Senior Software Engineer, Agentic AI - Remote

Overview

Re‑architecting U.S. healthcare demands speed, precision, and an obsession with details. Cadence is building a remote care delivery system that keeps older people healthy, out of the hospital, and at home. By pairing each patient with a dedicated clinical team that reviews their health every day, versus every few months, we catch issues early and intervene before they escalate. The result: measurably better outcomes for patients and less administrative burden for clinicians.

Today, Cadence supports tens of thousands of active patients nationwide. Our AI‑powered system and scalable clinical model enable proactive, population‑level care. We’re among the fastest‑growing companies in healthtech, and we’re just getting started.

In Short

• 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.

Requirements

• 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.

Benefits

• 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).
• 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.