Senior Software Engineer - Internal AI Solutions

Sword Health is on a mission to free two billion people from pain. 

With 67% of members achieving a pain-free life and a 70% reduction in surgery intent, at Sword, we are using AI Care to change lives, and save millions for our 25,000+ enterprise clients across three continents. Today, we hold the majority of industry patents, win 70% of competitive evaluations, and have raised more than $300 million from top venture firms like Founders Fund, Sapphire Ventures, General Catalyst, and Khosla Ventures.

Recognized as a Forbes Best Startup Employer in 2025, this award highlights our focus on being a destination for the best and brightest  talent. Not only have we experienced unprecedented growth since our market debut in 2020,  but we’ve also created a remarkable mission and value-driven environment that is loved by our growing team. With a recent valuation of $3 billion, we are in a phase of hyper growth and expansion, and we’re looking for individuals with passion, commitment, and energy to help us scale our global impact. 

Joining Sword means committing to a set of core values, chief amongst them to “do it for the patients” every day, and to always “deliver more than expected” on behalf of our members and clients.

This is an opportunity for you to make a significant difference on a massive scale as you work alongside 900+ (and growing!) talented colleagues, spanning three continents. Your charge? To help us build a pain-free world, powered by AI, enhanced by people — accessible to all.

The Internal AI Solutions Team

The Internal AI Solutions Team leads the transformation of the company’s internal processes through Generative AI, enhancing how we work across the organization. By equipping teams like Finance, Commercial, and Talent with AI-powered tools and techniques, this team empowers departments to expand their reach and impact, thus ultimately driving the success of the company.

We’re a small team with a style reminiscent of an early-stage company, characterized by highly generalist roles and a proactive attitude. We work very closely with key stakeholders in each vertical at Sword to learn their processes and understand how we can help them succeed through AI.

• Implementing and optimizing AI-driven solutions to improve internal operations and workflows, under the strategic guidance of the Head of Internal AI Solutions;
• Translating strategic objectives into functional software applications using specific technologies;
• Handling both front-end and back-end development tasks, ensuring seamless integration and performance across our tech stack;
• Proactively identifying and resolving technical challenges to enhance system functionality and user experience.

• At least 3 years of experience as a Senior Software Engineer, with strong hands-on proficiency in JavaScript (React, Node.js) and Python;
• Proficiency in SQL;
• Hands-on experience with LLM APIs (OpenAI, Anthropic, etc.) or open-source models;
• Familiarity with cloud services (AWS, Azure, Google Cloud), particularly for deploying and managing AI-powered applications;
• Experience integrating AI capabilities into internal tools (e.g., Slack bots, internal dashboards, or workflow assistants);
• Strong analytical and problem-solving skills, with a track record of handling complex projects that require integrating multiple systems;
• A proactive approach to process improvement, demonstrating a track record of enhancing system efficiencies and effectiveness;
• Strong communication skills for effective collaboration across multidisciplinary teams.

• Familiarity with Retrieval-Augmented Generation (RAG) pipelines and integrating structured/unstructured data into LLM workflows;
• Practical experience building or orchestrating AI agents;
• Understanding of AI governance principles.

Portugal - Sword Benefits & Perks:

• Health, dental and vision insurance

• Meal allowance

• Equity shares

• Remote work allowance

• Flexible working hours

• Work from home

• Discretionary vacation

• Snacks and beverages

• English class

Note: Please note that this position does not offer relocation assistance. Candidates must possess a valid EU visa and be based in Portugal.

Sword Health, which includes SWORD Health, Inc. and Sword Health Professionals (consisting of Sword Health Care Providers, P.A., SWORD Health Care Providers of NJ, P.C., SWORD Health Care Physical Therapy Providers of CA, P.C.*) complies with applicable Federal and State civil rights laws and does not discriminate on the basis of Age, Ancestry, Color, Citizenship, Gender, Gender expression, Gender identity, Gender information, Marital status, Medical condition, National origin, Physical or mental disability, Pregnancy, Race, Religion, Caste, Sexual orientation, and Veteran status.