Forward Deployed Engineer

ABOUT USA Specialty Path to Good HealthUpperline Health is the nation's largest provider group dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of transforming specialty care, Upperline Health is a pioneer in bringing value-based care models into specialty care. Upperline delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses.Triage is temporary.Treatment is transformative.Upperline Health providers coordinate patients' care among a team of specialists -- physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients' immediate and long-term health needs.We put patients at the center of value-based care.Forward Deployed EngineerAbout the Forward Deployed EngineerUpperline also brings its technology platform to partner organizations. Making that platform work inside a partner's four walls, seamlessly, for their patients and their providers, is the focus of this role.Upperline Health is seeking a Forward Deployed Engineer to embed directly with our partner organizations, building and adapting technology solutions in the field so that Upperline's platform delivers real value inside partner practices as we scale our specialty value-based care model.You will work on-site and remotely alongside a few partners and their CTOs and technology teams, as well as the operations leaders, to understand workflow gaps first hand and then rapidly build, configure, and iterate on the solutions that close them — from data feeds and EMR integrations to patient-facing experiences and custom applications. This role sits at the intersection of engineering, product, and customer delivery, translating what is happening on the ground into working software and data connectivity, often within days rather than a traditional multi-sprint cycle.This work happens across organizational boundaries. You will earn technical credibility with people who do not report to Upperline, navigate partner security and vendor review, and make architectural decisions you can defend to two engineering teams at once. The right individual will thrive in ambiguous environments, enjoy building alongside customers, and will want to help define an emerging function within a high-growth healthcare technology business.This is not a solutions architecture role and it is not implementation consulting. You will design it, build it, ship it, and remain accountable for whether it gets used.What You'll DoData Procurement & MovementEstablish the data relationship with each partner: what Upperline needs, where it lives, how it reaches us, and how it stays currentBuild and operate the interfaces that make it real — EMR feeds (HL7v2 ADT/ORU, FHIR, CCDA), eligibility and claims data, and the SFTP and flat-file realities that still run much of healthcareSolve patient identity and matching across systems that were never designed to agree with each otherIntegration Across Two Technology StacksConnect Upperline's platform to the partner's environment: identity and single sign-on, scheduling, clinical documentation, messaging, and reportingDecide what integrates, what gets replaced, and what runs in parallel, and defend the decision to both engineering organizationsPartner with Upperline's Data & Analytics and Engineering teams so partner-built solutions align with broader technical architecture and data standardsApplication Development & CustomizationExtend and customize Upperline applications to fit partner workflows, and build new interfaces or tooling where the gap is realWrite production-quality code across the stack in a regulated, patient-facing environmentBuild for both audiences: patient experiences that work for an older and often less digitally native population, and provider workflows that do not add a single unnecessary clickField Deployment & AdoptionTravel to partner locations to gather requirements, deploy solutions, and provide direct support through critical rolloutsSpend time in partner clinics — observe intake, rooming, and check-out; talk with the patients receiving Upperline communications and the providers working in the chartSupport go-live and adoption, including hands-on training and troubleshooting with partner staff and end usersServe as the primary technical point of contact for partner leadership and partner technology teamsMonitor performance and adoption after launch, and iterate on, or retire, solutions that are not delivering valueDefining the Function & Feeding the ProductHelp define an emerging function: build the playbooks, patterns, and reusable assets that make the second and third partner deployment faster than the firstExercise judgment about what should remain partner-specific and what should become a configurable capability in Upperline's core platform, then make that case to Product and EngineeringDocument solutions and hand off recurring or scaled tools to core Engineering and Product teams for long-term ownershipContribute learnings from the field back into Upperline's broader product and engineering roadmapPartner with Product and Value Based Care teams so partner solutions support broader program and risk-based contract goalsCommunicate progress, blockers, and outcomes clearly to technical, clinical, operational, and executive audiences at both Upperline and the partnerQualifications of the Forward Deployed Engineer6+ years of professional experience spanning software engineering and customer-facing delivery, with a demonstrated ability to build and ship working solutions independently and end to endReal depth somewhere in the stack, with working competence across data, backend, and frontendDirect experience integrating with systems you do not control — underdocumented vendor APIs, legacy interfaces, and data you have to negotiate forFluency with SQL and a modern data stack, with comfort owning a pipeline end to endDemonstrated ability to influence executive stakeholders outside your own organization, and to work directly with non-technical, front-line users to gather requirements and validate solutions in real timeAnalytical rigor in framing ambiguous business problems, and the judgment to know which problem is worth solving firstJudgment about protected health information as an engineering constraint rather than a compliance checkbox: minimum necessary, audit logging, de-identified test data, and what does and does not belong in a development environmentComfort operating in ambiguous, fast-changing environments with minimal formal specification, and a bias toward rapid, hands-on iteration over lengthy planning cyclesExcellent communication skills, with the ability to explain technical concepts to clinical, operational, and executive audiencesWillingness and ability to travel to partner sites as needed (estimated 25-40%)Strong understanding of and compliance with HIPAA privacy requirementsHelpful, Not RequiredHealthcare delivery experience, particularly in specialty care or value-based careHands-on work with a specific EMR (Athenahealth, Epic, eClinicalWorks, ModMed)Healthcare data standards and EDI transaction sets (837, 835, 270/271)Prior forward-deployed, field engineering, professional services, or founding-engineer experienceExperience in strategy consulting or a similarly analytical, client-facing environmentCare management, care coordination, or risk-based contract programsMicrosoft AzureHow We'll Measure SuccessTime from a signed partner agreement to the first live patient- or provider-facing capabilityNumber of partner integrations live and stable in productionAdoption and utilization of Upperline capabilities across partner locationsShare of partner-specific work promoted into core platform configuration rather than maintained as a one-offPartner CTOs and partner clinical leadership would ask to work with you againBenefitsComprehensive benefit options include medical, dental and vision, 401K (matching), PTO and parental leave.CompensationCompensation is commensurate to compensation for similar positions in the region and based on prior training and experienceJob Type: Full-timeJob SummaryRequisition Number: FORWA003571Job Category: Information TechnologySchedule: Full-Time