Clinical AI Agent Engineer: Runtime & Context Architect

InnovoCommerce LLC; Irvine (CA); On-site; USD 180,000 - 240,000; Full time

Job summary

InnovoCommerce LLC in Irvine, CA is building agentic AI runtimes to work with clinical study teams. We are hiring an Agentic AI Engineer to own the agent loop, context management, and tool adapters across multiple providers including self-hosted endpoints.

The role requires strong Python, async, PostgreSQL, and familiarity with clinical data standards. You will design integrations, ensure safety, and help push the product toward reliable, compliant automation in clinical trials.

Qualifications

• Has built and operated a production agent loop from primitives, including tool dispatch, termination, retries, deadlines, idempotency, and mid-run recovery
• Context engineering at the mechanics level: token budgets relative to a model's window, prompt caching, compaction, and long-running conversation state
• Has shipped the same agent against more than one model provider and understands what a gateway does not carry across (reasoning blocks, tool-call formats, constrained decoding, finish-reason semantics)
• Evaluation-first habit: traces as the contract, deterministic scorers over judges where possible, regression gates before release, and comfort saying not measured yet instead of asserting
• Tool and skill design: registries, MCP, bounded sub-agents, and approval flows for non-idempotent actions
• Security posture for agent runtimes: prompt injection, least privilege for subprocesses, read-only data access for model-authored queries, redaction
• Strong Python with async, PostgreSQL, and gRPC or other typed contracts; able to read C#
• Clinical standards literacy or demonstrated ability to acquire it fast
• Deep commitment to the role and mission in building a product that fundamentally transforms clinical trials

Responsibilities

• Own the agent loop end-to-end: tool dispatch, limits, termination, retries, recovery, and event log.
• Design per-turn context: token budgets, prompt cache, in-loop compaction, and value-vs-reference decisions.
• Build provider layer: neutral request/response with adapters for Anthropic, OpenAI-compatible, and self-hosted endpoints.
• Define agents as configuration: manifests, capabilities, loadable skills, and a tool registry with approvals.
• Ground agents in clinical standards (CDISC) by wiring into the loop as active context and tools.
• Build evaluation nets: trace attributes, goldens, deterministic scorers, regression gates for tool choice/output.
• Harden the runtime: prompt injection paths, least-privilege sub-agents, redaction of regulated content from logs.
• Commute to the office for in-person collaboration (SoCal); discussions welcome for Bay Area.

Skills

Python

Async programming

PostgreSQL

C#

CDISC literacy

Clinical data standards

Tools

gRPC

REST/Endpoints

vLLM/LiteLLM

Job description

InnovoCommerce LLC in Irvine, CA is building agentic AI runtimes to work with clinical study teams. We are hiring an Agentic AI Engineer to own the agent loop, context management, and tool adapters across multiple providers including self-hosted endpoints.

The role requires strong Python, async, PostgreSQL, and familiarity with clinical data standards. You will design integrations, ensure safety, and help push the product toward reliable, compliant automation in clinical trials.