Senior Forward Deployed Engineer

At Commure, our mission is to simplify healthcare. We have bold ambitions to reimagine the healthcare experience, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans ambient AI clinical documentation, provider copilots, autonomous coding, revenue cycle management and more — all designed for providers & administrators to focus on what matters most: providing care.

Healthcare is a $4.5 trillion industry with more than $500 billion spent annually on administrative costs, and Commure is at the heart of transforming it. We power over 500,000 clinicians across hundreds of care sites nationwide – more than $10 billion flows through our systems and we support over 100 million patient interactions. With new product launches on the horizon, expansion into additional care segments, and a bold vision to tackle healthcare's most pressing challenges, our ambition is to move from upstart innovator to the industry standard over the next few years.

Commure was recently named to Fortune’s Future 50 list for 2025 and is backed by world-class investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital, Elad Gil, and more. Commure has achieved over 300% year-over-year growth for the past two years and this is only the beginning. Healthcare's moment for AI-powered transformation is here, and we're building the technology to power it. Come join us in shaping the future of healthcare.

As a Senior Forward Deployed Engineer (FDE) at Commure + Athelas, you will lead on‑site discovery, architect end‑to‑end solutions, and own production deployments for health system partners. You’ll operate as the technical owner from problem framing through go‑live and scale, partnering directly with clinicians, operations, IT/security, and executives. You’ll mentor other FDEs, uplevel our playbooks, and influence the product roadmap to drive measurable outcomes in patient access, affordability, and care quality. For those interested, this role has a clear path into FDE leadership (FDE Lead → FDE Manager) as you demonstrate impact and coach others.

This Full Time position requires working 50% of your time in our Mountain View office.

What you’ll do

• Own outcomes. Lead multi‑workstream engagements from scoping/SOW through production launch and adoption; define timelines, risks, and success metrics (e.g., time‑to‑note close, same‑day close rate, throughput, NPS).

• Run discovery at the bedside and in the boardroom. Shadow clinical workflows, synthesize requirements, and translate ambiguity into crisp problem statements and ROI hypotheses.

• Architect & build. Design and implement 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, and demo to executives; iterate in days, not quarters.

• Ensure security & compliance. Design with HIPAA/SOC 2 principles, least‑privilege access, and auditability in mind.

• Reliability & operations. Instrument systems, define SLOs, set up monitoring/alerting, and lead incident response and root‑cause analysis.

• AI & automation. Apply LLMs/NLP, speech, workflow engines, and RTLS to reduce administrative burden and unlock new capabilities.

• Stakeholder management. Drive exec‑level communication, align on decisions, manage dependencies, and unblock teams.
  Documentation & playbooks. Author runbooks, integration guides, and repeatable patterns to scale the practice.

• Mentor & multiply. Coach junior FDEs, review designs/code, and model a culture of urgency, ownership, and craftsmanship.
  

What you have

• 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.
  Domain experience in RCM, clinical documentation, intake & eligibility/benefits, or command center operations.
  Observability depth: logs/metrics/tracing, performance tuning, SLO design.
  

If you’re energized by solving messy, high‑stakes problems side‑by‑side with the people delivering care—and you love to build, ship, measure, and repeat—you’ll thrive here.

Commure + Athelas is committed to creating and fostering a diverse team. We are open to all backgrounds and levels of experience, and believe that great people can always find a place. We are committed to providing reasonable accommodations to all applicants throughout the application process.

Please be aware that all official communication from us will come exclusively from email addresses ending in @getathelas.com, @commure.com or @augmedix.com. Any emails from other domains are not affiliated with our organization.

Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.