{"id":3668274,"url":"https://alion.io/job/pear-vc-founding-forward-deployed-engineer-usa","title":"Founding Forward Deployed Engineer (USA)","company":{"id":6218,"name":"Pear VC","domain":"pear.vc","url":"https://alion.io/company/pear-vc","size_band":"51-200","is_staffing_agency":true,"employer_type":"agency","is_intermediary":true,"listed_via":null,"ats_vendor":"Ashby","truth_index":{"grade":"C","score":65,"open_postings":71,"ghost_share":0.507,"stale_share":0,"repost_share":0,"time_to_fill_p50_days":64,"computed_at":"2026-11-08T05:47:12Z"}},"role":"Solutions","role_family":"Solutions","seniority":null,"employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"explicit","locations":["San Francisco, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Computer Use","optional":false},{"name":"Python","optional":false},{"name":"Zapier","optional":false},{"name":"HIPAA","optional":true},{"name":"LLM","optional":true}],"status":"live","first_seen_at":"2026-11-03T07:16:20Z","employer_posted_date":"2026-11-03","last_verified_at":"2026-11-08T11:38:05Z","board_verified":true,"closed_at":null,"days_open":5,"trust":{"level":"ok","repost_count":0,"flags":["company_stale"],"days_open":5},"description":"About Optexity\nOptexity is a product-driven research lab building clinical reasoning and computer use models on data no other lab can reach. We deploy directly inside clinics and hospitals - including systems with no APIs, using integration infrastructure we've built and open-sourced - and in return become their preferred partner. That gives us proprietary clinical reasoning trajectories from practicing physicians, and a feedback loop between real patient encounters, our models, and the products built on top of them.\nWe're a small, fast-moving founding team with multiple published papers in NeurIPS, ICML, CVPR etc and background from Apple, Amazon, Microsoft, CMU, IIT.\nWe are backed by world-class investors and leaders like Jeff Dean, Neotribe VC, PearVC, Together Fund and Zapier Fund.\nHow we work\nCustomer obsession - we start with the customer and work backwards\n\nIntellectual honesty - ideas matter more than titles; we communicate directly and assume good intent, even in disagreement\n\nBias for action - we build and learn with customers rather than debate in the abstract\n\nExtreme ownership - we own outcomes, not just tasks, and see problems through\n\nAbout the role\nYou are a software engineer who works directly with our customers. You will be deployed inside practices, clinics and hospitals in New York, understand how doctors and staff actually work, and build the integrations and product features that make Optexity work in their environment. Many of these systems have no APIs, so you will often be building the way in. You will own the customer’s technical outcome from first meeting to daily usage.\nWhat you’ll do\nDeploy and set up Optexity inside practices and clinics, including systems with no APIs, using the integration infrastructure we’ve built and open-sourced\n\nSit with doctors and staff to understand their workflows and requirements, and turn them into working software\n\nBuild and improve data pipelines and integrations with EMRs and other clinical systems\n\nWork with the core team on our search and chat system, and bring real customer feedback into the product\n\nDebug and resolve customer issues quickly, and own them until they are fixed\n\nHelp drive customer success: onboarding, training, and increasing usage\n\nMake general solutions from one-off customer problems, so each deployment makes the next one faster\n\nShare what you learn with the founders to shape product direction\n\nIdeal candidate\nBachelor’s in computer science or a related field\n\nStrong in Python and comfortable with backend work, data and APIs\n\nComfortable working directly with customers, including non-technical ones\n\nEnergized by open-ended problems and takes ownership without needing to be guided\n\nGenuinely wants a startup over big tech, with speed and ambiguity as defaults, not exceptions\n\nNew Grads Welcome to apply\n\nNice to have\nPrior founder, founding engineer or solutions engineering experience\n\nExperience with browser or desktop automation, or reverse engineering systems with no APIs\n\nBuilt LLM-powered products before\n\nFamiliarity with healthcare data, EMRs, or HIPAA\n\nStrong product taste\n\nAmbitions to start your own company someday, and we’ll support that path\n\nPreferred to be based in SF but remote also considered.\n\nWhat you get\nDirect, daily work with the founders, plus exposure to board and investor conversations\n\nReal ownership of technical direction, with scope that grows as the company does\n\nFull compute and data to do the work 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