Senior Software Engineer, Agentic AI

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.