years delivering AI or automation solutions at scale within enterprise environments.
  • Proven success modernizing legacy Salesforce orgs and implementing scalable architectures across Sales Cloud, Service Cloud, and Revenue (CPQ).
  • AI & Automation:
    • Hands-on experience with Salesforce Einstein, Agentforce, and Data Cloud; practical AI engineering skills in prompt design, tool calling, RAG/grounding, evaluation, guardrails, and observability.
  • Technical Skills:
    • Apex, Lightning Web Components (LWC), SOQL/SOSL, and Visualforce (for legacy support).
    • Proficiency in Python for AI service development, including FastAPI/Flask APIs, evaluation scripts, and LLM endpoint integration.
    • Strong API design and integration experience with Salesforce (bi-directional, streaming, and external APIs).
    • CI/CD experience using SFDX and modern tooling (GitHub Actions, Azure DevOps, etc.).
    • Familiarity with Azure or AWS cloud environments.
  • Data Architecture:
    • Experience designing and managing data across Salesforce, Data Cloud, and other business systems including identity resolution, data sharing, and segment activation.
  • Operational & Business Acumen:
    • Skilled in process mapping, workflow design, and identifying operational inefficiencies to enable AI-driven improvements.
  • Change Enablement:
    • Experience driving adoption and integration of AI solutions across business functions.
  • Excellent communication and presentation abilities with technical and non-technical stakeholders, including executives.
  • Strong problem-solving, analytical, and troubleshooting capabilities.
  • Collaborative, consultative mindset with the ability to translate business needs into technical solutions.
  • Comfortable working autonomously in fast-paced, evolving environments.
  • Embodies the principles of the Ideal Team Player: humble, hungry, and smart.
  • Certifications:
      • Required:
        • Salesforce Certified Platform Developer I & II.
      • Preferred:
        • JavaScript Developer I, Platform App Builder, Salesforce Certified Data Cloud Consultant or Platform Data Architect, and Salesforce Certified Integration Architect.
        • Trailhead Superbadges or credentials (Agentforce, Apex Specialist, Data Cloud)

Pay Range: $154,300-216,000

Other compensation: Bonus Eligible

Perks & Benefits:

💻 Remote work

✈️ Travel expected 4-8times per year for company-sponsored events

🩺 Medical, dental, vision, life, and disability insurance

📈 401K retirement plan; flexible spending and health savings account

🏝️ 15 days of paid time off + additional front-loaded personal days

🏖️ 14 company-recognized holidays + paid volunteer days

👶 up to 8 weeks of paid parental leave + 10 weeks of paid bonding leave 

🌈 LGBTQ+ Health Services

🐶 Pet insurance 

📣 Check out more of our benefits here: https://www.mcg.com/about/careers/benefits/

Remote with Moderate Travel (4- 8 trips per year)

This is a remote position, and does require occasional travel, typically between 4-8times per year. All travel expenses will be covered in accordance with company policy.

The ideal candidate should be comfortable balancing the independence of remote work with the collaborative opportunities offered by periodic in-person engagements.

We embrace diversity and equal opportunity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. Only with diverse thoughts and ideas will we be able to create the change we want in healthcare. The more inclusive we are, the better our work will be for it.

All roles at MCG are expected to engage in occasional travel to participate in team or company-sponsored events for the purposes of connection and collaboration.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Note on interviews: We may use AI tools to audio-record and transcribe interviews for note-taking purposes. These are used only by our hiring team and do not make decisions on their own. Let us know if you prefer an alternative.

MCG is a leading healthcare organization dedicated to patient-focused care. We value our employees' unique differences and are an Equal Employment Opportunity (EEO) employer. Our diverse workforce helps us achieve our goal of providing the right care to everyone. We welcome all qualified applicants without regard to race, religion, nationality, gender, sexual orientation, gender identity, age, marital status, veteran status, disability, pregnancy, parental status, genetic information, or political affiliation. We are committed to improving equity in healthcare and believe that a diverse workplace fosters curiosity, innovation, and business success. We are happy to provideaccommodationsfor individuals. Please let us know if you require any support.

About the job

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Job type

Full Time

Experience level

Salary

Salary: 154k-216k USD

Education

Bachelor degree

Experience

8 years minimum

Location requirements

Hiring timezones

United States +/- 0 hours

About MCG Health

Learn more about MCG Health and their company culture.

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MCG Health, a prominent player in the healthcare sector, is dedicated to delivering evidence-based care guidance through innovative technology. As part of the Hearst Health network, MCG Health provides unbiased clinical guidance that empowers healthcare organizations, including some of the largest health plans and thousands of hospitals, to confidently make patient-centered decisions in their care delivery. With over three decades of expertise, MCG Health offers comprehensive solutions that allow both providers and payers to align clinical decisions using a common language, ultimately improving patient outcomes and reducing healthcare costs.

The organization is fundamentally rooted in the belief that everyone deserves the right care at the right time. MCG Health achieves this by leveraging artificial intelligence combined with objective clinical expertise to create tools that simplify and prioritize the healthcare process. Their platform encompasses clinical guidelines that are continuously updated based on the latest research findings, enabling healthcare professionals to access vetted, evidence-based information quickly.

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