{"id":789957,"url":"https://alion.io/job/ascertain-forward-deployed-engineer","title":"Forward Deployed Engineer","company":{"id":670109,"name":"Ascertain","domain":"ascertain.com","url":"https://alion.io/company/ascertain","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":{"grade":"A","score":94,"open_postings":4,"ghost_share":0,"stale_share":0.25,"repost_share":0,"time_to_fill_p50_days":22,"computed_at":"2026-11-04T06:34:25Z"}},"role":"Solutions","role_family":"Solutions","seniority":"senior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":130000,"max":175000,"currency":"USD","period":"year","gross":null,"usd_annual":175000},"salary_estimate":null,"experience_years_min":5,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AI Agents","optional":false},{"name":"FHIR","optional":false},{"name":"HL7","optional":false},{"name":"LLM Guardrails","optional":false},{"name":"Python","optional":false},{"name":"Rest API","optional":false},{"name":"SQL","optional":false}],"status":"live","first_seen_at":"2026-09-09T22:13:00Z","employer_posted_date":"2026-09-09","last_verified_at":"2026-11-04T09:54:36Z","board_verified":true,"closed_at":null,"days_open":55,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":55},"description":"Meet Ascertain\nAscertain is building AI agents to automate the administrative work that burdens care teams. We are in major health systems and large specialty groups, saving hundreds of staff hours every week.\nOur backers include Northwell Health, New York’s largest health system, and Deerfield Management, a leading healthcare investment firm.\nTogether, we’re on a mission to restore time, trust, and focus to the people who keep healthcare running. Our work is urgent - not because of startup timelines, but because our customers rely on us to drive financial resilience and operational clarity in a system under strain.\nAbout the role\nAs 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, and 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.\nThe role combines substantive engineering work with sustained customer engagement. FDEs are the technical owners of their deployments-you’ll collaborate with the customer, write production code, and be the person in the room when customers raise difficult questions.\nWhat you'll do\nEmbed with new and existing customer practices, remotely and on-site, to map prior authorization, referral, and related workflows end to end.\n\nBuild 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.\n\nConfigure and extend our agent platform for each customer-ontology, prompts, tools, guardrails, escalation paths-and harden what works into reusable patterns.\n\nDebug production issues across the full stack: data, prompts, APIs, UI, and the surrounding human workflow.\n\nServe as the technical voice in customer conversations. Translate between clinical-operations language and engineering, and make informed decisions on what to build, what to configure, and what to decline.\n\nSurface learnings to the product and platform teams so patterns discovered once become reusable.\n\nWhat we're looking for\nRequired\n5+ years shipping production code in a commercial engineering role.\n\nFluent in Python\n\nProficient with SQL, REST APIs, and at least one full-stack or front-end framework.\n\nA track record of delivering in environments where the problem was not fully specified - early-stage startup, consulting, applied research, or an operations-heavy role.\n\nStrong written and verbal communication. You can lead a working session with a non-technical practice manager and produce a concise specification afterward.\n\nWillingness to travel occasionally to customer sites.\n\nStrongly preferred\nHealthcare experience: EHRs, claims and EDI (X12 270/271, 278, 837), HL7/FHIR, payer portals, RCM, or prior authorization workflows specifically.\n\nProduction experience with LLMs or agent frameworks-prompt design, evaluations, tool use, retrieval, guardrails.\n\nApplied integration experience: OAuth flows, webhook plumbing, browser automation, PDF and document parsing.\n\nPrior experience as an embedded engineer working directly with enterprise customers.\n\nThis role will not suit you if\nYou prefer a well-defined backlog of tickets.\n\nYou are looking to specialize deeply in a single technical area.\n\nYou do not want regular, direct customer interaction as part of your day-to-day work.\n\n Why Ascertain? Make a real difference: Your work will directly impact healthcare organizations and improve patient care. Join Ascertain in transforming healthcare with AI!","description_format":"text","description_chars":3748,"description_truncated":false,"requirements":{"experience_years_min":5,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Care Coordination & Population Health"],"lifecycle":[{"event":"open","at":"2026-09-12T03:06:35Z"}],"visa":[],"liveness":{"score":17,"band":"cold","label":"Long shot","p_open":1,"p_active":0.488,"p_room":0.35,"age_days":55,"expected_fill_days":22,"reasons":["conf:1","win:tail"],"computed_at":"2026-11-04T06:34:25Z"},"pay":{"stated_usd_annual":175000,"is_top_pay":false},"html_url":"https://alion.io/job/ascertain-forward-deployed-engineer","json_url":"https://alion.io/job/ascertain-forward-deployed-engineer.json","meta":{"generated_at":"2026-11-04T14:05:16Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":21310,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-05T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":670109},"rest":"https://alion.io/mcp/rest/get_company?id=670109"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fascertain-forward-deployed-engineer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fascertain-forward-deployed-engineer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fascertain-forward-deployed-engineer"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/ascertain-forward-deployed-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fascertain-forward-deployed-engineer"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":789957}},{"tool":"search_jobs","arguments":{"company":"ascertain.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":789957},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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