Healthcare Forward Deployed Engineer

Accenture; St. Louis (MO); On-site; USD 140,000 - 190,000; Full time

Job summary

Accenture is seeking an AI Native Engineer to advance data & AI programs inside provider organizations and health plans. You will design, deploy, and govern AI solutions within clinical and administrative workflows, focusing on interoperability, safety, and measurable outcomes.

Travel may be required as projects evolve. Ideal candidates bring 3+ years in cloud-native engineering, hands-on AI tooling experience, and production deployment ownership in payer environments.

Qualifications

• Hands-on engineering with cloud-native systems - APIs, microservices, containerization, and serverless.
• Experience with AI platforms (Claude, OpenAI, Vertex AI) and at least 1 year deploying agentic solutions (agents, orchestration, RAG, workflows).
• 3+ years coding in Python or Java; ability to pick up others as needed.
• 3+ years production deployment experience - CI/CD, IaC, monitoring, debugging with ownership in client environments.
• 1+ year delivering AI/tech programs inside payer organizations.
• 1+ year hands-on experience using frontier AI tools for real work.
• Bachelor's degree in CS/CE or 12+ years experience alternative.

Responsibilities

• Embed with provider and payer teams inside health systems to co-create AI-enabled solutions.
• Scope programs: define problems, outcomes, and success metrics for AI deployment.
• Set technical architecture for AI programs and communicate to engineers and clinical leaders.
• Design for trust with PHI safeguards, safety, and regulatory compliance.
• Reimagine ways of working for clinical and admin teams beyond automation of today.
• Shape interoperability and data exchange standards for healthcare AI.
• Turn engagements into reusable methodologies and accelerators.

Skills

Cloud-native systems

AI tooling & platforms

Agentic solutions design

Python/Java coding

CI/CD & IaC

Production delivery ownership

Payer domain knowledge

Education

Bachelor's degree in CS/CE or equivalent

Tools

Claude

OpenAI

Vertex AI

Terraform

Helm

Job description

We Are:

The beginning of a new Data & AI decade that will reshape work and society has begun. Accenture is stepping boldly into this future with a clear strategy and purpose: to help clients optimize and reinvent their business with data & AI - backed by a $3B investment and commitment to our people to do industry-defining work.

With over 45,000 professionals dedicated to Data & AI, Accenture's Data & AI organization brings together our Experienced Innovation, Strategic Investment, Exceptional Talent, and Power Ecosystem.

You Are:

Provider

An AI Native Engineer that brings deep technical and domain expertise to AI programs at provider organizations - designing solutions that work inside the realities of the electronic medical record and clinical workflows, extending to the administrative side of care where AI can ease the burden of documentation, prior authorization, coding, and revenue cycle. You'll help providers put AI to work across both the clinical and operational realities of their environment and help define the future of healthcare interoperability.

Payer

An AI Native Engineer that brings deep technical and domain expertise to AI programs at health plans - designing solutions that work inside the realities of core administrative platforms and the claims and member data that flow through them, where AI can ease the burden of adjudication, prior authorization, utilization management, and member and provider service. You'll help payers put AI to work across both the operational and clinical realities of their environment and help define the future of healthcare interoperability.

The Work:

• Embed with provider teams. Work forward-deployed inside health systems, hospitals, and physician groups - alongside clinical informatics, physicians and nurses, and revenue-cycle and operations leaders - redesigning processes around AI and co-creating solutions using AI tooling to move quickly from idea to working solution.

• Scope the program. Define the problem, the intended outcome, and what good looks like - and identify where AI can automate or augment clinical and administrative work.

• Set the technical architecture. Lead the technical architecture of AI programs in provider environments and articulate it clearly, on paper and in diagrams, for engineers and clinical leaders alike.

• Design for trust. Make sure the solutions you shape are safe, compliant, and clinically sound - building the human oversight, transparency and PHI safeguards that AI in care settings demands.

• Reimagine the ways of working. Reimagine the future way of working for clinical and operational teams, rather than simply automating today's processes.

• Shape interoperability. Help define the future of healthcare interoperability - how the broader ecosystem can connect to the health record in a deep, meaningful way.

• Turn engagements into reusable approaches. Distill what works across providers into repeatable methods and accelerators, so each program starts further ahead than the last.

Travel may be required for this role. The amount of travel will vary from 0 to 100% depending on business need and client requirements.

Here’s what you need

• Minimum of 3 years of hands-on engineering experience with cloud-native systems - APIs, microservices, containerization, and serverless - including working with AI platforms (Claude, OpenAI, Vertex AI, or open-source models) and at least 1 year designing and deploying agentic solutions (agents, orchestration, context engineering, RAG, workflows) in production

• Minimum of 3 years of experience hands-on coding in at least one general-purpose language (e.g., Python, Java) and the ability to pick up others as engagements demand

• Minimum of 3 years of experience with hands-on production deployment experience - CI/CD, infrastructure as code (Terraform, Helm), monitoring, and debugging - with demonstrated end-to-end delivery ownership in a client-embedded environment

• Minimum of1 year of experience delivering AI or technology programs inside payer organizations.

• Minimum of 1 year of hands-on experience using Claude or an equivalent frontier AI tool to do the work.

• Bachelor's degree (or equivalent minimum 12 years work experience, or minimum 6 years' work experience with Associate's degree) in Computer Science, Computer Engineering, or a related field.

Professional Skills Requirements:

• Deep understanding of how core administrative and claims platforms work and how claims and member data are structured, with direct QNXT, Facets, HealthEdge, or comparable experience

• Fluency with data - non-trivial SQL, relational modeling, and reasoning about data quality and data lineage

• Working knowledge of healthcare interoperability standards and EDI mechanisms: X12 transaction flows (837, 835, 270/271, 276/277, 278, 834), FHIR APIs, and the broader exchange landscape

• Deep understanding of payer workflows - how coverage and payment actually work across eligibility and enrollment, claims adjudication, prior authorization and utilization management, provider network and reimbursement, appeals and grievances, and risk and quality programs - including a real sense of where administrative burden and cost accumulate and where AI can meaningfully relieve it, and how the regulatory environment (HIPAA and CMS requirements) shapes what solutions can look like

• AI solution architecture and AI program scoping, with strong written and presentation skills

• Comfortable working forward-deployed, embedded directly with health plans in a