OpenAI

Forward Deployed Engineer (FDE), Healthcare - SF

OpenAI$150K — $180K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 6+ years of experience in software engineering, ML/AI engineering, solutions engineering, or technical consulting.
  • Experience as a senior engineer or tech lead in ambiguous environments.
  • Proven hands-on experience with technical discovery, architecture, implementation, and productionization of complex systems.
  • Familiarity with healthcare workflows, including payer and provider operations, and EHR systems.
  • Knowledge of interoperability standards such as Epic, HL7, and FHIR.
  • Experience with healthcare infrastructure companies or as a technical consultant or integrator in regulated sectors.

Responsibilities

  • Own end-to-end technical solutions, from customer discovery to production deployment.
  • Partner with client engineers and domain experts to define ambiguous problems into measurable outcomes.
  • Design and implement AI applications that integrate with customer infrastructures and operational tools.
  • Ensure compliance with regulations regarding protected health information and security frameworks.
  • Define evaluations and criteria that measure system quality against customer benchmarks.
  • Use feedback and evaluation results to improve system performance and readiness.
  • Document deployment learnings for reuse in future projects and to enhance integration patterns.

Benefits

  • Hybrid work model: 3 days in office per week.
  • Relocation assistance for new hires.
  • Opportunity for extensive travel (up to 50%) for on-site deployments.
Full Job Description
About the Role

We are hiring a Forward Deployed Engineer (FDE) to own end-to-end deployments of our models within healthcare organizations, including payers, providers, health systems, and healthcare technology companies. You will lead technical discovery, architecture, implementation, evaluation, productionization, and handoff, translating complex customer workflows, data, infrastructure, and regulatory constraints into production AI systems.

You will measure success through production adoption, measurable workflow impact, and evaluation loops that establish customer-specific benchmarks, acceptance criteria, and launch readiness. You'll collaborate directly with customer technical and operational teams, alongside internal Business, Research, Product, Engineering, and Security partners, to deliver solutions and translate deployment learnings into product improvements. This role owns the technical solution; ownership of the commercial or executive relationship is not required.

This role is based in San Francisco. We use a hybrid work model of 3 days in the office per week. We offer relocation assistance. Travel up to 50% is required.

In this role, you will:
  • Own the technical solution end to end, from customer discovery and workflow scoping through architecture, hands-on implementation, evaluation, production deployment, adoption, and handoff.
  • Partner credibly with customer engineers, operators, and domain experts to frame ambiguous problems, define scope, and translate payer, provider, or health-system workflows into technical requirements and measurable outcomes.
  • Design and implement production AI applications and agentic systems that integrate with customer infrastructure, enterprise APIs, data platforms, electronic health records, claims systems, and operational tools.
  • Build with appropriate safeguards for protected health information (PHI), HIPAA, privacy, security, authorization, governance, auditability, and other regulated-delivery requirements.
  • Define and operationalize evaluations, validation evidence, human-review workflows, escalation paths, and launch criteria that measure model and system quality against customer-specific acceptance thresholds.
  • Use evaluation results, error analysis, observability, and customer feedback to improve system reliability, performance, model selection, workflow impact, and production readiness.
  • Distill deployment learnings into reference architectures, interoperability and integration patterns, evaluation harnesses, security controls, and reusable technical primitives for healthcare and other regulated enterprise environments.

You might thrive in this role if you:
  • Bring 6+ years of software engineering, ML/AI engineering, solutions engineering, technical consulting, or comparable experience, with the technical depth
  • Have operated as a senior engineer, tech lead, or deployment owner who is trusted to make technical decisions in ambiguous environments.
  • Are deeply hands-on and have personally owned technical discovery, architecture, implementation, evaluation, productionization, and handoff for complex customer-facing or enterprise systems.
  • Have healthcare experience including payer workflows, provider operations, EHR systems, or interoperability standards such as Epic, HL7, and FHIR.
  • Have exposure to provider or health-system workflows such as clinical operations, revenue cycle management, patient access, or contact centers; or to EHR and interoperability technologies such as Epic, Oracle Health/Cerner, MEDITECH, HL7, FHIR, or health information exchanges.
  • Have shipped complex systems as a forward deployed or customer engineer, an engineer inside a payer, provider, or health system, a builder at an EHR, interoperability, revenue cycle, payer-tech, or healthcare infrastructure company, a hands-on technical consultant or integrator, a solutions architect for regulated enterprises, or a technical founder or early engineering leader.
  • Apply strong judgment to AI evaluation, privacy, security, governance, and reliability. Prior FDE titles, clinical credentials, and experience across every healthcare domain are not required.

About OpenAI

OpenAI is an artificial intelligence research laboratory consisting of the for-profit corporation OpenAI LP and its parent company, the non-profit OpenAI Inc. The company was founded in 2015 by a group of technology leaders, including Elon Musk, Sam Altman, Greg Brockman, Ilya Sutskever, and John Schulman. OpenAI's mission is to develop and promote friendly AI for the betterment of humanity. The company has developed a number of cutting-edge AI technologies, including GPT-3, a language processing system that can generate human-like text. OpenAI has received funding from a number of high-profile investors, including LinkedIn co-founder Reid Hoffman and venture capitalist Peter Thiel.
Learn more about OpenAI
Size
100 employees
Industry
Founded
2015

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