Senior AI Engineer - Clinical AI Agents (Remote)

Cadence; United States; On-site; USD 180,000 - 245,000; Full time

Benefits offered by this job

Fully remote

Health coverage

Paid time off

401k matching

Paid parental leave

Home office stipend

Job summary

Cadence is a clinical AI company hiring a Senior AI Engineer to design and ship production agents that synthesize real-time clinical data and surface proactive care recommendations for clinicians.

You will take agent architectures from prototype to production in a domain where reliability directly affects patient outcomes, owning end-to-end AI workflows from retrieval to safety guardrails and evaluation.

Qualifications

• 5+ years software engineering experience, with 2+ years building AI/ML-powered systems in production.
• Hands-on experience with LLM APIs and tool use / function calling.
• Healthcare or regulated-industry experience preferred.

Responsibilities

• Design, build, and deploy clinical AI agents that reason over patient context.
• Own reliability, observability, and cost efficiency of LLM 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

LLM APIs

Prompt engineering

RAG systems

Agent frameworks

Observability

Healthcare domain knowledge

Production AI systems

Education

BSc/MSc in CS or engineering

Equivalent work experience

Tools

Embeddings

Vector stores

Retrieval optimization

Tool calling / function calling

Job description

Cadence is a clinical AI company hiring a Senior AI Engineer to design and ship production agents that synthesize real-time clinical data and surface proactive care recommendations for clinicians.

You will take agent architectures from prototype to production in a domain where reliability directly affects patient outcomes, owning end-to-end AI workflows from retrieval to safety guardrails and evaluation.