Senior Software Engineer, Agentic AI
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Job Description
Senior Engineer developing AI-powered clinical workflows to improve healthcare outcomes at Cadence Solutions. Building and deploying production agents that process clinical data and generate recommendations.
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.
Requirements:
- Bachelor's or Master’s degree in Computer Science, Engineering or related field, or equivalent work experience
- 5+ years of software engineering experience, with 2+ years building AI/ML-powered systems in production
- Hands-on experience with LLM APIs (OpenAI, Anthropic, open-source models) including prompt engineering, tool use / function calling, and structured outputs
- Experience building RAG systems: embeddings, vector stores, retrieval optimization, and grounding
- Experience in a high-growth, fast-paced environment with end-to-end ownership from design through production
- Experience with agent frameworks or orchestration patterns (tool calling, planners, multi-agent coordination) (Nice to have)
- Fine-tuning experience (SFT, RLHF, LoRA) on domain-specific tasks (Nice to have)
- Healthcare or regulated-industry experience (HIPAA, SOC 2, clinical data handling) (Nice to have)
Benefits:
- Medical, dental, and vision insurance
- Competitive total compensation and meaningful equity
- TelaDoc (virtual primary care)
- National and local discounts powered by TriNet
- Unlimited PTO and paid holidays
- Remote equipment setup and home office stipend
- Paid Parental Leave
- 401K and 401K match
- Charitable Donation Match program
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