Senior Software Engineer, Agentic AI

In the U.S., 60% of adults – more than 133 million people – live with at least one chronic condition. These patients need frequent, proactive support to stay healthy, yet our care system isn’t built for that level of attention. With rising clinician shortages, strained infrastructure, and reactive care models, patients too often end up in the ER or the hospital when those outcomes could have been prevented.

At Cadence, we’re building a better system. Our mission is to deliver proactive care to one million seniors by 2030. Our technology and clinical care team extend the reach of primary care providers and support patients every day at home. In partnership with leading health systems, Cadence consistently monitors tens of thousands of patients to improve outcomes, reduce costs, and help patients live longer, healthier lives.

Re-architecting U.S. healthcare takes speed, precision, and real attention to detail. At Cadence, we’re building a remote care delivery platform that helps patients stay healthy, out of the hospital, and at home. By pairing each patient with a dedicated clinical team that reviews their health daily (not just a couple times a year) we catch issues early and intervene before they escalate.

Today, we support tens of thousands of patients nationwide through an AI-powered platform that enables proactive, population-level care. We’re building toward a future where intelligent systems help clinicians identify risk earlier, guide interventions, and reduce the operational burden that slows healthcare down.

We're looking for a Senior Engineer to design and ship production agents that synthesize real-time clinical data, surface proactive care recommendations, and take action on behalf of clinicians. You will take agent architectures from prototype to production in a domain where reliability directly affects patient outcomes.

You'll own the full lifecycle of AI-powered clinical workflows: retrieval, reasoning, tool use, evaluation, and safety guardrails. If you've built agentic systems at scale and want your work to matter beyond engagement metrics, we’d love to speak with you.

WHAT YOU’LL DO:

• 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.

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)

WHO WE ARE:

We move fast, raise standards, and own outcomes. We hire drivers, not passengers – people who take initiative, solve problems, and sweat the details because lives depend on it. Momentum matters in healthcare where slow decisions cost lives. At Cadence, we set a high bar and back each other relentlessly to clear it. If you’re ready to do the best work of your career and make a real impact in healthcare, join us.

WHAT YOU’LL GET:

• Autonomy to tackle big, complex problems that matter
• An opportunity to improve lives every single day
• A chance to shape a category‑defining company at scale
• Medical, dental, and vision insurance
• Competitive total compensation and meaningful equity
• TelaDoc (virtual primary care)
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