Forward Deployed Engineer

Clera

$150K — $230K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 2-5 years of full-stack engineering experience
  • Startup experience with a focus on ownership and agility
  • Proven ability to integrate with third-party APIs
  • Proficiency in Python and FastAPI or similar frameworks
  • Proficiency in React and TypeScript or similar frontend technologies
  • Experience using AI coding tools with deliverables
  • Strong communication skills for cross-team dialogues

Responsibilities

  • Build and maintain integrations with provider and insurance systems
  • Participate in client discovery sessions to understand workflows
  • Quickly develop and iterate on custom integrations
  • Contribute to core product features when integration tasks are manageable
  • Gain in-depth understanding of the US provider/payer landscape

Benefits

  • Early-stage equity
  • Full-time position
  • Hybrid work arrangement with in-person requirements
  • Occasional client travel opportunities
Full Job Description
About the Role

We're an early-stage healthtech AI startup building a payer intelligence platform that streamlines the end-to-end payor compliance lifecycle - benefits verification, medical necessity audits, prior authorization, and appeals - for procedure-heavy specialties like Vascular Surgery, Interventional Cardiology, and Interventional Radiology.

As a Forward Deployed Engineer, you'll own the integration layer between our platform and the real-world provider and insurance systems it serves. Sitting at the intersection of our founding team and our clients, you'll translate messy healthcare workflows into clean technical solutions - building APIs, scrapers, and custom integrations that make our product fit seamlessly into each practice's stack. This is a high-ownership role where you'll ship fast, develop deep knowledge of the US healthcare landscape, and directly impact how surgical practices operate day to day.
What You'll Do
  • Build and maintain integrations with provider practices and insurance systems - using APIs where they exist, scrapers and RPA where they don't
  • Join client discovery sessions with founders to map real-world workflows and translate them into clear technical requirements
  • Ship custom integrations quickly and iterate based on real-world feedback
  • Contribute to the core product when integration work isn't the bottleneck
  • Develop a deep working knowledge of the US provider/payer landscape
What We're Looking For

Required
  • 2-5 years of full-stack engineering experience building and shipping features end-to-end - from discovery through delivery
  • Startup background with broad ownership, comfort with ambiguity, and a track record of shipping in small teams
  • Proven experience integrating with third-party APIs
  • Proficiency in Python and FastAPI (or equivalent backend frameworks)
  • Proficiency in React and TypeScript (or equivalent frontend technologies)
  • Active use of AI coding tools (e.g. Claude Code, Cursor, or similar) with shipped production work to show for it
  • Strong communication skills - able to clearly articulate technical problems and tradeoffs to non-technical stakeholders

Nice to Have
  • Experience building web scrapers or RPA solutions
  • AWS or GCP cloud infrastructure experience
  • Experience building LLM features or AI applications in production (beyond coding tools)
  • Prior experience working in US healthcare or with provider/payer systems

Tech Stack: Python, FastAPI, React, TypeScript, Postgres, AWS, GCP, GitHub

Visa sponsorship: Not available
Compensation & Benefits
  • Salary: $150,000 - $230,000 USD annually, depending on experience
  • Early-stage equity
  • Full-time position
Location

This is a hybrid role based in Los Angeles, CA (New York City also considered). You'll work in-person when called upon, with occasional client travel expected.

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