Agent Engineer

Clera

$150K — $200K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Demonstrated experience building AI or LLM systems through various avenues.
  • Strong math and computer science fundamentals from academic or competitive background.
  • Experience in designing agent orchestration systems or multi-step workflows.
  • Experience integrating external tools and APIs into agent systems.
  • Knowledge of retrieval-augmented generation (RAG) systems.
  • Experience in designing evaluation frameworks for agent reliability.
  • Automation instinct; ability to identify and eliminate manual processes.
  • Ability to thrive in a small, early-stage team.

Responsibilities

  • Design and implement workflows for clinic operations and internal processes.
  • Integrate external tools and APIs into the agent infrastructure.
  • Build systems to measure and improve agent performance continually.
  • Automate recurring manual workflows to enhance efficiency.
  • Monitor performance and adapt system design based on usage data.

Benefits

  • Meaningful equity participation opportunities.
  • Full-time, on-site role fostering team collaboration in San Francisco.
Full Job Description
About the Role

This role sits at the core of an early-stage healthtech marketplace, owning the agent infrastructure that powers both patient-facing and internal AI systems. You will design and build the orchestration layer, tool integrations, retrieval pipelines, and evaluation frameworks that automate clinic-side and internal operations end-to-end. This is a systems and infrastructure role, distinct from live conversation AI work, and your output will directly shape how the company scales.
What You'll Do
  • Design and implement the orchestration layer for multi-step agentic workflows across clinic operations and internal processes.
  • Integrate external tools and APIs into agent systems, ensuring reliable tool calling and robust error handling.
  • Build retrieval and evaluation infrastructure to measure and continuously improve agent reliability and accuracy.
  • Identify recurring manual workflows and ship automation systems to eliminate them.
  • Monitor agent performance in production and iterate on system design based on real-world behavior.
What We're Looking For
  • Demonstrated experience building agent or LLM systems through professional work, personal projects, research, or open-source contributions, covering areas such as orchestration, tool integrations, RAG, or evals.
  • Strong math and computer science fundamentals, evidenced by an elite academic record, competition experience, or fast self-directed learning in technical domains.
  • Experience designing and implementing agent orchestration systems or multi-step workflows.
  • Experience integrating tools, APIs, or external services into agent systems.
  • Experience building or working with retrieval-augmented generation (RAG) systems.
  • Experience designing evaluation frameworks or monitoring systems for agent reliability.
  • An automation instinct: you naturally spot recurring manual work and think in systems.
  • Ability to work effectively in a small, early-stage team with limited resources.
  • Bonus: experience with healthcare or regulated industry systems, prompt engineering, LLM fine-tuning, or open-source AI contributions.
  • No prior professional experience required; recent graduates and self-taught builders are welcome.
Compensation & Benefits

Base salary of $150,000 to $200,000 annually, plus meaningful equity. Visa sponsorship is not available.
Location

Full-time, on-site in San Francisco, California, five days per week.

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