Senior Software Engineer, Agentic AI

Cadence is building a remote care delivery platform to support proactive, population-level healthcare for seniors, aiming to deliver care to one million seniors by 2030. The company leverages AI and clinical care teams to extend primary care and improve health outcomes.

Location: Remote

Salary: $180,000–$245,000 annual base salary, plus equity

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.

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
• TeleDoc (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

Additional Information

• The base pay for this role typically ranges between $180,000 – $245,000 annual base salary. Total compensation includes base salary and equity. The actual base pay is determined by a variety of factors, including experience, skills, training, and business needs. Compensation may vary based on market location and is subject to change.
• Cadence is committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, medical condition, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by law.