Senior RAG & knowledge systems talent and rates in Healthcare
Senior RAG & knowledge systems engineers serving healthcare run roughly $150–$215/hr. Stack realities for this combination: Epic / Cerner FHIR R4 + SMART-on-FHIR; HIPAA-eligible AWS/Azure/GCP; Twilio HIPAA-eligible comms; Datadog HIPAA-mode — common integrations: Epic (MyChart / FHIR R4 / App Orchard), Cerner / Oracle Health, Allscripts. PHI from EHR + claims from payers + imaging DICOM — Safe Harbor de-identification or BAA-covered processing only
What RAG & knowledge systems actually requires in 2026
2026 RAG: pgvector + Postgres for sub-10M docs, Pinecone or Weaviate for >10M, Cohere/Voyage AI/OpenAI for embeddings, Cohere Rerank or BGE for re-ranking, LlamaIndex or LangChain for orchestration, RAGAS or TruLens for evals. Self-hosted: vLLM + LiteLLM proxy. A real RAG engineer can debug a "the model said X" failure to a chunk-retrieval miss vs an embedding-similarity error vs a prompt-template bug. They run evals before every change. RAG without evals is hope-driven engineering — and hope doesn't scale past beta users.