Senior Software Engineer, Agentic AI

Cadence Health, Inc.

Senior Software Engineer designing and shipping AI clinical agents for healthcare. Collaborating with teams to enhance patient care through AI-driven systems.

Posted 5/9/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $180,000 - $245,000 per yearWebsite

About the role

Key responsibilities & impact

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

What you’ll need

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
NICE TO HAVE: Experience with agent frameworks or orchestration patterns (tool calling, planners, multi-agent coordination)
Fine-tuning experience (SFT, RLHF, LoRA) on domain-specific tasks
Healthcare or regulated-industry experience (HIPAA, SOC 2, clinical data handling)

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

AI agentsLLM-powered workflowsRAG pipelinesevaluation frameworksmulti-step agent orchestrationprompt engineeringtool usefine-tuningembeddingsretrieval optimization

Soft Skills

collaborationcommunicationproblem-solvingownershipadaptabilityleadershipquality assuranceperformance optimizationarchitecture designteamwork

Certifications

Bachelor's degreeMaster’s degree