# Forward Deployed Engineer

**Company:** [Ascertain](https://hotfix.jobs/companies/ascertain)
**Location:** Remote
**Role:** Solutions Architecture
**Salary:** $130k – $175k/yr
**Experience:** 5+ years
**Skills:** Python, SQL, REST APIs, Full-Stack Frameworks, Front-End Frameworks, Ehr Apis, Edi, Hl7, FHIR, Llm Agents, OAuth, Webhooks, Browser Automation, Pdf Parsing, Document Parsing
**Posted:** 2026-09-09

> Own end-to-end customer deployments by mapping healthcare workflows, building production integrations, and configuring AI agents. Requires 5+ years of production engineering experience, strong Python and API skills, customer-facing communication, and comfort working in ambiguous environments.

## Job Description

## Responsibilities
- Embed with new and existing customer practices remotely and on-site to map prior authorization, referral, and related workflows.
- Build and own integrations connecting AI agents to customer systems, including EHR APIs, payer portals, fax and EDI, document intake, and practice software.
- Configure and extend the agent platform, including ontology, prompts, tools, guardrails, and escalation paths; turn successful approaches into reusable patterns.
- Debug production issues across data, prompts, APIs, UI, and human workflows.
- Serve as the technical voice in customer conversations and translate between clinical-operations and engineering requirements.
- Decide what to build, configure, or decline, and share deployment learnings with product and platform teams.

## Requirements
- 5+ years shipping production code in a commercial engineering role.
- Fluent in Python.
- Proficient with SQL, REST APIs, and at least one full-stack or front-end framework.
- Experience delivering in ambiguous environments, such as an early-stage startup, consulting, applied research, or operations-heavy role.
- Strong written and verbal communication, including leading working sessions with non-technical stakeholders and producing concise specifications.
- Willingness to travel occasionally to customer sites.

## Nice-to-haves
- Healthcare experience with EHRs, claims and EDI, HL7/FHIR, payer portals, revenue cycle management, or prior authorization workflows.
- Production experience with LLMs or agent frameworks, including prompt design, evaluations, tool use, retrieval, and guardrails.
- Integration experience with OAuth flows, webhooks, browser automation, PDF parsing, and document parsing.
- Experience as an embedded engineer working directly with enterprise customers.

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