AI Engineer

Clera

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

Qualifications

  • 2+ years experience with LLM or agent systems, covering professional, personal, and research work.
  • Hands-on experience with tools like evaluations, retrieval, and integrations in agent infrastructure.
  • Proficient in Python or a similar systems programming language.
  • Strong fundamentals in computer science and mathematics, with academic credentials being a plus.
  • History of diagnosing issues in production LLM or agent systems within tech environments.
  • Ability to recognize and automate repetitive tasks with coding solutions.
  • Demonstrated warmth and empathy in patient interactions, adept at managing difficult conversations.
  • Self-starter comfortable in a low-structure, startup environment.
  • Familiarity with prompt engineering and AI model evaluation is advantageous.
  • Experience in healthcare AI systems is also beneficial.

Responsibilities

  • Diagnose failures in patient AI conversations and implement code fixes.
  • Develop and maintain agent infrastructure with system integrations and evaluation frameworks.
  • Automate routine manual workflows in clinics to reduce operational toil.
  • Manage patient interactions empathetically when AI fails, gaining product insights.
  • Maintain ownership of entire systems with minimal supervision, making independent architectural decisions.

Benefits

  • Opportunity to impact patient outcomes directly through AI technology.
  • Work within a small, senior team that values collaboration and innovation.
  • Engage in a high-autonomy work environment fostering personal and professional growth.
  • Full-time role located in the vibrant tech scene of San Francisco.
Full Job Description
About the Role

This is an end-to-end ownership role for the patient-facing AI conversation loop at a healthtech marketplace that helps patients access affordable international medical care. You will sit at the intersection of infrastructure and empathy, building robust agent systems that directly improve real patient outcomes on a small, senior team.
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 experience, personal projects, research, or open-source all count equally.
  • Hands-on experience with agent infrastructure: evals, RAG/retrieval, and tool integrations.
  • Proficiency in Python or an equivalent systems programming language.
  • Strong computer science and mathematics fundamentals; elite academic signals such as top-tier university education, published research, or math competition experience are a strong plus.
  • A track record of diagnosing and fixing failures in production LLM or agent systems.
  • Automation instinct: you spot recurring manual workflows and proactively eliminate them through code.
  • Patient-facing warmth and empathy, with the ability to handle difficult conversations with care.
  • Comfort working with startup-level autonomy in a low-structure environment.
  • Familiarity with prompt engineering, fine-tuning, model evaluation, vector databases, or semantic search is a plus.
  • Experience with patient-facing or healthcare AI systems is a plus.
  • Existing US work authorization required; visa sponsorship is not available.
Compensation & Benefits

Salary range: $150,000 to $220,000 USD annually. Visa sponsorship is not available.
Location

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

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