Senior Forward Deployed Engineer

Commure

full-time

Posted on: 9/25/2025

Origin: • 🇺🇸 United States • California

✨ AI Apply

Senior

AWSAzureCloudDockerGoogle Cloud PlatformGRPCPythonReactSQLTerraformTypeScript

About the role

Lead on‑site discovery, architect end‑to‑end solutions, and own production deployments for health system partners.
Operate as the technical owner from problem framing through go‑live and scale; partner directly with clinicians, operations, IT/security, and executives.
Own outcomes: Lead multi‑workstream engagements from scoping/SOW through production launch and adoption; define timelines, risks, and success metrics.
Run discovery at the bedside and in the boardroom: shadow clinical workflows, synthesize requirements, and translate ambiguity into problem statements and ROI hypotheses.
Architect & build integrations (FHIR/HL7/X12 APIs), data pipelines, services, and UIs; take 0→1 prototypes to hardened 1→N solutions.
Ship on‑site: travel up to 50% to build with users, pilot rapidly, demo to executives, and iterate quickly.
Ensure security & compliance by designing with HIPAA/SOC 2 principles, least‑privilege access, and auditability.
Reliability & operations: instrument systems, define SLOs, set up monitoring/alerting, and lead incident response and root‑cause analysis.
Apply AI & automation: use LLMs/NLP, speech, workflow engines, and RTLS to reduce administrative burden.
Stakeholder management and documentation: drive exec‑level communication, author runbooks, integration guides, and repeatable patterns to scale.
Mentor & multiply: coach junior FDEs, review designs/code, and uplevel playbooks.

4–6+ years in software engineering and/or field/solutions/forward‑deployed roles, with a track record of owning customer‑facing deployments.
Fluency in Python and TypeScript/React; strong SQL; experience building and consuming REST/gRPC APIs.
Comfort with cloud & DevOps: containers (Docker), CI/CD, infrastructure‑as‑code (e.g., Terraform), and one major cloud (AWS/GCP/Azure).
Integration experience (healthcare a plus): Epic/Cerner, FHIR R4, HL7 v2, SMART on FHIR, and/or X12 (270/271, 835/837); SSO/OIDC.
Practical security mindset: HIPAA concepts, PHI handling, encryption, and audit logging.
Strong product sense and bias to action—able to shape ambiguous problems, make smart tradeoffs, and ship quickly.
Executive‑caliber written and verbal communication; equally effective with engineers, clinicians, and operational leaders.
Willingness to travel up to 50% to customer sites.
Bachelor’s degree in Computer Science, Engineering, or related field (or equivalent real‑world experience).
Nice to have: Hands‑on with LLM/AI systems (prompting, RAG, vector stores, evaluation) and/or speech‑to‑text and real‑time pipelines.
Nice to have: Domain experience in RCM, clinical documentation, intake & eligibility/benefits, or command center operations.
Nice to have: Observability depth: logs/metrics/tracing, performance tuning, SLO design.