# Forward Deployed Engineer

**Company:** [Onos Health](https://hotfix.jobs/companies/onos-health)
**Location:** San Francisco, CA
**Role:** Solutions Architecture
**Salary:** $200k – $275k/yr
**Experience:** 5+ years
**Skills:** Python, Django, AWS, Terraform, Next.js, TypeScript, Postgres, Machine Learning, LLMs, FHIR, hl7
**Posted:** 2026-07-28

> Forward Deployed Engineer serving as the primary technical lead interfacing directly with health plan customers. Own end-to-end feature development, integrations, and roadmap for an AI-driven healthcare data platform while translating customer workflows into production software.

## Job Description

## 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.

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**Apply:** https://hotfix.jobs/jobs/c61f5ae0-d27a-429b-b71d-871bcef04b9e
**Canonical:** https://hotfix.jobs/jobs/c61f5ae0-d27a-429b-b71d-871bcef04b9e