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Senior+ Backend Engineer / Forward Deployed Engineer

Sysmetica

Location
Remote
Employment
Full-time
Level
Mid-level
Category
Backend
Posted
Deadline

Description

Forward Deployed Engineer is a backend engineering role one step above Senior. You keep writing production code and building integrations, and on top of that you own the technical side of client deployments: architecture decisions, work with client engineers, and responsibility for getting each project to go-live.

You'll lead deployments of a composable healthcare platform used by health systems, CROs, pharma companies, and government organizations. As the hands-on technical lead from kickoff to go-live, you'll scope what each client actually needs, architect the solution, and build the configurations and integrations that take it into production.

The company is building the operating layer for healthcare and life sciences. Its platform building blocks can be configured into mission-critical software for SaMD and AI clinical workflows, remote patient monitoring, decentralized trials, and more. This role suits a backend engineer with strong integration and architecture experience who enjoys working directly alongside customers to solve hard problems.

What You'll Do:

Own the full technical implementation and deployment lifecycle of the platform across your assigned accounts and projects

Act as the primary technical build authority for prospective and existing clients, turning deep platform knowledge into successful production outcomes

Scope, architect, and build custom configurations and integrations where the platform can deliver measurable value

Lead complex technical, data integration, and clinical safety architecture work, and remove the technical blockers that delay go-live

Work closely with Product, Core Engineering, Privacy, Regulatory, and client technical teams so that solutions are built accurately and delivered at high quality

Track implementation milestones and take accountability for technical delivery on your accounts

What We're Looking For:

Deep hands-on experience in software engineering, systems architecture, or integration engineering: you write clean code, build integrations, and lead technical deliveries as an engineering peer

A track record of building, deploying, and supporting enterprise software integrations, including API integrations, security reviews, and data compliance checks

Understanding of what a successful go-live means to a client, and the ability to execute technical delivery efficiently

Ability to lead complex technical conversations with several stakeholders across software architecture, data pipelines, regulatory requirements, and security compliance

Excellent written and verbal communication in English: equally comfortable whiteboarding an integration architecture with client engineers and explaining technical trade-offs to project leads

An ownership mindset: you treat client deployments like your own product

Platform thinking: a feel for how composable foundations are configured and extended into custom solutions for different clinical and research use cases

Nice to Have:

Experience in health tech, digital health, or hands-on development of SaMD or clinical software

Familiarity with healthcare data standards and interoperability (HL7, FHIR, DICOM), and with how health systems, CROs, or pharma sponsors integrate third-party software

Hands-on work within regulatory frameworks and standards such as FDA, MDR/IVDR, HIPAA, GDPR, ISO 27001, or ISO 13485

Strong hands-on experience with AWS, GCP, or Azure, REST and GraphQL APIs, containers, and AI/ML data processing pipelines

A background that combines core software engineering with client-facing delivery

What Success Looks Like:

On-time, defect-free go-lives across your assigned accounts

Fast time-to-value and quick completion of technical milestones during implementation

Strong platform adoption, reliable integrations, and healthy systems after go-live

Positive feedback from Product, Engineering, Privacy, and Regulatory partners on implementation code quality and delivery

Apply at the source

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