Senior Software Engineer, Agentic AI at Cadence Solutions

Cadence Solutions is building a remote care delivery platform serving tens of thousands of patients nationwide. As a Senior Software Engineer on the Agentic AI team, you will design, build, and deploy clinical AI agents that reason over patient context, invoke tools, and generate care recommendations. You will own reliability, observability, and cost efficiency of LLM-powered workflows at scale.

Key Responsibilities

Design and deploy clinical AI agents that synthesize real-time patient data and generate care recommendations

Manage full lifecycle from prototype to production in high-stakes healthcare contexts

Build and optimize RAG pipelines over clinical knowledge bases, treatment protocols, and real-time patient data

Develop evaluation frameworks including offline benchmarks and safety testing

Design multi-step agent orchestration with planning, memory, and error recovery

Collaborate across clinical, product, and engineering teams

Required Qualifications

Bachelor's or Master's in Computer Science or equivalent experience

5+ years software engineering experience

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

RAG system building expertise with embeddings and vector stores

Experience in a high-growth, fast-paced environment with end-to-end ownership

Nice to Have

Agent frameworks or orchestration patterns

Fine-tuning experience (SFT, RLHF, LoRA)

Healthcare or regulated industry experience (HIPAA, SOC 2)

Compensation: $180,000-$245,000 annual base salary, plus equity.

Benefits

Medical, dental, and vision insurance

Competitive equity packages

Unlimited PTO and paid holidays

Remote equipment stipend

Paid parental leave

401(k) matching

Charitable donation match program

Location: Remote, United States.