Medable's mission is to get effective therapies to patients faster. We provide an end-to-end, global cloud platform with a flexible suite of tools that allows sponsors, patients, providers & CRO's to work together as a team in clinical trials. Our solutions enable more efficient clinical research, more effective healthcare delivery, and more accurate precision and predictive medicine.
Forward Deployed Engineer - Agentic AI for Clinical Development
Location
United States
Posted
59 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Forward Deployed Engineer - Agentic AI for Clinical Development
Medable
Role Description - Lead technical engagements with prospective and existing customers, acting as the primary solution consultant, technical advisor, and embedded engineer for agentic AI and agent system deployments. - Partner directly with customer stakeholders—from clinical operations, data science, and IT teams to C-level executives—to scope requirements and deploy agentic AI systems that enable autonomous clinical development workflows with built-in human oversight. - Design, architect, and implement tailored solutions integrating Medable’s platform with eClinical systems (EDC, eCOA, CTMS, RTSM/IWRS), enterprise environments, and agentic AI frameworks to build autonomous systems powered by agent systems for end-to-end trial automation. - Demonstrate Medable capabilities through live demos, technical deep dives, proof-of-concepts, and production deployments of agentic AI, showcasing autonomous agents, reasoning loops, multi-agent orchestration, and goal-driven adaptation in clinical contexts. - Build, deploy, and optimize agentic AI and agent systems in regulated environments, enabling autonomous capabilities such as real-time patient matching, adaptive protocol execution, predictive risk mitigation, automated data reconciliation, and trial simulation—while enforcing human-in-the-loop safeguards (supervision loops, safety gates, audit trails, and escalation protocols). - Incorporate robust human-in-the-loop systems throughout agentic deployments, including intervention points, validation workflows, and hybrid decision-making to maintain compliance, ethical standards, and human accountability in autonomous clinical operations. - Wrangle large-scale clinical, real-world, and operational data to power agentic AI reasoning and agent coordination, accelerating autonomous insights while ensuring seamless integration with human review processes. - Develop custom integrations, APIs, configurations, and tooling to support agentic AI autonomy and agent system interoperability, addressing customer-specific needs like decentralized trial flows or adaptive designs. - Troubleshoot and refine agentic AI deployments on-site or remotely, optimizing for scalability, reliability, low-latency reasoning, and effective human-AI collaboration in production clinical environments. - Collaborate with product, engineering, and go-to-market teams to relay field insights from agentic AI deployments, prioritizing features for autonomous clinical systems with human safeguards, and influencing roadmap decisions. - Contribute to RFPs, technical proposals, solution designs, and executive presentations highlighting the transformative impact of agentic AI and agent systems in enabling autonomous yet compliant clinical development. - Drive adoption, quantify impact (e.g., reduced enrollment timelines, minimized protocol deviations, improved data integrity), and expand customer relationships to support revenue growth and sustained success. - Other duties as assigned in a fast-evolving, AI-driven environment. Qualifications - 10+ years of hands-on experience in technical consulting, solution engineering, forward deployed engineering, or implementation roles—ideally in life sciences, clinical research, health tech, or regulated AI-intensive industries (or equivalent combination of education and experience). - Proven track record deploying agentic AI systems and agent systems, including autonomous agents, goal-oriented reasoning, multi-agent orchestration, adaptive planning, tool-use integration, and iterative execution in complex, dynamic environments. - Extensive experience designing and deploying regulated agentic AI with strong governance, auditability, compliance (e.g., GCP, 21 CFR Part 11, GDPR), and human-in-the-loop mechanisms to enable safe autonomous clinical development workflows (e.g., automated monitoring, adaptive trials, real-time decision support). - Demonstrated expertise in agent systems and agentic AI patterns—such as reasoning loops, multi-agent collaboration, retrieval-augmented execution, and guardrail frameworks—applied to clinical or life sciences use cases. - 1+ years of post-college software engineering experience with end-to-end ownership in high-stakes, dynamic projects involving AI agent deployments. - Strong background in enterprise integrations, cloud platforms (AWS/Azure/GCP), APIs, data pipelines, modern architectures, and large-scale data handling to support agentic AI autonomy. Skills - Deep expertise in eClinical technologies (EDC, eCOA, CTMS, RTSM/IWRS) and interoperability standards (e.g., FHIR, CDISC, HL7), with proven ability to integrate them into agentic AI-driven autonomous systems. - Proficiency in technical platform implementation for building, deploying, and orchestrating agent systems and agentic AI automations. - Strong knowledge of data structures, storage systems, cloud infrastructure, front-end frameworks, and AI tooling (e.g., LLMs, vector databases, agent frameworks) for reasoning, planning, and multi-agent coordination. - Exceptional ability to translate complex agentic AI and autonomous system concepts into clear business value for clinical stakeholders. - Outstanding communication, presentation, relationship-building, and stakeholder management skills across technical and executive levels. - Highly analytical mindset with eagerness to solve ambiguous, high-impact problems using agentic AI in regulated clinical settings. - Comfort thriving in fast-paced, evolving environments with shifting priorities and direct customer exposure, particularly in deploying human-supervised autonomous systems. - Team collaboration skills in mixed technical/non-technical settings. Education, Certifications, Licenses - Bachelor’s, Master’s, or PhD in Computer Science, Engineering, Life Sciences, Data Science, Mathematics, Physics, or a related field. Travel Requirements - Up to 75% travel required (customer sites, industry events, internal meetings); flexible to accommodate personal preferences where possible. - Blend of remote work, on-site customer embedding, and occasional office collaboration. Benefits - Flexible Work: Remote from the start, we believe in a flexible employee experience. - Compensation: Competitive base salaries, annual performance-based bonus, stock options for employees, aligning personal achievements to Medable's success. - Health and Wellness: Comprehensive medical, dental, and vision insurance coverage, Carrot Fertility Program, Health Saving Accounts (HSA) and Flexible Spending Accounts (FSA), wellness program (Mental, Physical and Financial). - Recognition: Peer-to-peer recognition program, celebrating achievements and milestones. - Community Involvement: Volunteer time off to support causes you care about.
