[Remote] Senior Software Engineer, Agentic AI

Note: The job is a remote job and is open to candidates in USA. Cadence is a healthtech company focused on building a remote care delivery system to improve patient outcomes. They are seeking a Senior Software Engineer to design and deploy AI-powered clinical agents that enhance patient care by synthesizing real-time clinical data and generating proactive care 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

Skills

• 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)
• Fine-tuning experience (SFT, RLHF, LoRA) on domain-specific tasks
• Healthcare or regulated-industry experience (HIPAA, SOC 2, clinical data handling)

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

Company Overview

Company H1B Sponsorship