The RoleWe'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