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Sr. Software Engineer (AI-Native)
HireologyFounded in 2010, Hireology is a privately held computer software company offering an integrated hiring and talent management platform for independently owned, owner-operated, and m
Sr. Software Engineer (AI-Native) Platform & Reliability | Developer Experience (DevX) Remote (Chicago preferred) | Full-Time About HireologyHireology builds purpose-built hiring software for healthcare, hospitality, and retail automotive. Our platform helps businesses attract, engage, and hire the right people, faster and with more confidence. We're headquartered in Chicago and are a team of curious, practical people who care about doing good work. About the RoleYou're joining the Developer Experience (DevX) team within Hireology's Platform & Reliability department. DevX is responsible for the underlying fabric that a 40-plus person engineering organization builds on every day. When the team gets something right, every engineer at Hireology ships faster, with more confidence, and with less friction. The compounding effect of that work on the company's ability to bring high-quality product to market is significant. That's the kind of leverage this role carries. The team's mandate spans two distinct surfaces: the internal development environment every Hireology engineer works inside every day, and the external developer experience that customers, partners, and integrators use to build on top of Hireology. Both surfaces are strategic priorities, and there is real, meaningful work to do on each one. On the internal side, DevX owns the full development loop: CI/CD pipelines, test infrastructure, feature management, container environments, and the tooling that makes it possible for engineers to ship to production 10 or more times per day with confidence. On the external side, DevX owns the Hireology Developer Portal, the API experience, MCP server integrations, CLI tooling, and the AI skills, plugins, and agents that extend what Hireology's platform can do for developers building on it. This role requires someone who thinks in systems, cuts through technology complexity without simplifying what shouldn't be simplified, and brings genuine obsession to the problems of developer productivity. You are not a generalist who dabbles. You go deep, you move fast, and you operate with an AI-native mindset that treats agentic tools as a first-class part of how software gets built. How We Build: AI-First SDLCHireology has adopted a full AI Software Development Lifecycle. Engineers use Claude Code, the Superpowers framework, and the BMAD methodology to work through spec-driven development and context engineering. We lean on these tools heavily, but we are disciplined about the output. Quality, security, and maintainability are not optional. On DevX specifically, you're not just a practitioner of the AI SDLC: you're one of the people responsible for making it work well for everyone else on the engineering team. That means building the pipelines that can handle AI-generated code at volume, designing test strategies for a world where humans write less and agents write more, and ensuring the toolchain doesn't become the bottleneck when deployment frequency is the target. Every improvement here has a multiplier effect across the entire engineering organization. Strong software discipline is non-negotiable. Agentic tools raise the ceiling on output; they don't lower the bar on what ships. Scope of the RoleThis role spans two interconnected surfaces: Internal Developer Experience - CI/CD & Deployment Velocity: Own pipeline performance end to end with a target of 10 or more production deployments per day. Diagnose and eliminate bottlenecks. 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As MCP becomes the standard integration layer for AI-native development, Hireology's presence in that ecosystem is a developer acquisition channel. - CLI Tooling: Build and maintain CLI tools that give developers fast, scriptable access to Hireology's platform for automation, integration testing, and local development workflows. - AI Skills, Plugins & Agents: Build the AI-native extensions that let developers compose Hireology capabilities into their own agentic workflows: skills, plugins, and agents that extend the platform's reach into the AI toolchain ecosystem. What You'll Do - Own build and deployment pipeline performance with a concrete target: 10 or more production deployments per day, measured and improving. - Design the AI-native test strategy for a codebase where AI agents contribute significant code volume. 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Use data to prioritize what gets fixed next. - Partner with engineering teams to identify where friction lives in the development loop, and build the systems that remove it. - Work within Hireology's AI SDLC using Claude Code, Superpowers, and BMAD methodology, with strong discipline over what ships. - Document architectural decisions and share findings broadly so the entire engineering org benefits from what DevX learns. Core CompetenciesWe hire against these competencies: - Obsessive learning: this role spans Next.js, .NET, Go, Ruby on Rails, Azure, and whatever comes after them. You don't need to be an expert in everything, but you have to be genuinely curious across all of it and fast at getting up to speed. - AI-native mindset: you build with Claude Code, BMAD, and Superpowers not because the job requires it but because it's how you think about software now. You enforce discipline on what comes out the other side. - LLM fluency: you understand how large language models work well enough to make good architectural decisions about where they help and where they don't, and you can reason about prompt design, context management, and agent behavior. - Security mindset: secrets management, dependency hygiene, and pipeline