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# Frank Dominic

**Headline:** Senior AI Engineer
**Profession:** Senior AI Engineer
**Location:** Biloxi, Mississippi, United States

## About

Frank Dominic is a Senior AI Engineer who builds production AI systems for healthcare, financial research, trading, and conversational interfaces\. Trained as both a physician and an engineer, Frank holds an MD, a master’s degree in Pharmacology Research, and a computer science bachelor’s degree, and has spent more than 11 years working on AI systems where reliability, latency, retrieval quality, evaluation, and compliance matter\. Most recently at Abridge, Frank architected a multi\-agent clinical platform on Amazon Bedrock AgentCore and shipped a sub\-400ms clinical voice agent deployed to more than 1,200 clinicians across three health systems\. Frank also owned HIPAA\-grade infrastructure and helped Abridge pass SOC 2 Type II with zero AI\-related findings\. Frank’s work spans LLMs, RAG, voice AI, multi\-agent systems, model evaluation, and infrastructure optimization\. At Axicom, Frank built a voice research assistant for more than 800 analysts that reduced average query time from more than 20 minutes to under 90 seconds\. At Amazon, Frank owned core Alexa NLU models serving billions of monthly utterances, led a fourfold training\-speed improvement, and delivered the routing team’s largest single\-model task\-completion gain of the year\. Frank also leads junior engineers, identifies integration failure modes, and has built automation for Appian\-to\-GitLab deployments\.

## Highlights

- Architected a multi\-agent clinical platform at Abridge on Amazon Bedrock AgentCore using a Gateway pattern for clinical summarization, ICD/CPT coding, care\-plan drafting, and prior\-authorization navigation MCP\-based dynamic tool discovery reduced new\-agent onboarding from two weeks to the same day\.
- Built a clinical retrieval layer across more than 4 million documents using Bedrock Knowledge Bases, OpenSearch Serverless, hybrid BM25 and dense retrieval, and cross\-encoder reranking grounded\-citation coverage increased from 71% to 96% and physician\-reported hallucinations fell 62%\.
- Shipped a Deepgram\-to\-Claude\-to\-ElevenLabs clinical voice agent with p95 turn latency below 400ms, deployed to more than 1,200 clinicians across three health systems\.
- Owned HIPAA\-grade AI infrastructure at Abridge, including PHI redaction, KMS\-encrypted vector stores, VPC\-isolated endpoints, and Bedrock Guardrails passed SOC 2 Type II with zero AI\-related findings\.
- Built Abridge's LLM quality gate using LLM\-as\-Judge, clinician review, and regression suites over 12,000 encounters\.
- Reduced retrieval\-regression mean time to detect from hours to under five minutes through Datadog LLM Observability and Splunk instrumentation\.
- Rebuilt a FHIR\-compliant output layer using constrained decoding, reducing malformed outputs from 4\.2% to 0\.08%\.
- Led development at Axicom of a voice\-driven financial research assistant for more than 800 analysts, using Whisper ASR, RAG over 12 million or more SEC filings, Pinecone, LangChain, and GPT\-4 cited answers reduced average query time from more than 20 minutes to under 90 seconds\.
- Designed Axicom's reference RAG pattern—hierarchical chunking, financial\-domain cross\-encoder reranking, and joint XBRL plus unstructured retrieval—adopted by three other product teams\.
- Fine\-tuned GPT\-3\.5 and Llama 2 with LoRA/PEFT on curated financial corpora, improving financial NER and sentiment accuracy 22% over base models\.
- Built a real\-time earnings\-call pipeline that delivered material\-change alerts within six seconds of an utterance and was adopted by three trading desks\.
- Designed a Neo4j financial knowledge graph for entity resolution, reducing cross\-entity confusion errors 78%\.
- Implemented more than 3,400 adversarial red\-team prompts for injection, jailbreak, and hallucination testing the methodology became Axicom's default LLM evaluation approach\.
- Reduced monthly LLM spending 38% through prompt compression, cascade routing, and embedding\-cache reuse\.
- Owned core Alexa NLU models at Amazon serving billions of monthly utterances, including intent classification, slot filling, and dialogue\-state tracking at sub\-100ms p99 latency across US, UK, DE, and JP locales\.
- Led Amazon's Caffe2\-to\-PyTorch migration with distributed multi\-GPU NCCL training, cutting training time fourfold and enabling weekly retrains\.
- Shipped an A/B\-tested Alexa skill\-routing reranker that lifted task completion 6\.3%, the routing team's largest single\-model gain that year received a Bar Raiser Award\.
- Built a Spark and Airflow active\-learning pipeline that increased tail\-intent coverage 18% and reduced labeling spend by approximately $1\.4 million annualized\.
- Co\-authored an internal patent filing on active\-learning utterance mining at Amazon\.
- Distilled a 340M\-parameter model to 24M parameters for on\-device wake\-word confirmation, retaining 98\.7% of teacher accuracy with 14 times lower latency\.
- Built XLM\-R cross\-lingual transfer that enabled new locales to launch with six to ten times less labeled data and shortened DE and IT expansion by about four months\.
- Migrated hot Amazon inference paths to AWS Inferentia with quantization\-aware training, reducing inference cost 62% at parity accuracy\.
- Built full\-stack Python/Django, React, and PostgreSQL clinical research applications at UT Health Sciences used by more than 40 principal investigators\.
- Designed REST APIs and Jenkins/Docker CI/CD at UT Health Sciences, moving from weekly manual deployments to multiple automated releases daily and reducing production bugs 30% quarter over quarter\.
- Reduced UT Health Sciences application page\-load times 40% through code splitting, lazy loading, and normalized Redux state\.
- Built a custom Appian\-to\-GitLab pipeline integration with XML normalization, identified a critical XML\-ordering risk, and led the solution\.
- Led junior engineers while owning core technical work and delegating appropriately\.

