Agentic AI Engineer — Healthcare AI

About the role

Deloitte is launching an AI-first initiative, backed by $1B in committed investment, to rebuild the decision-making machinery behind American healthcare. This effort aims to make care faster, fairer, and far less wasteful by addressing slow, costly, and adversarial processes such as prior authorization, claims misfires, and clinical decisions made without the right information. As an Agentic AI Engineer, you will design, build, and operationalize LLM- and SLM-powered systems that enable intelligent agents to operate reliably across high-stakes healthcare decisions, including clinical reasoning, prior authorization, claims integrity, care navigation, and operational workflows.

This is a ground-up rebuild of healthcare decision-making at national scale, not a marginal application of AI. You will own agent systems end-to-end—from architecture to production—and your work will ship into live clinical and operational settings within your first months. You do not need a healthcare background; we pair every engineer with clinical and domain experts to teach you the domain.

Responsibilities

• Agent architecture & orchestration: Design and implement agentic systems capable of multi-step reasoning, planning, tool use, and workflow execution against complex, regulated operational processes. Build stateful workflows using frameworks such as LangGraph and LangChain, including branching, retries, self-correction, human-in-the-loop checkpoints, and reusable orchestration patterns.
• Engineer for long-horizon reliability: multi-step task completion, recovery from compounding errors, planning under uncertainty, and robust tool use when individual steps fail.
• Build the reasoning behind regulated decisions: policy- and criteria-grounded outputs, structured proposer/critic/judge-style review, and auditable rationales for high-stakes decisions across clinical review, prior authorization, claims integrity, and care management.
• Retrieval, grounding & context engineering: Develop end-to-end Retrieval-Augmented Generation (RAG) pipelines, including ingestion, chunking, embeddings, vector and hybrid retrieval, reranking, contextual compression, and grounding strategies.
• Engineer memory and context management: conversational state, persistent memory, retrieval-aware context assembly, and token-efficient context selection.
• Apply modern context-delivery patterns (e.g., MCP-style tool/context interfaces) so agents access the right information at the right time.
• Reliability, evaluation & safety: Implement observability and tracing for prompts, tool calls, retrieval quality, agent traces, failures, drift, latency, and production behavior.
• Apply guardrails, safety controls, and failure-handling to reduce hallucinations and unsafe actions.
• Evaluate agents at the trajectory and task level: multi-step task success, failure-mode and regression analysis, and sandboxed test environments, alongside retrieval- and generation-quality metrics, automated checks, and human review.
• Engineer healthcare-grade safety: deployment eval gates, human-oversight and escalation models, auditability and traceability for regulated decisions, and PHI/HIPAA-aware data handling.
• Integration & production craft: Build integrations with internal and external tools, APIs, enterprise systems, databases, and model providers so agents operate safely within real business workflows.
• Deliver production-quality code with strong practices in testing, CI/CD, logging, versioning, and documentation; make architecture decisions that balance quality, safety, latency, cost, and model risk.
• Partner with modeling and post-training engineers to improve model behavior for tool use, grounding, and long-horizon reasoning through evaluation-driven feedback and fine-tuned or reasoning-optimized models.
• Translate ambiguous, high-complexity operational processes into robust system logic and reusable AI patterns; stay current with advances in agentic systems and translate research into practical engineering decisions.

The team

Deloitte brings together AI researchers, modeling and platform engineers, architects, clinical and domain specialists, and product leaders to build, deploy, and operate verticalized AI systems across software, data, models, and cloud infrastructure. The work spans the healthcare industry—payers, providers, and life sciences—and involves genuinely hard reasoning problems, nuanced operational workflows, and a high bar for reliability. We pair frontier AI research with production-grade engineering and ship into real clinical and operational settings, not labs.

Requirements

• Bachelor's degree in Computer Science, Engineering, Data Science, Computational Linguistics, or a related field.
• Demonstrated depth building and shipping production agentic systems—this is your primary craft, not a recent exploration. We prioritize shipped systems, research, model releases, and open-source contributions over years in a title.
• Strong, hands-on experience building production agent systems with modern orchestration frameworks (e.g., LangGraph, LangChain) or equivalent, including custom orchestration.
• Experience designing and optimizing end-to-end RAG systems: indexing, retrieval, reranking, grounding, and evaluation.
• Strong understanding of memory and context management, including context windows, retrieval-driven context assembly, persistent memory, and high-signal context selection.
• Deep, practical understanding of LLM behavior: strengths, limitations, hallucination risks, reasoning constraints, and latency/cost trade-offs, along with the evaluation methods used to measure them.
• Experience evaluating and debugging agent behavior at the task-success and trajectory level, not just output quality.
• Strong Python engineering skills and modern software practices: testing, CI/CD, version control, and API integration.
• Experience implementing observability, tracing, and debugging for LLM-based systems in production.
• Hands-on experience with at least one frontier model platform (e.g., Anthropic, Google, OpenAI) and/or open-weight/self-hosted models (e.g., Llama via vLLM), including production tool use and agent capabilities.
• Ability to travel 0-50%, on average, based on the work you do and the clients and industries/sectors you serve.
• Limited immigration sponsorship may be available.

Preferred Qualifications

• Experience with multi-agent systems and agent collaboration patterns.
• Familiarity with vector databases and retrieval infrastructure such as Pinecone, Weaviate, or Milvus.
• Exposure to model adaptation and fine-tuning techniques such as LoRA or QLoRA.
• Understanding of traditional NLP concepts: tokenization, semantic similarity, entity extraction, summarization, and transformer fundamentals.
• Experience operating in highly regulated, high-stakes, or operationally complex environments; healthcare exposure (clinical, payer, or life-sciences workflows, or standards such as FHIR) is a plus.
• Demonstrated habit of staying current with AI research, benchmarks, and emerging engineering patterns.

Pay

The estimated base salary range is $110,700–$372,900 (not adjusted for geographic differential). Actual base pay depends on your skills, experience, and level. The role also carries a substantial performance-based incentive opportunity designed to grow with the value you help create—startup-style upside with the backing of a committed, well-capitalized platform. You may also be eligible for a discretionary annual incentive based on individual and organizational performance.