> 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.

# Senior Software Engineer (Fullstack)

Canonical URL: https://nextmove.md/fde/jobs/412486fb61d902dd

Clarion posts a senior FDE role to build what the customer runs in New York, NY, at $185,000–$225,000 base, below the staff+ FDE median of $225,000 across 388 postings with pay. Senior full-stack engineer to lead deployment, performance, and reliability of AI agents in live healthcare environments. Read from the employer’s posting on November 8, 2026.

- [Clarion](https://nextmove.md/fde/companies/clarion)

Posted Feb 22, 2026 by Clarion · open on Ashby as of Nov 8, 2026

**$185,000–$225,000** + equity New York, NY On-site Full-time

Senior full-stack engineer to lead deployment, performance, and reliability of AI agents in live healthcare environments.

- [See roles that fit me](https://nextmove.md/sign-up?from=%2Ffde%2Fjobs%2F412486fb61d902dd&placement=top)
- [View posting at Clarion](https://jobs.ashbyhq.com/clarion/c41dc917-4f88-4d64-8831-37ca58339e31/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

$185K–$225K Below the median

Midpoint $205K · median $225K

This job $185K to $225K. Staff+ FDE postings, 388 postings: the middle 50% of posted pay is $197K to $262K, median $225K.

### The work

Builds what the customer runs

Balance **Mostly building**

Project stages

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

- **Coding**: Writes production code

- **Builds for**: External customers

- **Level**: Staff+

- **Role**: Technical lead

### What they ask for

Experience

- **5+ years** designing, building, and scaling production systems in high-reliability environments

Background

- **Software engineering**

### Do you meet what the posting states?

The posting asks for 5+ years. How many do you have?

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

The job is in New York, NY. Could you work there?

Which of these have you used in production?

Answer each one. Nothing is saved or sent.

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

## Conditions

- **Location**: New York, NY

- **Work arrangement**: On-site

- **Employment type**: Full-time

- **Pay**:

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## The job description from Clarion

Posted by Clarion on Feb 22, 2026

### About Clarion

At Clarion, we’re rebuilding how healthcare communicates in the age of AI.

Today, clinics miss 30–40% of patient calls, while staff are overwhelmed by administrative work. We believe AI agents should handle these workflows—scheduling, billing, prescription refills, and follow-ups—so healthcare teams can focus on actual patient care.

We’re building the communication infrastructure modern healthcare needs. Our AI agents don’t just answer calls—they complete workflows end-to-end, ensuring patients never go unheard. To date, we’ve handled hundreds of thousands of patient interactions across virtual care companies, health systems, and a $5B health insurance company.

Clarion was founded by a Stanford/Harvard-trained physician (founding team at Two Chairs and Ophelia) and an ex-Amazon Alexa engineer who led AI/ML teams at Salesforce. We’ve raised $10M from Accel, Y Combinator, Sequoia (Scout), and leading healthcare founders. We’re an in-person team in New York, moving fast to solve one of healthcare’s most critical problems.

### Why This Role Is Special

- **Real traction, early-stage impact:** Dozens of paying customers, rapidly growing revenue, and the chance to shape core systems at an inflection point.
- **Mission-critical problem:** Healthcare communication failures affect millions daily—your work directly improves patient access and outcomes.
- **Elite technical context:** Work closely with founders who deeply understand both healthcare operations and advanced AI systems, enabling fast decisions and real ownership.

### What You’ll Own

- **Lead the deployment, performance, and reliability** of AI agents operating in live, high-stakes healthcare environments.
- **Architect and scale** full-stack systems integrating with EHRs, legacy healthcare platforms, and real-time voice infrastructure.
- **Drive technical strategy** for customer-facing solutions, collaborating with product and engineering to translate client needs into scalable architecture.
- **Mentor engineers and set standards** for code quality, testing, security, and HIPAA-compliant development.
- **Shape product roadmap** by identifying systemic challenges in customer workflows and proposing high-leverage technical solutions.

### Interesting Technical Challenges

- **Generative AI at Scale**: Design and operate production systems using LLMs with rigorous safety, alignment, and real-time monitoring at enterprise scale.
- **Real-time voice infrastructure:** Build ultra-low-latency systems supporting thousands of concurrent calls with 99.99% uptime.
- **Fragmented healthcare systems:** Design resilient abstraction layers across modern APIs and legacy platforms while maintaining security and compliance.
- **Highly Personalized Experiences**: Develop adaptive AI that retains patient context across sessions, personalizes tone and flow, and delivers conversations indistinguishable from human care.

### What We’re Looking For

- **5+ years of experience** designing, building, and scaling production systems in high-reliability environments.
- Strong **full-stack expertise** with Node.js, TypeScript, React, and PostgreSQL, plus solid system design instincts.
- High ownership and agency—you thrive in ambiguity and take responsibility for outcomes.
- Proven ability to **mentor engineers**, lead cross-functional efforts, and communicate technical trade-offs clearly.

You’ll be a great fit if you enjoy owning complex systems end-to-end, solving hard problems under real-world constraints, and working closely with customers and teammates to deliver mission-critical software.

### Interview Process

We move quickly and communicate clearly at every stage:

- **Intro Chat (30 min, Virtual):** Background, role context, and leadership philosophy.
- **Technical Deep Dive (1 hr, Virtual):** System design and architecture with the CTO and a senior engineer.
- **Onsite Team Day (Half Day, NYC):** Collaborate on real problems, present a past project, meet the team, and assess mutual fit.

Decisions are typically made **within 24 hours** of each stage.

[View posting at Clarion](https://jobs.ashbyhq.com/clarion/c41dc917-4f88-4d64-8831-37ca58339e31/application)

## About Clarion

Provides AI front-office agents that automate healthcare conversations and workflows across voice, SMS, and web, including scheduling, referrals, refills, and billing.

Seed · 10–50 people

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