Senior Agentic AI Engineer for Healthcare Systems

African American Talent; Baltimore (MD); Hybrid; USD 111,000 - 373,000; Full time

Job summary

Deloitte seeks a Senior Agentic AI Engineer to design, build, and deploy LLM- and SLM-powered healthcare decisioning systems at national scale. You will own architectures for reasoning, orchestration, retrieval, memory, and control across payers, providers, and life sciences.

You will pair with clinical experts, and the role emphasizes reliability, safety, and production-grade engineering in a fast-moving, well-funded build. Recruiting ends 8/31/2026.

Qualifications

• Bachelor's degree in Computer Science, Engineering, Data Science, Computational Linguistics, or a related field.
• Demonstrated depth building and shipping production agentic systems; shipped systems, research, model releases, or open source contributions.
• Strong, hands-on experience building production agent systems with modern orchestration - LangGraph/LangChain or equivalent, including custom orchestration.
• Experience designing and optimizing end-to-end RAG systems: indexing, retrieval, reranking, grounding, and evaluation.
• Strong understanding of memory and context management, including context windows, retrieval‑driven context assembly, persistent memory, and high‑signal context selection.
• Deep, practical understanding of LLM behavior and evaluation methods to measure them.
• Experience evaluating and debugging agent behavior - task‑success and trajectory analysis.
• Strong Python engineering skills with modern software practices: testing, CI/CD, version control, and API integration.
• Hands‑on experience with frontier model platforms and/or open‑weight/self‑hosted models; production tool use and agent capabilities.
• Ability to travel 0‑50% on average; limited immigration sponsorship may be available.

Responsibilities

• Design, build, and operationalize LLM- and SLM-powered systems for healthcare decisioning.
• Develop agent architectures with multi-step reasoning, tool use, and workflow execution.
• Build stateful workflows using LangGraph and LangChain with branching, retries, and human-in-the-loop checkpoints.
• Ensure reliability with guardrails, safety controls, and auditable rationales for high-stakes decisions.
• Integrate with internal/external tools and systems; deliver production-quality code with CI/CD and testing.
• Collaborate with modeling/post-training engineers to improve behavior through evaluation-driven feedback.

Skills

LangGraph

LangChain

Python

CI/CD

Observability

Tracing

Agentic systems

LLM behavior

System orchestration

Evaluation

Education

Bachelor's degree in Computer Science or related field

Tools

LangGraph

LangChain

Job description

Deloitte seeks a Senior Agentic AI Engineer to design, build, and deploy LLM- and SLM-powered healthcare decisioning systems at national scale. You will own architectures for reasoning, orchestration, retrieval, memory, and control across payers, providers, and life sciences.

You will pair with clinical experts, and the role emphasizes reliability, safety, and production-grade engineering in a fast-moving, well-funded build. Recruiting ends 8/31/2026.