Forward Deployed Engineer

Onos Health • San Francisco, CA

15d • $200,000 - $275,000 • Hybrid

About The Position

Onos Health is seeking an experienced Forward Deployed Engineer to be a technical lead interfacing directly with clients. As an early team member, this role involves working closely with the founding team and helping to build and lead a growing engineering team. The position is hybrid, based in San Francisco, requiring 3 days per week in the office. The engineer will work directly with health plan customers to understand their workflows and data, translate needs into software, and serve as the primary technical contact during integrations. Responsibilities include owning end-to-end feature development, shaping the technical roadmap, and influencing product strategy. The role involves significant technical challenges such as developing an AI engine for medical guidelines, designing extensible integration systems, building AI/ML pipelines for clinical notes, and scaling systems for millions of records while maintaining security and compliance.

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

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

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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed