Cadence is a clinical AI company that delivers continuous, proactive care for older adults with chronic conditions. We're hiring a Senior AI Engineer to design and ship production agents that synthesize real-time clinical data, surface proactive care recommendations, and take action on behalf of clinicians.

Company: Cadence

Role: Senior AI Engineer

Location: Remote

Experience:

5+ years of software engineering experience
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

Key Skills:

LLM APIs (OpenAI, Anthropic, open-source models)
RAG systems: embeddings, vector stores, retrieval optimization, and grounding
Agent frameworks or orchestration patterns (tool calling, planners, multi-agent coordination)
Fine-tuning experience (SFT, RLHF, LoRA) on domain-specific tasks

Qualification:

Bachelor's or Master's degree in Computer Science, Engineering or related field, or equivalent work experience

Role Focus:

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

Nice to have:

Experience with agent frameworks or orchestration patterns (tool calls, 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)

Other:

Competitive pay & equity
Fully remote
Comprehensive health coverage: Medical, dental & vision
Paid time off
401k plan + matching
Paid parental leave
Home office stipend
Base salary: $180,000 – $245,000 annual base salary

Senior AI Engineer

Skills Required

Description