Cadence is the clinical AI company automating the treatment of chronic disease. Its Clinical Intelligence takes on the routine, high-volume work of chronic care – monitoring patients, surfacing risks, and coordinating action – so clinicians can focus on the decisions that require them. Grounded in partnerships with more than 20 leading health systems, deep EMR integrations, dedicated medical group, and experience serving a population of more than 100,000 patients, the system learns from real-world care delivery, improving as it scales. Cadence has been recognized by TIME as one of the Top 100 HealthTech Companies and by LinkedIn as a Top Startup (#4, 2025).
The Role
We're hiring an 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.
You will take agent architectures from prototype to production in a domain where reliability directly affects patient outcomes. You'll own the full lifecycle of AI-powered clinical workflows: retrieval, reasoning, tool use, evaluation, and safety guardrails. If you've built agentic systems at scale and want your work to matter beyond engagement metrics, we’d love to speak with you.
What You'll Do
- 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.
What You Need
- Bachelor's or Master’s degree in Computer Science, Engineering or related field, or equivalent work 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
- 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) preferred
- Fine-tuning experience (SFT, RLHF, LoRA) on domain-specific tasks preferred
- Healthcare or regulated-industry experience (HIPAA, SOC 2, clinical data handling) preferred
Compensation
Our job titles may span more than one career level. The base salary for this role typically ranges between $150,000 – $250,000 annual base salary, depending on experience, skills, seniority, and business needs. In addition to base salary, this role is eligible for equity as part of the total compensation package. Actual compensation may vary by location.
Benefits & Perks
- 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
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 local, state or federal laws.
A notice to Cadence applicants: Our Talent team only directs candidates to apply through our official careers page at https://www.cadence.care/our-team. Cadence will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. We receive all applications through our website and anyone suggesting otherwise is not with Cadence.
If you require a reasonable accommodation during the interview or hiring process, please notify your recruiter.
Skills Required
- Bachelor's or Master's degree in Computer Science, Engineering, or a related field, or equivalent work experience
- 2+ years building AI/ML-powered systems in production
- Experience working in a high-growth, fast-paced environment with end-to-end ownership from design through production
- Hands-on experience with LLM APIs, including prompt engineering, tool use or function calling, and structured outputs
- Experience building RAG systems, including embeddings, vector stores, retrieval optimization, and grounding
- Experience with agent frameworks or orchestration patterns, including tool calling, planners, and multi-agent coordination
- Fine-tuning experience with SFT, RLHF, or LoRA on domain-specific tasks
- Healthcare or regulated-industry experience, including HIPAA, SOC 2, or clinical data handling
Cadence (cadence.care) Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Cadence (cadence.care) and has not been reviewed or approved by Cadence (cadence.care).
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Healthcare Strength — Health, dental, and vision coverage are complemented by mental health support and wellness programs. Offerings such as One Medical access, TalkSpace, and a 24/7 employee assistance program reinforce comprehensive care.
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Leave & Time Off Breadth — Time off includes unlimited vacation, paid holidays, and paid sick days. Parental leave is described as generous.
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Retirement Support — A 401(k) plan with company matching supports long-term savings. Additional tools like HSAs and FSAs bolster overall financial security.
Cadence (cadence.care) Insights
What We Do
Cadence is future-proofing primary care for an aging population. We’re building the first AI-native chronic disease platform – extending the doctor’s office beyond the visit and enabling health systems to deliver proactive care at home. Powered by our care intelligence and multidisciplinary clinical team, we monitor every patient, identify risks early, and act before problems escalate. Today, more than 90,000 seniors across 20 health systems rely on Cadence to stay healthier at home. Every day, more than 7,000 Americans age into Medicare, most with complex, ongoing health needs. Traditional healthcare was built for episodic visits, not for the continuous support that chronic care requires. The result? Overwhelmed health systems, rising costs, and patients who fall through the cracks. Cadence solves this problem. Our platform seamlessly integrates with a health system’s existing clinical workflow, using AI and machine learning to continuously monitor patient data, detect trends, and trigger timely interventions. We pair this technology with a nationally licensed clinical team that collaborates directly with each patient’s physician ensuring that every alert turns into meaningful, compassionate action. This hybrid model of technology + clinical care is what sets Cadence apart. We don’t just collect data; we turn insights into outcomes. Behind our platform is a world-class team of engineers, clinicians, and operators, all united by a shared mission — to make compassionate, continuous care accessible at scale. We tackle big, complex challenges with cutting-edge technology and deep empathy, knowing that every improvement we make has a direct impact on real people’s lives. Together, we’re building a system where technology amplifies humanity — and every patient gets the care they deserve, every day.
Why Work With Us
We’re a collaborative, learning-driven engineering culture tackling one of the toughest problems in tech - healthcare at scale. At Cadence, you’ll ship real-world systems that impact thousands of patients, gain exposure to cutting-edge AI and data science, and grow alongside teammates who value curiosity, humility, and excellence.
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