In the U.S., 60% of adults – more than 133 million people – live with at least one chronic condition. These patients need frequent, proactive support to stay healthy, yet our care system isn’t built for that level of attention. With rising clinician shortages, strained infrastructure, and reactive care models, patients too often end up in the ER or the hospital when those outcomes could have been prevented.
At Cadence, we’re building a better system. Our mission is to deliver proactive care to one million seniors by 2030. Our technology and clinical care team extend the reach of primary care providers and support patients every day at home. In partnership with leading health systems, Cadence consistently monitors tens of thousands of patients to improve outcomes, reduce costs, and help patients live longer, healthier lives.
Re-architecting U.S. healthcare takes speed, precision, and real attention to detail. At Cadence, we’re building a remote care delivery platform that helps patients stay healthy, out of the hospital, and at home. By pairing each patient with a dedicated clinical team that reviews their health daily (not just a couple times a year) we catch issues early and intervene before they escalate.
Today, we support tens of thousands of patients nationwide through an AI-powered platform that enables proactive, population-level care. We’re building toward a future where intelligent systems help clinicians identify risk earlier, guide interventions, and reduce the operational burden that slows healthcare down.
We're looking for a Senior 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’LL NEED:
- 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
NICE TO HAVE:
- 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)
WHO WE ARE:
We move fast, raise standards, and own outcomes. We hire drivers, not passengers – people who take initiative, solve problems, and sweat the details because lives depend on it. Momentum matters in healthcare where slow decisions cost lives. At Cadence, we set a high bar and back each other relentlessly to clear it. If you’re ready to do the best work of your career and make a real impact in healthcare, join us.
WHAT YOU’LL GET:
- 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
- Location: Remote
Noteworthy
Our job titles may span more than one career level. 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 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.
Who we are
Cadence Health was built around a simple promise: patients always come first. Our technology-enabled remote care model pairs continuous health insights with a highly skilled clinical Care Team, empowering seniors to stay healthier, avoid complications, and live more independent, fulfilling lives, all without the limits of a traditional office visit.
Your expertise is the heart of our system.
Nurse practitioners, registered nurses, medical assistants, patient-success coordinators, and other frontline clinicians are the face and beating heart of Cadence. You’ll bring warmth, clinical precision, and the empathy that turns a virtual touchpoint into a human connection. Every chat, phone call, and care plan you deliver shapes how patients experience “what healthcare should be.”
A modern toolkit to practice top-of-license care
We’ve replaced reactive visits with real-time data, intelligent workflows, and seamless collaboration tools. That means you can spend less time on busywork and more time practicing at the top of your license, coaching patients, spotting risks early, and coordinating with physicians to keep care proactive and personal.
Thriving in a fast-moving, mission-driven culture.
Change excites us. Innovation fuels us. If you’re energized by technology, eager to re-imagine care delivery, and motivated to improve outcomes for both patients and the providers who serve them, you’ll feel at home here. We invest in continuous learning, clinical mentorship, and transparent growth paths so you can advance your skills while making a measurable impact every day.
Join us in redefining healthy aging.
If you’re passionate about compassionate care and ready to transform how seniors across the country manage chronic conditions, recover after hospitalization, and age with confidence, let’s talk. Together, we’ll build a future where exceptional care is consistent, connected, and just a call away.
What You'll Get:
Cadence full-time employees are eligible for the benefits described below. Part-time employees may qualify for benefits mandated by state or local law.
Cadence recognizes the unique needs of its diverse, distributed workforce and seeks to provide an inclusive work environment for its world-class clinicians and technologists.
- Company culture all about impact, shared growth mindset, empowerment, and integrity
- An opportunity to help improve the quality of life of millions of Americans
- Unique chance to support the development of an amazing product; Cadence’s in-house clinicians are our super users and beta testers
- Competitive salaries and quarterly incentives
- Medical, dental, and vision insurance
- Competitive PTO
- 401K and 401K match
- National and local discounts powered by TriNet
- Onboarding stipend for remote equipment and home office setup
- Paid Parental Leave
- Charitable Donation Match program
We are 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. Candidates must be willing to comply with all pre-employment drug screening requirements and, where applicable, comply with additional drug screening requirements as a condition of continued employment in accordance with company policy and applicable law.
*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.
