Forward Deployed Engineer

Responsibilities

• Work directly with health plan customers to understand their claims workflows, data formats, and pain points, then translate that into working software.
• Be the primary technical point of contact during integrations and rollouts of the Onos platform for new enterprise customers, and provide actionable insights and recommendations to health plan administrators.
• Own end-to-end development of new features and functionality for the Onos platform, including requirements gathering, scoping, architecting, implementation and testing to deliver timely and high quality outcomes.
• Shape our technical roadmap, make key architectural decisions, and influence the company's product and technical strategy.
• Develop an intelligent engine that ingests complex medical standards of care documents and evaluates provider adherence to guidelines.
• Design and implement robust and extensible systems to easily support many different kinds of enterprise workflows and integrations.
• Build AI/ML pipelines to analyze handwritten clinical notes, accurately extract important medical information, and automate recommendations for clinical reviewers.
• Scale our systems to process millions of healthcare records while maintaining strict security and compliance requirements.

Requirements

• 5+ years experience building software applications.
• Strong product sense and system design skills with a track record of defining clear requirements, test scenarios, and acceptance criteria for complex systems.
• Customer obsessed and motivated to make an impact in the healthcare space.
• A hands-on technical leader who can architect robust and extensible systems, establish best practices with AI coding tools, and ship high quality production code.

Nice-to-Haves

• Worked with machine learning and large language models for end-user applications.
• Hands-on experience navigating healthcare data formats such as EDI X12, HL7, FHIR, and custom payer flat files.

Tech Stack

Infrastructure/Systems: AWS (ECS, Bedrock, Glue, etc.), Docker, Github Actions, Terraform
Languages/Frameworks
Backend: Python, Django, Celery / Celery Beat, django-ninja, django-tenants
Frontend: NextJS, Typescript, Tanstack Query, Shadcn UI, Zod, Nuqs
Database/Storage: PostgreSQL (AWS RDS), S3, Clickhouse
Development Tools: Github, Jira, Claude Code, CoderabbitAI, Tusk

Benefits

• Flexible hybrid arrangement: 3 days/week at San Francisco office (Financial District), remote-first culture.
• Unlimited vacation policy.
• Paid parental leave.
• Medical, dental, and vision insurance.
• Pre-tax commuter benefits.
• 401(k).
• Significant equity as an early employee.
• Direct mentorship from experienced founders.
• Ground-floor opportunity to help build a team and culture.
• Regular team events and offsites.
• Company-provided equipment and home office setup.