AI Engineer

Clera

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

Qualifications

  • 2+ years building and shipping LLM or agent systems (including personal projects and open-source).
  • Hands-on experience with agent infrastructure, evaluations, and retrieval systems.
  • Proficient in Python or an equivalent programming language.
  • Strong background in computer science and mathematics; elite academic achievements are a plus.
  • Instinct for automation; identifies and streamlines manual workflows effectively.
  • Ability to diagnose and resolve production issues in LLM/agent systems.
  • Familiarity with vector databases, embedding systems, or semantic search is a plus.
  • Experience with prompt engineering, fine-tuning, or conversational AI evaluation is a plus.
  • Warmth and empathy in patient interactions, particularly in challenging conversations.
  • Comfort with owning systems independently in dynamic startup environments.

Responsibilities

  • Diagnose AI conversation failures and implement code fixes to enhance performance.
  • Build and maintain infrastructure for agent systems, including tool integrations and evaluation frameworks.
  • Automate manual workflows at clinics to reduce repetitive tasks through efficient coding.
  • Handle patient interactions with empathy, transforming challenges into insights for product improvement.
  • Take end-to-end ownership of systems with minimal oversight, making critical architectural and implementation decisions.

Benefits

  • Health, dental, and vision insurance provided.
  • 401(k) retirement plan with company matching.
  • Generous paid time off policy including holidays and vacation days.
  • Opportunities for professional development and continuous learning.
  • Collaborative and innovative work environment within the healthtech sector.
Full Job Description
About the Role

This is a hands-on AI engineering role at a healthtech company in the medical tourism space, where you will own the patient-facing AI conversation loop end-to-end. You will sit at the intersection of infrastructure and empathy, building robust agent systems that directly shape real patient outcomes. The work matters: when the AI stumbles, you fix it, and when patients need a human touch, you provide it.
What You'll Do
  • Diagnose why AI conversations with patients fail and ship code fixes to prevent recurrence.
  • Build and maintain agent infrastructure, including tool integrations, evaluation frameworks, and retrieval systems.
  • Automate recurring manual workflows on the clinic side, eliminating toil through code.
  • Handle patient-facing situations with empathy when the AI falls short, turning those moments into product insights.
  • Own systems end-to-end with minimal oversight, making architectural and implementation decisions independently.
What We're Looking For
  • 2+ years of demonstrated experience building and shipping LLM or agent systems end-to-end (professional, personal projects, research, or open-source all count equally).
  • Hands-on experience with agent infrastructure: evals, RAG/retrieval systems, and tool integrations.
  • Proficiency in Python or an equivalent language for building agent infrastructure.
  • Strong computer science and mathematics fundamentals; elite academic signals such as top-tier university backgrounds, published research, or mathematics competition experience are a strong plus.
  • Automation instinct: you spot recurring manual workflows and proactively eliminate them through code.
  • Ability to diagnose and fix failures in production LLM/agent systems.
  • Familiarity with vector databases, embedding systems, or semantic search is a plus.
  • Experience with prompt engineering, fine-tuning, or conversational AI evaluation is a plus.
  • Patient-facing warmth and empathy; comfort handling difficult conversations with care.
  • Startup autonomy: comfortable owning systems independently in fast-moving environments.
  • Existing US work authorization required; no visa sponsorship available.
Compensation & Benefits

Base salary: $150,000 to $200,000 USD annually. Visa sponsorship is not available; existing US work authorization is required.
Location

This role is fully on-site, five days per week, in San Francisco, California, United States. No remote exceptions.

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