AI Engineer

Clera

$150K — $220K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Experience building and shipping LLM or agent systems end-to-end, including personal or open-source projects.
  • Hands-on expertise with agent infrastructure such as evals, RAG retrieval systems, and tool integrations.
  • Proficient in Python or another relevant programming language for automation and agent infrastructure.
  • Strong foundation in computer science and mathematics; advanced credentials or published research are highly valued.
  • A knack for identifying and automating repetitive manual tasks in workflows.
  • Ability to manage systems independently in a dynamic startup environment.
  • Empathy and communication skills for addressing patient concerns effectively.

Responsibilities

  • Diagnose failures in AI conversations and implement code fixes to enhance patient interactions.
  • Build and maintain essential agent infrastructure, ensuring seamless tool integrations and system evaluations.
  • Automate clinic operations by eliminating manual workflows through effective coding.
  • Handle complex patient interactions, transforming challenges into actionable product insights.
  • Take ownership of system architecture and implementation decisions with minimal oversight.

Benefits

  • Health, dental, and vision insurance.
  • Generous paid time off (PTO) policy.
  • Flexible spending accounts (FSAs) for health and dependent care.
  • Retirement savings plan with employer match.
  • Professional development opportunities and learning budgets.
Full Job Description
About the Role

This is a hands-on engineering role at an early-stage healthtech marketplace that connects patients with vetted international clinics for affordable medical care. You will own the patient-facing AI conversation loop end-to-end, diagnosing failures in production and shipping fixes that directly improve patient outcomes. The role sits at the intersection of agent infrastructure and real-world empathy, making it both technically challenging and genuinely meaningful.
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 operations side, eliminating toil through code.
  • Handle patient-facing situations with care 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
  • Demonstrated ability to build and ship LLM or agent systems end-to-end; professional experience, personal projects, research, or open-source contributions all count equally.
  • Hands-on experience with agent infrastructure: evals, RAG and retrieval systems, and tool integrations.
  • Proficiency in Python or an equivalent language for building agent and automation infrastructure.
  • Strong computer science and mathematics fundamentals; elite academic signals such as top-tier university degrees, published research, or math competition experience are a strong plus.
  • Automation instinct: you spot recurring manual workflows and proactively eliminate them through code.
  • Comfort owning systems end-to-end with minimal oversight in a fast-moving startup environment.
  • Patient-facing warmth and empathy for handling difficult conversations and extracting product lessons from them.
  • 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.
  • Existing US work authorization required; no visa sponsorship available.
Compensation & Benefits

Salary range: $150,000 to $220,000 USD annually. No visa sponsorship is available; existing US work authorization is required.
Location

Full-time, on-site in San Francisco, California, five days per week. No remote exceptions.

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