Forward Deployed Engineer

Onos Health; San Francisco (CA); Hybrid; USD 180,000 - 280,000; Full time

Benefits offered by this job

SF office 3 days

Unlimited vacation

Parental leave

Medical/Dental/Vision

Pre-tax commuter benefits

401(k)

Equity

Mentorship

Ground-floor team

Team events

Home office setup

Job summary

Onos Health is seeking an experienced Forward Deployed Engineer to serve as our technical lead, interfacing directly with health plan customers. As an early team member, you will help build and guide a growing engineering team, working 3 days a week from our San Francisco office.

You will own end-to-end feature development, set architectural direction, and collaborate with founders to shape product strategy in the fast-evolving healthcare AI space.

Qualifications

• 5+ years experience building software applications.
• Strong product sense and system design with a track record of defining clear requirements, test scenarios, and acceptance criteria for complex systems.
• Customer obsessed and motivated to make an impact in the healthcare space.
• A hands-on technical leader who can architect robust and extensible systems, establish best practices with AI coding tools, and ship high quality production code.

Responsibilities

• Work directly with health plan customers to understand their claims workflows, data formats, and pain points, then translate that into working software.
• Be the primary technical point of contact during integrations and rollouts of the Onos platform for new enterprise customers, and provide actionable insights and recommendations to health plan administrators.
• Own end-to-end development of new features and functionality for the Onos platform, including requirements gathering, scoping, architecting, implementation and testing to deliver timely and high quality outcomes.
• Shape our technical roadmap, make key architectural decisions, and influence the company's product and technical strategy.

Skills

Product sense

System design

Leadership

Hands-on coding

Customer focus

Tools

Github

Jira

Claude Code

CoderabbitAI

Tusk

Job description

About Onos Health

Onos Health’s mission is simple but ambitious: ensure every healthcare dollar goes toward delivering the highest quality care. Today, 30% of total U.S. healthcare spending is wasted due to ineffective care and administrative burden caused by misalignment between providers and payers.

Onos is addressing this by building the largest AI-driven healthcare data platform. Our models enables payers to make faster, more accurate decisions across their populations. By guiding members to the right care, Onos is channeling more dollars to high-quality care that drives better outcomes while making healthcare more affordable.

Onos is well-funded by some of the best healthcare investors and is working with the nation’s largest health plans. Come join a category-defining company and help reimagine healthcare for the better.

Why Onos?

• Meaningful impact: Help fix what is fundamentally broken in healthcare

• Direct collaboration: Work alongside experienced founders with deep healthcare and data expertise

• Culture: Join a high-performing, transparent, and results-oriented team

• Ownership: Significant responsibility and autonomy from day one

• Opportunity: Play a pivotal role in building a fast-growing, category-defining healthcare AI company

The Role

We're seeking an experienced Forward Deployed Engineer, someone who is product minded and customer oriented to join and be our technical lead to interface directly with clients. As an early team member, you'll work closely with our founding team while helping to build and lead a growing engineering team. This role is a hybrid role based in San Francisco, where you'll be expected to work at our office in person 3 times a week.

What you'll be doing at Onos:

• Work directly with health plan customers to understand their claims workflows, data formats, and pain points, then translate that into working software

• Be the primary technical point of contact during integrations and rollouts of the Onos platform for new enterprise customers, and provide actionable insights and recommendations to health plan administrators

• Own end-to-end development of new features and functionality for the Onos platform, including requirements gathering, scoping, architecting, implementation and testing to deliver timely and high quality outcomes

• Shape our technical roadmap, make key architectural decisions, and influence the company's product and technical strategy

Technical Challenges At Onos:

• Develop an intelligent engine that ingests complex medical standards of care documents and evaluates provider adherence to guidelines

• Design and implement robust and extensible systems to easily support many different kinds of enterprise workflows and integrations

• Build AI/ML pipelines to analyze handwritten clinical notes, accurately extract important medical information, and automate recommendations for clinical reviewers

• Scale our systems to process millions of healthcare records while maintaining strict security and compliance requirements

Tech Stack:

At Onos, we work with a modern tech stack where we continuously evaluate and adopt cutting-edge technologies as we scale.

• Infrastructure/Systems: AWS (ECS, Bedrock, Glue, etc.), Docker, Github Actions, Terraform

• Languages/Frameworks

  • Backend: Python, Django, Celery / Celery Beat, django-ninja, django-tenants

  • Frontend: NextJS, Typescript, Tanstack Query, Shadcn UI, Zod, Nuqs

• Database/Storage: PostgreSQL (AWS RDS), S3, Clickhouse

• Development Tools: Github, Jira, Claude Code, CoderabbitAI, Tusk

What we're looking for:

• 5+ years experience building software applications

• Strong product sense and system design skills with a track record of defining clear requirements, test scenarios, and acceptance criteria for complex systems

• Customer obsessed and motivated to make an impact in the healthcare space

• A hands-on technical leader who can architect robust and extensible systems, establish best practices with AI coding tools, and ship high quality production code

Bonus points if you have:

• Worked with machine learning and large language models for end-user applications

• Hands-on experience navigating healthcare data formats such as EDI X12, HL7, FHIR, and custom payer flat files

Benefits and Perks

• Flexible hybrid arrangement: 3 days/week at San Francisco office (Financial District), remote-first culture

• Unlimited vacation policy

• Paid parental leave

• Medical, dental, and vision insurance

• Pre-tax commuter benefits

• 401(k)

• Significant equity as an early employee

• Direct mentorship from experienced founders

• Ground-floor opportunity to help build a team and culture

• Regular team events and offsites

• Company-provided equipment and home office setup

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.