> AI agents: this is one page of Nextmove’s FDE site, in Markdown. Nextmove is a job board and free career service for forward deployed engineers (FDEs). Each posting is classified from its text, not its title: the kind of work, how much of it is production code, pre-sales weight, time at customer sites, travel, remote arrangement, level and posted base pay. The site also publishes the aggregates: median pay by level, metro, company and kind of work, and which companies started hiring FDEs each week. Every page under https://nextmove.md/fde is served this way; the index of pages is https://nextmove.md/llms.txt.

# Forward Deployed Engineer

Canonical URL: https://nextmove.md/fde/jobs/14092de3c283aff7

Arini posts a FDE role to build what the customer runs in San Francisco, CA, at $120,000–$300,000 base, above the senior FDE median of $190,000 across 1,864 postings with pay. Embeds with large healthcare enterprises to identify high-impact operational problems and build production systems that automate workflows and deliver measurable cost or time savings. Read from the employer’s posting on November 8, 2026.

- [Arini](https://nextmove.md/fde/companies/arini)

Posted Oct 30, 2025 by Arini · open on Ashby as of Nov 8, 2026

**$120,000–$300,000** + equity San Francisco, CA On-site Full-time

Embeds with large healthcare enterprises to identify high-impact operational problems and build production systems that automate workflows and deliver measurable cost or time savings.

- [See roles that fit me](https://nextmove.md/sign-up?from=%2Ffde%2Fjobs%2F14092de3c283aff7&placement=top)
- [View posting at Arini](https://jobs.ashbyhq.com/arini/bcfeca9b-59e9-4e73-bd8d-1bd0b3b08fad/application)

Free. Upload your resume once, see why each FDE role fits, and get introduced only when you say so.

## At a glance

### Posted base pay

$120K–$300K Above the median

Midpoint $210K · median $190K

This job $120K to $300K. Senior FDE postings, 1,864 postings: the middle 50% of posted pay is $160K to $220K, median $190K.

### The work

Builds what the customer runs

Balance **Mostly building**

Project stages

1. Pre-sales
2. Proof of concept
3. Implementation
4. Operations (not covered)

Travel **Required, amount not stated**

- **Coding**: Writes production code

- **Builds for**: External customers

- **Level**: Senior

- **Role**: Technical lead

### What they ask for

Tools

- **AI agents**

### Do you meet what the posting states?

The posting reads as a senior role. What level are you at now?

The job is in San Francisco, CA. Could you work there?

Answer each one. Nothing is saved or sent.

[What postings ask for, by background →](https://nextmove.md/fde/paths)

## Conditions

- **Location**: San Francisco, CA

- **Work arrangement**: On-site

- **Employment type**: Full-time

- **Travel**: Travel required, amount not stated

- **Pay**:

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## The job description from Arini

Posted by Arini on Oct 30, 2025

### About Arini

Arini is building the single platform to run all healthcare operations.

Healthcare has spent the last decade consolidating under large enterprises, but operations are still fragmented, manual, and expensive. A large group runs dozens of disconnected systems for scheduling, billing, insurance, accounts payable, and reporting, with people moving data between them by phone, fax, and spreadsheet.

Outpatient healthcare is a $650 billion market, and almost every dollar of it still runs on manual work. Consolidators bought thousands of clinics on the promise that scale would expand margins and lift their EBITDA multiple. Scale alone has not delivered it. Automation is now the only way to hit the numbers they promised investors, and Arini is how they get there.

We partner with some of the largest healthcare enterprises in the country, covering thousands of clinics and billions of dollars in annual revenue. We ship the systems that run their operations end to end, and the best of that work becomes the platform that scales across enterprises.

When operations run themselves, patients feel it: calls answered on the first ring, appointments booked in seconds, insurance sorted before they walk in, and clinicians who spend their day on care instead of paperwork. That is what we are building, for every clinic in the country.

We are backed by Y Combinator (W24) and on track to grow more than tenfold in 2026.

### The team

Everyone at Arini ships code, including operators, growth, and customer leads. Our founders, Rami and Abdul, have worked together for over a decade. Rami studied computer science at MIT, Abdul at Harvard.

Everyone carries more than one job, and nobody has time for work that does not matter. If AI can do it, a person should not be doing it. We move extremely fast, take extreme ownership.

### The role

You will embed with the largest healthcare enterprises in North America. You sit with their operations and leadership, find the problems that cost them the most, and ship production systems that solve them.

This role needs a particular kind of engineer who is strong enough to build the system yourself, excited to own the customer relationship around it, and sharp enough to separate signal from noise on what actually matters. You will present to CEOs, VPs, and boards at some of the largest healthcare enterprises in the country, and you will be the person they call when something matters.

### What you'll do

- Lead discovery with operations, finance, and revenue cycle teams to understand how the work actually gets done today.
- Design, prototype, and deploy AI agents and automated workflows directly with customers.
- Write production code that integrates with enterprise systems: practice management, billing, payments, and the long tail nobody has an API for.
- Own outcomes. You ship systems that remove millions in cost or thousands of hours, and you are accountable for whether they work.
- Turn what you learn in the field into a platform. The patterns you find at one customer become modules that run at the next.

### First 90 days

- Day 30: pair with an FDE lead on an engagement that is already running, and take over parts of it.
- Day 60: run one module of an engagement end to end on your own, from scoped discovery through the delivery plan and the build.
- Day 90: join an enterprise-wide discovery with a new prospect, and own the relationship after they sign across several modules.

### Who you are

- A systems thinker who can hold a whole operation in your head and explain it back to the people who run it.
- Comfortable writing code, analyzing data, and owning a business outcome.
- You would rather find the problem than be handed one and then fid the solution and figure out how to sell it and present it to the client.
- Credible in a boardroom and confident to manage a conversation with enterprise executives that want to cut to the chase and don't have time to beat around the bush.
- Willing to travel for on-site deployments once a month.

### Benefits

- Competitive salary with meaningful equity
- Health, dental, and vision insurance
- Lunch and dinner in the office
- Unlimited PTO

[View posting at Arini](https://jobs.ashbyhq.com/arini/bcfeca9b-59e9-4e73-bd8d-1bd0b3b08fad/application)

## About Arini

Arini builds AI patient-engagement products and custom workflow systems for dental practices and multi-location dental groups.

Seed · 10–50 people

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- [Compare senior FDE salary ranges](https://nextmove.md/fde/salary/senior)
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