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Engineering Manager - Agentic AI

San Francisco💼 Full-time💰 $200,000–$200,000🗓 2026-09-01 → 2026-09-26

Core

Build and lead a new team to design and ship production-grade autonomous AI agents for multi-step medical reasoning in coronary artery disease diagnosis.

Role type

Senior Engineering Manager (Player-Coach) for Agentic AI

Builds

Autonomous medical AI agents, orchestration frameworks, and secure reasoning platforms for Heartflow's cardiac care products

Domain

Healthcare / Medical AI / Agentic Systems

Deliverable

production ML models | product features

Required skills

Agentic AI architecture, LLM application development, Python or Go, microservices, API design, cloud infrastructure (AWS/GCP), team leadership, technical strategy, CI/CD, test automation

Preferred skills

Regulated industry AI deployment (HIPAA/GDPR), open-source LLM contributions, prompt engineering, fine-tuning, RAG optimization

Technologies

LLMs, Vector databases, AWS, GCP, Python, Go

Responsibilities

Design and architect the core Agentic AI ecosystem; write foundational code for multi-agent orchestration and state management; scale the engineering team and guide execution; drive technical strategy from ideation to production; implement safety guardrails and compliance validation loops; collaborate with clinical experts and data scientists to translate needs into agent architectures

Seniority

Senior, hands-on IC transitioning to management

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