Senior Agentic AI Engineer — Healthcare AI

Deloitte France; United States; On-site; USD 140,000 - 230,000; Full time

Job summary

Deloitte is hiring a Senior Agentic AI Engineer for Healthcare AI. You will own agent systems end to end—from architecture through production—and deploy capable, reliable LLM- and SLM-powered decisioning systems across payers, providers, and life sciences.

You will collaborate with clinical experts to ensure safe, scalable, and impactful AI in healthcare. You do not need a healthcare background; Deloitte pairs engineers with domain experts to learn the domain while you bring agentic engineering

Responsibilities

• Design and implement agentic systems for healthcare decisioning across clinical reasoning, prior authorization, and claims integrity.
• Develop and operate LLM- and SLM-powered architectures with reliable grounding, memory, reasoning, and control layers.

Job description

ReferencesVisible links1. https://resources.deloitte.com/:b:/r/sites/dnet-tod-us/Shared

Senior Agentic AI Engineer — Healthcare AI

Three hundred fifty million Americans rely on a healthcare system whose decision-making has become slow, costly, and adversarial — care delayed by prior authorization and paperwork, claims that misfire, clinical decisions made without the right information at the right moment, and patients who struggle to navigate or afford the care they need. Deloitte has a new AI-first effort, backed by $1B in committed investment, building the reasoning models and agentic systems to rebuild how that system decides — across payers, providers, and life sciences, and for the patients they serve — so that care is faster, fairer, and far less wasteful. This is not AI applied at the margins. It is a ground-up rebuild of the decision-making machinery behind American healthcare, at national scale.

This is an early, well-funded build. You will own agent systems end to end — from architecture through production — and your work ships into live clinical and operational settings within your first months, not into a lab.

As a Senior Agentic AI Engineer, you will design, build, and operationalize the LLM- and SLM-powered systems behind real healthcare decisioning — the reasoning, orchestration, retrieval, memory, and control layers that let intelligent agents operate reliably across the hardest decisions in the industry: clinical reasoning, prior authorization and claims integrity, care navigation, and the operational workflows that run across payers, providers, and life sciences. This is not a prompt-only role. We are looking for builders who think deeply about system behavior, grounding, and reliability where a wrong action has real consequences for patients and the clinicians who serve them.

You do not need a healthcare background. We pair every engineer with clinical and domain experts and teach you the domain — you bring the agentic engineering depth.

We hire on demonstrated depth, not years — the level you join at is determined through our interview process, based on the depth and judgement you demonstrate, not your years in a title.

Recruiting for this role ends on 8/31/2026.

Agent architecture & orchestration

• Design and implement