## Experience

- **Senior AI Engineer at Abridge** (2024\-01\-01–2026\-06\-01) — Building production LLM systems for clinical documentation and healthcare workflows\. \- Architected a multi\-agent platform on Amazon Bedrock AgentCore \(Gateway pattern\) routing intents to specialized agents — clinical summarizer, ICD/CPT coder, care\-plan drafter, prior\-auth navigator\. New\-agent onboarding dropped from 2 weeks to same\-day via MCP\-based dynamic tool discovery\. \- Built the retrieval layer on Bedrock Knowledge Bases \+ OpenSearch Serverless \(hybrid BM25 \+ dense, cross\-encoder reranking\) over 4M\+ clinical documents — grounded\-citation coverage rose 71% → 96%, physician\-reported hallucinations down 62%\. \- Shipped a real\-time clinical voice agent \(Deepgram → Claude → ElevenLabs\) with p95 turn latency under 400ms deployed to 1,200\+ clinicians across three health systems\. \- Instrumented the full stack with Datadog LLM Observability and Splunk — mean\-time\-to\-detect on retrieval regressions cut from hours to under 5 minutes\. \- Owned HIPAA\-grade infrastructure end to end: PHI redac
- **AI/ML Engineer at Axicom** (2021\-10\-01–2023\-09\-01) — Built LLM and voice AI systems for financial research and trading workflows\. \- Led development of a voice\-driven research assistant \(Whisper ASR → RAG over 12M\+ SEC filings via Pinecone \+ LangChain → GPT\-4 with cited answers\) for 800\+ analysts — average query time fell from 20\+ minutes to under 90 seconds\. \- Designed the RAG architecture \(hierarchical chunking, financial\-domain cross\-encoder reranker, joint XBRL \+ unstructured retrieval\) adopted as the reference pattern across three other product teams\. \- Fine\-tuned GPT\-3\.5 and Llama 2 on curated financial corpora via LoRA/PEFT — 22% higher accuracy on financial NER and sentiment vs\. base models\. \- Built a real\-time earnings\-call pipeline delivering material\-change alerts within 6 seconds of utterance adopted by three trading desks\. \- Designed a Neo4j financial knowledge graph for entity resolution, cutting cross\-entity confusion errors 78%\. \- Implemented adversarial testing \(3,400\+ red\-team prompts for injection, jailbreaks, hallucin
- **Machine Learning Engineer at Amazon** (2018\-09\-01–2021\-10\-01) — Owned core NLU models across Alexa's stack serving billions of utterances per month\. \- Owned intent classification, slot filling, and dialogue state tracking at sub\-100ms p99 latency across US, UK, DE, and JP locales\. \- Led the Caffe2 → PyTorch migration with distributed multi\-GPU training \(NCCL\), cutting training time 4× and enabling weekly retrains\. \- Shipped an A/B\-tested skill\-routing reranker that lifted task completion 6\.3% — the routing team's largest single\-model gain that year earned a Bar Raiser Award\. \- Built an active\-learning pipeline \(Spark \+ Airflow\) mining low\-confidence utterances — expanded tail\-intent coverage 18% and cut labeling spend ~$1\.4M annualized\. \- Distilled a 340M\-parameter model to 24M for on\-device wake\-word confirmation at 98\.7% of teacher accuracy and 14× lower latency\. \- Built cross\-lingual transfer \(XLM\-R\) letting new locales launch with 6–10× less labeled data, shaving ~4 months off DE and IT expansion\. \- Migrated hot inference paths to AWS Inferent
- **Software Engineer at UT Health Sciences** (2014\-04\-01–2018\-08\-01) — Built full\-stack clinical research applications supporting IRB\-regulated studies\. \- Developed applications \(Python/Django, React, PostgreSQL\) used by 40\+ principal investigators across the medical school\. \- Designed REST APIs and CI/CD \(Jenkins, Docker\), moving from weekly manual pushes to multiple automated releases daily — production bugs down 30% quarter\-over\-quarter\. \- Cut page load times 40% via code splitting, lazy loading, and normalized Redux state\. \- First exposure to healthcare data pipelines and HIPAA\-scoped access controls — the foundation for everything after\.

