Note: The job is a remote job and is open to candidates in USA. Cadence is a clinical AI company focused on delivering continuous, proactive care for older adults with chronic conditions. They are seeking a Senior AI Engineer to design and ship production agents that synthesize real-time clinical data and provide proactive care recommendations, ensuring reliability and efficiency in clinical workflows.
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
- Experience in a high-growth, fast-paced environment with end-to-end ownership from design through 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 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
- Competitive pay & equity
- Fully remote
- Comprehensive health coverage: Medical, dental & vision
- Paid time off
- 401k plan + matching
- Paid parental leave
- Home office stipend
- Benefit offerings may vary depending on job profile, job level and worker type
Company Overview
Cadence is the support system for health systems, clinicians and patients, bringing effortless care into people’s homes. It was founded in 2020, and is headquartered in New York, New York, USA, with a workforce of 201-500 employees. Its website is https://www.cadence.care/.Company H1B Sponsorship
Cadence has a track record of offering H1B sponsorships, with 2 in 2024, 2 in 2022, 1 in 2021. Please note that this does not guarantee sponsorship for this specific role.