Senior Applied AI Engineer (Forward Deployed)

The Senior Applied AI Engineer (Forward Deployed) role at Concurrence is responsible for delivering an end-to-end customer use case, from initial deployment planning through production and continued improvement, with direct accountability for customer outcomes.

Key Responsibilities

• Own a complete customer use case end to end.
• Build agent systems that remain dependable in clinical environments, using architectures with hierarchies of agents and skills rather than a single monolithic agent, and evaluations that assess distributions instead of relying on subjective signals.
• Handle real-world integration constraints by working through the practical details of EHRs, legacy systems, and diverse customer data formats to connect what customers have to what the platform requires.
• Turn field-proven patterns into first-class platform capabilities, and translate successful work from agent reasoning into deterministic data lookups.
• Surface risks early when a specification has not been validated, when an integration is not supported, or when scope changes unexpectedly during delivery.
• Raise the engineers around you by mentoring on your use case, supporting team approaches to how work is built, and writing documentation that enables an AI coding agent or a new hire to pick up your work.

Required Qualifications

• Experience shipping and owning complex production systems end to end, with real users dependent on outcomes.
• Hands-on production experience building with LLMs and agents, or the engineering depth to reach that capability quickly.
• Rigor in working with non-deterministic systems, with an evidence-based mindset rather than reliance on limited runs.
• Ability to balance near-term decisions with long-term team impact, including what current choices cost and how they affect future work.
• Comfort engaging with customers and clinicians to understand workflows directly rather than waiting for a perfect specification.
• Strong engineering craft: systems fail loudly before they fail customers, and remain reliable while the engineer is away.

Technologies

• LLMs
• EHR
• Databricks
• Epic
• Oracle Health
• athenahealth
• HL7
• FHIR

Location and Salary

Location: San Francisco, CA (onsite)

Salary: USD 200,000 - 260,000 per year

Benefits

• Comprehensive health, dental, and vision insurance
• Daily catered lunch and dinner
• Mental health support and wellness coaching
• Flexible wellness stipend for fitness, therapy, or personal growth
• Annual learning budget for courses, books, or conferences
• Conference attendance budget for professional development
• Annual team offsite
• Academic collaboration opportunities
• Unlimited PTO

Nice to Have

• Healthcare experience, including EHR integrations (Epic, Oracle Health, athenahealth), HL7, FHIR, or clinical workflows
• Experience with Databricks, voice agents, or forward deployed or customer engineering
• Experience at an early-stage startup

Core Values

• Patients Win, We Win
• High Standards, High Care
• Thoughtful Urgency
• Intensely Measured

How You Will Build With the Team

• Low ego
• Direct communication
• High agency
• Bar of excellence
• Skeptical mindset