## Education

- Doctor of Medicine, Medicine — The University of Tennessee Health Science Center (2018\-08\-01–2022\-05\-01)
- Master’s in Pharmacology Research, Pharmacology — The University of Tennessee Health Science Center (2011\-08\-01–2012\-05\-01)
- Bachelor's Degree, Computer Science — University of Memphis (2009\-04\-01–2011\-09\-01)

## FAQ

### What does Frank do?

Frank is a Senior AI Engineer who builds production LLM, RAG, voice AI, agentic AI, multi\-agent, and chatbot systems\. His work focuses on the operational requirements that make AI dependable: retrieval quality, low latency, evaluation, security, compliance, and resilient integrations\.

### What is Frank looking for next?

Frank is actively leaving his current role to pursue growth opportunities\. He has experience across healthcare, financial research and trading, clinical research software, and large\-scale conversational AI\.

### What are Frank's core strengths?

Frank is strongest in designing and operating AI systems where errors have significant consequences\. His background combines clinical training with computer science and machine learning work, and he has particular experience in retrieval architecture, agent systems, voice workflows, model evaluation, HIPAA\-scoped controls, latency optimization, and identifying novel integration failure modes\.

### What did Frank accomplish at Abridge?

At Abridge, Frank worked as a Senior AI Engineer building production LLM systems for clinical documentation and healthcare workflows\. He architected a multi\-agent platform on Amazon Bedrock AgentCore using a Gateway pattern that routed requests to specialized clinical summarization, ICD/CPT coding, care\-plan drafting, and prior\-authorization navigation agents\. MCP\-based dynamic tool discovery reduced new\-agent onboarding from two weeks to the same day\.

### How did Frank improve clinical AI quality at Abridge?

Frank built Abridge's retrieval layer using Bedrock Knowledge Bases and OpenSearch Serverless, combining BM25, dense retrieval, and cross\-encoder reranking across more than 4 million clinical documents\. Grounded\-citation coverage increased from 71% to 96%, while physician\-reported hallucinations fell 62%\. He also built an evaluation framework using LLM\-as\-Judge, clinician review, and regression suites covering 12,000 encounters it became the quality gate for every model change\.

### What voice and clinical\-output systems did Frank build at Abridge?

Frank shipped a real\-time clinical voice agent using Deepgram, Claude, and ElevenLabs with p95 turn latency below 400 milliseconds\. The agent was deployed to more than 1,200 clinicians across three health systems\. Frank also rebuilt the FHIR\-compliant output layer with constrained decoding, reducing malformed outputs from 4\.2% to 0\.08%\.

### What compliance and observability work did Frank lead at Abridge?

Frank owned HIPAA\-grade infrastructure at Abridge, including PHI redaction, KMS\-encrypted vector stores, VPC\-isolated endpoints, and Bedrock Guardrails\. He instrumented the stack with Datadog LLM Observability and Splunk, reducing mean time to detect retrieval regressions from hours to under five minutes\. Abridge passed SOC 2 Type II with zero AI\-related findings\.

