T

Thomas Miksch

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Plano, Texas, United States
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Starting at USD100k/year
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Starting at USD50/hour
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Résumé

Jobs verified_user 0% verified
  • Theoria Medical
    Senior AI Full Stack Engineer
    Theoria Medical
    Aug 2022 - Apr 2026 (3 years 9 months)
    • Designed a multi-agent clinical decision support system on AWS Bedrock — discrete task agents (triage, medication review, ICD-10 coding, SOAP note generation) orchestrated by a central planner using Claude 3 and GPT-4o, with tool use / function calling enabling autonomous EHR queries and workflow triggers, achieved 97%+ task completion rate across 400+ physician accounts.
    • Built a production RAG pipeline over 2M+ de-identified clinical documents (LangChain + LlamaIndex): domain aware chunking → text-embedding-3-large → Pinecone → retrieval-augmented generation with source citation, reduced hallucination rate ~65% vs. vanilla LLM baseline.
    • Implemented self-correcting agent loops with LLM-as-judge validation: structured output
  • Agora
    Full Stack Engineer
    Agora
    Feb 2020 - Jul 2022 (2 years 6 months)
    • Owned the end-to-end deal flow pipeline for a real estate investment platform serving 5,000+ accredited investors and built features from data ingestion to investor dashboards.
    • Developed real-time collaboration features (document co-editing, deal room chat) using WebSocket and Redis pub/sub and reduced round-trip message latency from 900 ms to Kafka -> Spark analytics pipeline processing 500K+ property transaction records weekly and powered automated investment analytics reports replacing manual Excel workflows.
    • Integrated DocuSign, Plaid, and Stripe APIs and built an async job queue (Bull + Redis) for document processing and wire transfer workflows, handling $50M+ in mont
  • Ellevest
    Software Engineer
    Ellevest
    Dec 2018 - Jan 2020 (1 year 2 months)
    • Built responsive investment dashboard components and multi-step onboarding flows in React and increased funnel completion rate by 22% through UX refactors and A/B tested copy.
    • Developed Node.js microservices for portfolio rebalancing event handling and integrated with brokerage APIs (Apex Clearing) for automated trade execution.
    • Raised test coverage from 48% to 87% with Jest/React Testing Library and introduced snapshot testing for the component library, cutting regression bugs by 40%.
    • Built internal Python/Django tooling for Customer Success to surface client health metrics and flag accounts at risk of churn, triaging 2,000+ accounts/week automatically.
Education verified_user 0% verified
  • University of Iowa
    B.S. Computer Science
    University of Iowa
    Sep 2014 - Dec 2018 (4 years 4 months)
Projects (professional or personal) verified_user 0% verified
  • Theoria Medical
    Clinical AI Voice Co-Pilot
    Theoria Medical
    Jan 2024 - Jan 2026 (2 years 1 month)
    • LiveKit voice session -> Deepgram streaming STT -> GPT-4o/Claude Sonnet function-calling chain -> structured SOAP note -> FHIR write-back,
  • Theoria Medical
    IoT Medical Telemetry & Edge AI
    Theoria Medical
    Jan 2023
    • MQTT -> AWS IoT Core -> Kafka -> real-time Spark Streaming for 500+ devices, TFLite arrhythmia model on device at 35 ms, digital twin per patient in Redis consumed by downstream LLM agents.
    • Reduced ICU nurse alert fatigue by 34% through AI-ranked alert prioritisation, 20+ minute earlier deterioration detection vs. threshold-only baselines.
  • Agora
    RAG Deal Intelligence Engine
    Agora
    Jan 2022
    • Semantic search over 10k+ deal docs with sentence-transformers + FAISS (built before LangChain/GPT-3.5 were available), cut analyst due diligence time by 60%.