Remote AI Engineer for Production Clinical Agents

Aimlroles; Northern (KY); Hybrid; USD 170,000 - 270,000; Full time

Benefits offered by this job

Fully remote

Competitive pay & equity

Comprehensive health coverage

Paid time off

401k plan + matching

Paid parental leave

Home office stipend

Job summary

Cadence, a clinical AI company, seeks an AI Engineer to design and ship production agents that synthesize real-time clinical data, surface proactive care recommendations, and act on behalf of clinicians.

You will shepherd AI-powered clinical workflows from prototype to production, covering retrieval, reasoning, tool use, evaluation, and safety guardrails, with a focus on reliability and scale.

Qualifications

• Bachelor's or Master's degree in Computer Science, Engineering or related field, or equivalent work experience.
• 2+ years building AI/ML-powered systems in production.
• Experience in a high-growth, fast-paced environment with end-to-end ownership from design through production.
• Hands-on experience with LLM APIs including prompt engineering, tool use / function calling, and structured outputs.
• Experience building RAG systems: embeddings, vector stores, retrieval optimization, and grounding.
• Experience with agent frameworks or orchestration patterns (tool calling, planners, multi-agent coordination) preferred.
• Fine-tuning experience (SFT, RLHF, LoRA) on domain-specific tasks preferred.
• Healthcare or regulated-industry experience (HIPAA, SOC 2, clinical data handling) preferred.

Responsibilities

• Design, build, and deploy clinical AI agents that reason over patient context, invoke tools, and generate care recommendations.
• Own reliability, observability, and cost efficiency of LLM-powered workflows at scale.
• Build and optimize RAG pipelines over clinical knowledge bases, treatment protocols, and real-time patient data.
• Develop evaluation frameworks: offline benchmarks, safety tests, regression suites, and LLM-as-judge pipelines wired into CI/CD.
• Design multi-step agent orchestration: planning, memory, tool use, error recovery, and human-in-the-loop escalation paths.
• Collaborate with clinical, product, and engineering teams to translate patient care needs into AI system design.
• Stay at the forefront of AI and engineering best practices, continuously pushing the team to raise the bar on quality, performance, and architecture.

Skills

AI/ML systems

LLM APIs

RAG systems

Agent frameworks

Fine-tuning

Healthcare experience

Education

Bachelor's or Master's in CS/Engineering or related field

Tools

OpenAI API

Anthropic API

Open-source LLMs

Embeddings/Vector stores

Job description

Cadence, a clinical AI company, seeks an AI Engineer to design and ship production agents that synthesize real-time clinical data, surface proactive care recommendations, and act on behalf of clinicians.

You will shepherd AI-powered clinical workflows from prototype to production, covering retrieval, reasoning, tool use, evaluation, and safety guardrails, with a focus on reliability and scale.