### What did Frank accomplish at Axicom?

At Axicom, Frank built LLM and voice AI systems for financial research and trading workflows\. He led development of a voice\-driven research assistant for more than 800 analysts that combined Whisper ASR, RAG over 12 million or more SEC filings through Pinecone and LangChain, and GPT\-4 answers with citations\. Average query time fell from more than 20 minutes to under 90 seconds\.

### How did Frank improve retrieval and financial\-language modeling at Axicom?

Frank designed Axicom's reference RAG architecture, including hierarchical chunking, a financial\-domain cross\-encoder reranker, and joint XBRL and unstructured retrieval three other product teams adopted it\. He fine\-tuned GPT\-3\.5 and Llama 2 on curated financial corpora using LoRA/PEFT, improving financial NER and sentiment accuracy 22% over base models\. He also built a Neo4j financial knowledge graph that reduced cross\-entity confusion errors 78%\.

### What trading, evaluation, and cost work did Frank deliver at Axicom?

Frank built a real\-time earnings\-call pipeline that delivered material\-change alerts within six seconds of an utterance and was adopted by three trading desks\. He implemented adversarial testing with more than 3,400 red\-team prompts for prompt injection, jailbreaks, and hallucinations the firm adopted it as its default LLM evaluation methodology\. Through prompt compression, cascade routing, and embedding\-cache reuse, he reduced monthly LLM spend 38%\.

### What was Frank's role at Amazon?

At Amazon, Frank was a Machine Learning Engineer who owned core NLU models across Alexa's stack, serving billions of utterances each month\. He owned intent classification, slot filling, and dialogue\-state tracking at sub\-100ms p99 latency across US, UK, DE, and JP locales\.

### What major model and training improvements did Frank deliver at Amazon?

Frank led Amazon's Caffe2\-to\-PyTorch migration with distributed multi\-GPU NCCL training, cutting training time fourfold and enabling weekly retrains\. He shipped an A/B\-tested skill\-routing reranker that increased task completion 6\.3%, the routing team's largest single\-model gain that year, and received a Bar Raiser Award\.

### What active\-learning and efficient\-model work did Frank do at Amazon?

Frank built a Spark and Airflow active\-learning pipeline that mined low\-confidence utterances, increasing tail\-intent coverage 18% and reducing labeling spend by approximately $1\.4 million annualized\. He co\-authored an internal patent filing on active\-learning utterance mining\. He also distilled a 340M\-parameter model to 24M parameters for on\-device wake\-word confirmation, retaining 98\.7% of teacher accuracy with 14 times lower latency\.

### How did Frank improve internationalization and inference efficiency at Amazon?

Frank built cross\-lingual transfer using XLM\-R, allowing new locales to launch with six to ten times less labeled data and reducing the DE and IT expansion timeline by about four months\. He also migrated hot inference paths to AWS Inferentia using quantization\-aware training, lowering inference cost 62% at parity accuracy\.

### What did Frank do at UT Health Sciences?

At UT Health Sciences, Frank was a Software Engineer building full\-stack clinical research applications for IRB\-regulated studies\. He developed Python/Django, React, and PostgreSQL applications used by more than 40 principal investigators across the medical school\. This role provided his first exposure to healthcare data pipelines and HIPAA\-scoped access controls\.

### What engineering improvements did Frank deliver at UT Health Sciences?

Frank designed REST APIs and Jenkins/Docker CI/CD at UT Health Sciences, replacing weekly manual pushes with multiple automated releases per day and reducing production bugs 30% quarter over quarter\. He also reduced page\-load times 40% through code splitting, lazy loading, and normalized Redux state\.

### What leadership and integration experience does Frank have?

Frank has led junior engineers while retaining ownership of core technical work and delegating appropriately\. He is experienced in configuring and optimizing MCP tools for multi\-agent systems with an emphasis on efficiency, and has built custom Appian\-to\-GitLab pipeline automation with XML normalization\. In that work, Frank identified XML ordering as a critical risk, designed the solution, and led the pipeline fix\.

### What is Frank's educational background?

Frank earned a Doctor of Medicine in Medicine and a master's degree in Pharmacology Research from The University of Tennessee Health Science Center\. He also earned a bachelor's degree in Computer Science from the University of Memphis\.

## Links

- LinkedIn: https://www\.linkedin\.com/in/frank\-dominic\-683610421

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