Forward Deployed Engineer
Full-time On-site New York $150k - $225k

About this role
We are building the most advanced AI communication layer for healthcare. Our AI agents handle the overwhelming volume of calls and messages that clinics face daily—from scheduling to billing to prescription refills—freeing staff to focus on patient care. We're an in-person company based in New York.

Today, clinics miss 30-40% of inbound calls due to staffing shortages. We're solving this by automating complex workflows end-to-end, already serving tens of thousands of patients monthly across virtual care companies, health systems, and a $5B health insurance company.

We've raised $5.4M from Accel, Y Combinator, Sequoia (scout), and healthcare founders from Ophelia, Medallion, and Counsel Health.

Our founders bring both clinical and technical expertise—the CEO is a Stanford/Harvard-trained physician who was on the founding teams of Two Chairs and Ophelia, while the CTO built voice AI at Amazon Alexa and led AI/ML teams at Salesforce.

Join us as we transform healthcare communication—creating a future where patients get faster resolutions and providers reclaim time for what matters most.

Why Join Us?

• Early-stage impact with proven traction: Dozens of paying customers, rapidly growing revenue, and strong market signals—all in the high-impact environment of an early-stage startup.

• Tackling a massive healthcare challenge: Address a critical problem in communication that affects millions of patients and providers daily, using technology that truly transforms the patient experience.

• Technical founding team: Collaborate directly with experienced founders who understand healthcare operations and technical development, enabling faster decisions and better outcomes.

• Cutting-edge tech frontier: Harness the latest generative AI models—LLMs, voice synthesis, and real-time transcription—to build conversational agents that push healthcare innovation beyond current limits.

• In-person collaboration advantage: We've prioritized in-person work from day one for faster progress, stronger team bonds, and a cohesive culture.

Responsibilities

• Embed with customer teams to deploy and optimize AI agents in live healthcare environments.

• Collaborate with engineering and product teams to customize solutions based on client feedback.

• Troubleshoot and iterate on healthcare integrations to ensure seamless performance.

• Drive customer success through onsite training, support, and relationship management.

• Contribute to product roadmap by identifying real-world challenges faced by customers.

Requirements

• Technical excellence with customer focus: 3+ years of engineering experience, with a proven track record of shipping production systems while working directly with customers.

• Healthcare systems experience: Familiarity with healthcare workflows, EHR integrations, or regulated environments (HIPAA compliance is a plus).

• Full-stack engineering skills: Proficiency in our tech stack (Node.js, TypeScript, React, PostgreSQL), with the ability to build reliable integrations and debug complex systems.

• Travel flexibility: Willingness to travel to customer sites 15-25% of the time for onsite deployments and relationship building.

• High agency and ownership: Comfortable in ambiguous situations, making independent decisions, and taking full responsibility for customer success.

Interesting Technical Challenges

• Healthcare-specific AI tuning: Configure voice agents to handle medical terminology, clinical context, and patient communication with empathy and accuracy.

• Complex workflow orchestration: Map and automate multi-step processes spanning scheduling, insurance verification, prescription management, and clinical documentation.

• Real-time system reliability: Maintain sub-second response times and 99.9% uptime for mission-critical healthcare communications.

• Secure, compliant integrations: Build robust connections with legacy systems while ensuring HIPAA compliance and protecting sensitive patient data.

• Scale personalization: Deploy AI agents that adapt to each organization's unique protocols, terminology, and style while maintaining consistent quality.

Experience
3 - 10 years of experience in a customer-facing engineering role, working directly with customers

Salary
$150k - $225k

Equity
Competitive

Visa sponsorship
Not available

On-site work policy
This role is five days a week in our New York office.

Full-time position

Location
New York

Tech stack
Node.js, TypeScript, React, PostgreSQL

Team size
4 people

Founded
2024

About the team
CEO is a Stanford/Harvard trained physician formerly on the founding team of Two Chairs and Ophelia (YC W20).
CTO formerly worked on voice AI at Amazon Alexa and ML projects at Citi/Salesforce.

The product
We are building an AI communication platform that automates patient conversations and workflows for healthcare organizations. Our technology handles complex tasks like scheduling, billing, and prescription refills across multiple channels, helping providers improve efficiency and deliver better patient care.

Interview process

1. First Chat (30 min)

2. System Design Screen (1 hour)

3. Applied Coding Exercise (1 hour)

4. Onsite (Half-day)