Senior Forward Deployed Engineer [NYC or SF]

Concurrence; San Francisco (CA); On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

Health insurance

Catered meals

Mental health support

Wellness stipend

Learning budget

Conference budget

Team offsite

Unlimited PTO

Job summary

Concurrence is seeking a Senior Forward Deployed Engineer to lead end-to-end customer deployments, setting architecture and timelines, and aligning engineering, product, and client goals. You will translate ambiguous needs into actionable plans, make critical tradeoff decisions, and work directly with healthcare customers to ensure scope, timelines, and quality remain on track.

This on-site role requires strong experience with LLMs and agent systems, plus leadership across architecture and

Qualifications

• You’ve broken hard, ambiguous problems into work other engineers could own and deliver.
• Real experience with LLMs and agent systems, or the depth to get there fast.
• The judgment to make tradeoffs and the standing to say no when something doesn’t hold up.
• You lead well, whether through architecture, through people, or both.
• You’re low ego, direct, and hold yourself and your team to a high bar.
• You can work on site in New York City or San Francisco.

Responsibilities

• Leading an AI deployment for a major healthcare customer, from first conversation to production
• Turning an ambiguous customer need into a clear technical plan with owners and timelines
• Making the calls on tradeoffs: what to build now, what to reuse, and what to push back on
• Working directly with customers to keep scope, timelines, and quality honest

Skills

Problem decomposition

LLMs & agent systems

Technical leadership

Tradeoff judgments

Direct communication

On-site readiness NYC/SF

Job description

About Concurrence

At Concurrence, we’re building the clinical AI infrastructure that health systems, life sciences companies, payors, and government agencies run their patient-facing care on. Our agents work across the whole patient journey: pre-visit intake, care navigation, post-visit care plans, and ongoing monitoring. Our mission is to make excellent care accessible to every patient, not rationed by the limits of clinician time.

This hasn’t been solved because the underlying record was never built for it. EHRs were designed for billing, not for systems that learn. So instead of layering another point solution on top, we’re rebuilding the medical record as a timeline of clinical events and running agents on top of it that improve with every patient interaction. Unlike single-purpose chatbots or scribes, Concurrence is the platform our customers use to build their own agents. That means our work has to hold up across specialties, workflows, and regulatory environments and not just one narrow use case.

Our agents have supported more than 10 million patient encounters and are on track to grow tenfold this year. Our work is validated through partnerships with leading academic medical institutions. We’re fresh off our Series A, backed by Tier 1 VCs such as Madrona, General Catalyst, and Optum Ventures.

We’re a small team of around 35 people, working in person in New York City and San Francisco. We care deeply about craft, clinical rigor, and the speed at which good ideas reach patients. If you want your work to be measured in outcomes rather than releases, we’d like to hear from you.

About this role

As an Senior Forward Deployed Engineer at Concurrence, you’ll lead the technical delivery of customer deployments end to end. You’ll set the architecture, break big ambiguous problems into work a team can own, commit the timelines, and hold the bar for what ships. It’s a hands‑on role at the intersection of engineering, product, and the customer.

What you’ll do

• Leading an AI deployment for a major healthcare customer, from first conversation to production

• Turning an ambiguous customer need into a clear technical plan with owners and timelines

• Making the calls on tradeoffs: what to build now, what to reuse, and what to push back on

• Working directly with customers to keep scope, timelines, and quality honest

What we’re looking for

• You’ve broken hard, ambiguous problems into work other engineers could own and deliver

• You have real experience with LLMs and agent systems, or the depth to get there fast

• You have the judgment to make tradeoffs and the standing to say no when something doesn’t hold up

• You lead well, whether through architecture, through people, or both

• You’re low ego, direct, and hold yourself and your team to a high bar

• You can work on site in New York City or San Francisco

Nice to have

• Experience in a regulated or high-reliability domain (healthcare, finance, legal)

• Experience shipping production AI or ML systems

• Background in customer-facing or forward-deployed engineering

Benefits (available to Full-Time Employees)

Health & Wellness

• Comprehensive health, dental, and vision insurance

• Daily catered lunch and dinner

• Mental health support and wellness coaching

• Flexible wellness stipend for fitness, therapy, or personal growth

Growth & Development

• Annual learning budget for courses, books, or conferences

• Conference attendance budget for professional development

• Annual team offsite

• Academic collaboration opportunities

• Unlimited PTO

Our Core Values

1. Patients Win, We Win

2. High Standards, High Care

3. Thoughtful Urgency

4. Intensely Measured

Who Builds With Us

• Low ego: Politics and territory don’t interest you. The best ideas win, regardless of who has them.

• Direct: You say the hard thing, challenge ideas openly, and commit fully once decided.

• High agency: You thrive on trust rather than instruction. When you see something is broken, you fix it. You don’t file tickets and wait for someone else.

• Bar of excellence: You hold yourself to a bar most people wouldn’t, and you want teammates who do the same.

• Skeptical: You push back on rules that don’t make sense and question assumptions that haven’t earned their place.