security aren't checklists. They're habits. You design systems that are secure by default. - Pipeline depth: you have a track record of measurable improvement to CI/CD performance and can articulate specifically what you changed and what it moved. - Developer empathy: your colleagues are your customers on the internal side, and external developers are your customers on the other. Both deserve a great experience. You care about whether they're getting one. - Systems thinking: a change in the test strategy affects deployment confidence. A slow local build affects how often engineers context-switch. You see how the parts connect. - Autonomous ownership: you drive multi-month investments independently, communicate proactively, and don't need hand-holding on scope or prioritization. Required Qualifications - 5 or more years of software engineering experience, with meaningful time in developer tooling, platform engineering, or CI/CD infrastructure. - Hands-on proficiency across multiple languages and frameworks: Next.js (TypeScript/React), .NET (C#), Go, and comfort working in Ruby on Rails codebases. - Demonstrable experience improving CI/CD pipeline performance, measured in build time or deployment frequency. - Experience designing or significantly improving automated test infrastructure, including test automation strategy, coverage approaches, and integration with deployment pipelines. - Hands-on experience with Azure cloud infrastructure and infrastructure-as-code tooling. - Security-aware development practices: experience with secrets management, SAST tooling, dependency scanning, or equivalent. - Proficiency with AI-native development tools, specifically Claude Code or a directly comparable agentic coding framework, with disciplined output standards. - Working knowledge of LLMs sufficient to make informed architectural decisions about where AI fits and where it doesn't. - Familiarity with feature flagging platforms and progressive delivery patterns. - Comfortable working independently in a remote environment and communicating technical tradeoffs clearly to both peers and engineering leadership. Preferred Qualifications - Experience building or maintaining developer portals, API documentation platforms, or external SDK tooling. - Hands-on experience with MCP (Model Context Protocol) server development or equivalent AI integration protocol work. - Background building CLI tools or SDK libraries for external developer audiences. - Familiarity with agentic frameworks including Superpowers, BMAD, or comparable methodologies. - Experience with macOS container optimization: OrbStack, Docker Desktop alternatives, dev containers, or Apple Silicon performance tuning. - Knowledge of DORA metrics and DX Core 4 measurement frameworks, with experience using them to drive prioritization. - Exposure to chaos engineering, canary release patterns, or observability-driven testing in production. - Background in DevSecOps practices including SBOM generation, pipeline-integrated SAST/DAST, or supply chain security. - Experience with LaunchDarkly or a comparable feature management platform. Work ArrangementThis is a remote role. Platform & Reliability engineers work distributed, and this position is no exception. We prefer candidates in or near Chicago who can come into the office periodically for collaboration, but proximity to Chicago is a preference, not a requirement. We care more about finding the right engineer than the right zip code. Location: Remote (Chicago or nearby preferred for occasional in-office collaboration) Compensation & Benefits - Base salary: $140,000 to $160,000 (plus bonus) - Health, Dental, and Vision coverage from day one - 401(k) with company match - Unlimited PTO and mental health days - External learning budget - Real career advancement -- we promote from within Must be authorized to work in the United States. We are not able to provide Visa sponsorship. Agency and/or Third Party inquiries will not be accepted. Hireology is committed to equal employment opportunities regardless of race, color, genetic information, creed, religion, sex, sexual orientation, gender identity, national origin, age, marital status, disability status or protected veteran status, or any other category protected under the law. All employment decisions are solely based on business needs, job requirements, and individual qualifications. We support an inclusive workplace where Hireologists excel based on personal merit, qualifications, experience, ability, and job performance.
• The role is largely (95%) completing labeling of PointClickCare clinical notes for data input to help train AI models. • There are often singular project tasks at hand that requires sitting for extended periods of time while labeling data. • While labeling, provide clinical feedback and recommendations using nursing knowledge of Senior Living/SNF electronic medical record • Provide Clinical expertise within the labeling team. • Ability to align with set labeling rules as well as provide challenging input regarding potential labeling changes with the goal of improving the product. • Work with a team of subject matter experts involving quality review of AI products. • Complete the required training as defined by security, clinical director and HR.
• The role is largely (95%) completing labeling of PointClickCare clinical notes for data input to help train AI models. • While labeling, provide clinical feedback and recommendations using nursing knowledge of Senior Living/SNF electronic medical record • Provide Clinical expertise within the labeling team. • Ability to align with set labeling rules as well as provide challenging input regarding potential labeling changes with the goal of improving the product. • Work with a team of subject matter experts involving quality review of AI products. • Complete the required training as defined by security, clinical director and HR.

