[Hiring] Forward Deployed Engineer @Ascertain

Role Description

As a Forward Deployed Engineer, you will own the full arc of a customer deployment:

• Understanding a practice's workflows in depth.
• Building the integrations that connect Ascertain's agents to their systems.
• Shipping the result into production.

You will work directly with billers, referral coordinators, practice administrators, and clinical staff to map their processes, then translate what you learn into working software.

The role combines substantive engineering work with sustained customer engagement. FDEs are the technical owners of their deployments:

• Collaborate with the customer.
• Write production code.
• Be the person in the room when customers raise difficult questions.

What you'll do:

• Embed with new and existing customer practices, remotely and on-site, to map prior authorization, referral, and related workflows end to end.
• Build and own the integrations that connect Ascertain's agents to customer systems: EHR APIs (Athena, eClinicalWorks, Epic, etc.), payer portals, fax and EDI, document intake, and the rest of the practice's stack.
• Configure and extend our agent platform for each customer—ontology, prompts, tools, guardrails, escalation paths—and harden what works into reusable patterns.
• Debug production issues across the full stack: data, prompts, APIs, UI, and the surrounding human workflow.
• Serve as the technical voice in customer conversations.
• Translate between clinical-operations language and engineering.
• Make informed decisions on what to build, what to configure, and what to decline.
• Surface learnings to the product and platform teams so patterns discovered once become reusable.

Qualifications

• 3–5 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.
• A track record of delivering in environments where the problem was not fully specified - early-stage startup, consulting, applied research, or an operations-heavy role.
• Strong written and verbal communication.
• Willingness to travel occasionally to customer sites.

Requirements

• Healthcare experience: EHRs, claims and EDI (X12 270/271, 278, 837), HL7/FHIR, payer portals, RCM, or prior authorization workflows specifically.
• Production experience with LLMs or agent frameworks—prompt design, evaluations, tool use, retrieval, guardrails.
• Applied integration experience: OAuth flows, webhook plumbing, browser automation, PDF and document parsing.
• Prior experience as an embedded engineer working directly with enterprise customers.

This role will not suit you if

• You prefer a well-defined backlog of tickets.
• You are looking to specialize deeply in a single technical area.
• You do not want regular, direct customer interaction as part of your day-to-day work.

Benefits

• Make a real difference: Your work will directly impact healthcare organizations and improve patient care.
• Join Ascertain in transforming healthcare with AI!