Streamline Healthcare Solutions
Lead AI Software Engineer
Illinois, USA · Senior
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odds of building a lasting career here
Sponsors, but it's cap-subject — you still face the weighted lottery (~61% per draw at Level IV). Good if you win; have a cap-exempt backup on your list.
Lottery odds assume a STEM candidate.
Personalize to your clock →H-1B wage level
the lottery is wage-weighted — each level is one more entry
This range already reaches Level IV — the maximum four lottery entries.
DOL prevailing wage, 2026-27 wage year · Software Developers (15-1252) · Davenport-Moline-Rock Island, IA-IL. Wage level is derived by USCIS from the offered wage, occupation and worksite; the occupation shown is inferred from the job title.
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About the role
- Streamline has been offering software in the behavioral health marketplace since 2003.
- A career with Streamline Healthcare Solutions provides opportunities for growth and continued learning in a workplace where individual contribution is valued and recognized.
- Join us, and advance your career today with a company that is on the cutting edge of the behavioral healthcare technology industry.
Responsibilities
- Co-design AI solutions with the AI Architect and own product-level solutioning and delivery within enterprise AI architecture, standards, and governance.
- Build and maintain data pipelines (e.g., Spark/Databricks or equivalent) and ensure robust SQL Server performance and data quality; collaborate with DBAs and data engineers using SSMS.
- You will co-design AI solutions with the AI Architect and own product-level design and end-to-end implementation (data pipelines, training/fine-tuning, evaluation & guardrails, deployment, and monitoring) within enterprise standards.
- Own reliability, security, and cost for your product's AI services: define SLOs, participate in on-call/incident response, manage token/GPU budgets, and optimize prompts, embeddings, caching, and indexing.
- Ensure HIPAA compliance and Responsible AI practices across development and operations; partner with security and compliance to meet policy requirements.
- Collaborate with product management, domain experts, and compliance to translate requirements into safe, reliable, high-impact AI services.
- 10+ years in software engineering; 5+ years building and shipping ML/AI solutions; 2+ years leading AI/ML initiatives or teams.
- Azure AI Foundry (Azure AI Studio) knowledge for developing, evaluating, and operationalizing LLM solutions; familiarity with Azure AI resources and deployment patterns.
Requirements
- The role is Azure-first and requires hands-on experience with OpenAI or Anthropic models, Microsoft Copilot, GitHub Copilot, and strong competence with SQL Server (SSMS) and Visual Studio.
- Proficiency with SQL Server Management Studio (SSMS) for SQL development, performance tuning, and troubleshooting; strong T-SQL fundamentals.
Compensation
- Streamline offers competitive compensation and benefits packages as well as a challenging, yet flexible, work environment that is conducive to collaboration and productivity.
Benefits
- Bachelor's degree in Computer Science, Information Technology, Computer Information Systems, Health Informatics, or a related field.
- Streamline's mission is to build innovative technology solutions that empower people who improve behavioral health and quality of life of those in need.
Visa & Work Authorization
- Employment visa sponsorship is not available for this role.
This listing is sourced directly from Streamline Healthcare Solutions's careers page and normalized into a canonical job model.