> 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/43810c230434bf4d

OpenLoop Health posts a FDE role to build what the customer runs, remote, hiring in Iowa with no pay posted. Forward Deployed Engineers embed with clients to build production integrations against OpenLoop’s Partner API while also improving OpenLoop’s reusable platform assets. Read from the employer’s posting on November 8, 2026.

- [OpenLoop Health](https://nextmove.md/fde/companies/openloop-health)

Posted Oct 5, 2026 by OpenLoop Health · open on Ashby as of Nov 8, 2026

Pay not posted Remote, hiring in Iowa Full-time

Forward Deployed Engineers embed with clients to build production integrations against OpenLoop’s Partner API while also improving OpenLoop’s reusable platform assets.

- [See roles that fit me](https://nextmove.md/sign-up?from=%2Ffde%2Fjobs%2F43810c230434bf4d&placement=top)
- [View posting at OpenLoop Health](https://jobs.ashbyhq.com/openloophealth/8fe2c713-5a6a-4065-ae4f-3dcb269aad4f/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

Not posted

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

Travel **Required, amount not stated**

- **Coding**: Writes production code

- **Builds for**: Both

- **Level**: Staff+

- **Role**: Technical lead

### What they ask for

Experience

- **5+ years** software engineering experience, including significant time delivering directly for external customers or partners in their 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 work is remote from the US. Can you work from the US?

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**: Des Moines, IA · US remote

- **Work arrangement**: Remote

- **Remote work restrictions**: Remote within the United States; core collaboration hours are 8am to 5pm CST, with occasional flexibility outside them for client-facing work.

- **Employment type**: Full-time

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

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- [Other jobs at OpenLoop Health (1)](https://nextmove.md/fde/companies/openloop-health)

## The job description from OpenLoop Health

Posted by OpenLoop Health on Oct 5, 2026

### About OpenLoop

OpenLoop was co-founded by CEO, Dr. Jon Lensing, and COO, Christian Williams, with the vision to bring care anywhere. Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50 states.

### About the Role

Forward Deployed Engineering is how we build that platform with real clients instead of guessing. An FDE embeds with a client, works in the client's own codebase, and builds their integration against OpenLoop's production API. Whatever the client needs that the platform cannot do yet is filed as a platform gap and built once, centrally, so every client inherits it. The work product of an FDE is not the client's integration; it is the reusable asset that client forced into existence: a recipe others start from, an executable check behind every claim in our docs, a client manifest that makes the impact of any platform change computable, and the SDKs, agents and tooling that make the next deployment faster than the last.

You will write production code in two places, the client's system and ours. You will take an ask that is vague or over-promised and turn it into a scope you can defend. You will tell a client, and our own sales team, when something should not be committed to. And you will leave every deployment better instrumented than you found it, so the next client needs less of us than the last one did.

We are hiring for this role at the Senior, Staff and Senior Staff levels. Apply once; we will calibrate level during the process based on the scope you have carried, not on years alone. The section below describes what changes as scope grows.

### What You'll Do

- Build for clients, in their codebase, against our API. Embed with a client's engineering team and stand up their integration on OpenLoop's Partner API: their app, their data, their identity, their legacy systems. Own the outcome through go-live and the weeks after it. Never wire around the platform: where the API falls short, file the gap with the endpoint it stands in for, and leave a dated, time-boxed workaround at most.
- Build with AI in the loop, for clients and for us. Ship the systems that let a client build on us with AI in the loop: SDKs and reference implementations, a CLI and machine-readable docs a client can hand to their own coding agent, and agentic workflows on our API such as intake, routing, support and refill journeys, with human review by design, evaluations before launch and monitoring after.
- Run deployments on the agent roster, and make it better. Use and extend the agents that run our deployments: the tenant readiness gate, conformance checks against a live tenant, seeding checkers, docs-freshness and superseding drafts, gap filing, client communication drafts. Every agent output is a draft a human approves, and you are accountable for knowing when the agent is wrong.
- Turn one client's need into every client's capability. Contribute additive recipes and checks to the shared cookbook, keep client manifests current, and bring the evidence that moves a recurring workaround into the platform roadmap instead of into another workaround. The measure is how much less of us the next client needs.
- Turn ambiguity into a plan. Take a client ask that is vague, over-promised or self-contradictory and produce a phased, defensible scope, with a clear statement of what we are not doing and what the API does not do yet.
- Never undo prior work. Checks lock the claims we publish; manifests tell you who depends on what; edits are additive or explicitly superseding with a compatibility window. A change that would break a live client stops and becomes a proposal, not a merge.
- Hold the line, internally and externally. Be the credible technical voice with client engineering and with our own go-to-market team: what we cannot do, what we should not do, and what will not fit the timeline are three different answers, and all three are better delivered early.
- Raise the bar around you. Share what a deployment taught you, review other people's integration designs, and help write the playbook for a team that is being built now.

### Who You Are

- 5 to 15+ years of software engineering experience, including significant time delivering directly for external customers or partners, in their environments, not only internal roadmap work. We are filling roles across this range; depth of ownership matters more to us than the number.
- End-to-end ownership of complex, customer-facing technical delivery: you can name the deployments you ran, what went wrong, and what you did about it after launch.
- Strong integration engineering depth: API design and consumption, auth, webhooks versus polling, idempotency, rate limits, pagination, schema drift, reconciliation, and comfort across the stack from APIs to data to cloud infrastructure.
- You build with AI agents every day and can show how you verify what they produce, when you stop trusting them, and how you evaluate an LLM-based system before it reaches a customer.
- Experience handling sensitive data with a security-first mindset, treating compliance constraints as design inputs rather than follow-ups.
- Excellent communication with technical and non-technical audiences, including delivering unwelcome news to a customer early and keeping the relationship.
- Demonstrated judgment about scope: you can point to things you descoped, sequenced or declined, and explain why.
- Evidence of leverage beyond your own delivery: SDKs, tooling, checks, reference implementations or practices you built that made other people's work faster. The scale of that leverage is part of how we calibrate level.

### Preferred

- Experience in healthcare or another regulated domain where a mistake has consequences beyond a rollback.
- Practical experience shipping LLM-based or agentic systems to production, including how you measured quality and what you did when the model was confidently wrong.
- Experience building developer platforms: SDKs, CLIs, API conventions, documentation that is tested rather than written.
- Familiarity with EHR, scheduling, pharmacy or payments integrations; FHIR is a plus.
- Experience working alongside sales or solutions teams in pre-sales technical conversations without becoming a blocker.
- Bachelor's degree in Computer Science, Engineering or a related technical field, or equivalent practical experience.

### How You Work

OpenLoop's values are prescriptive, and this role tests all of them:

Disciplined Intensity: effective under real deadline pressure, and you build systems instead of becoming the only person who can fix things.

Do No Harm: patient safety and data integrity come first, and you know when to slow down to do it right.

Step In, Stay In: your ownership travels to the outcome, not to the handoff.

Purposeful Speed: you ship fast without leaving behind something only you can maintain.

Clarity Over Comfort: you say the thing, explain the why, and invite disagreement.

Core collaboration hours are CST 8am to 5pm, with client-facing work occasionally requiring flexibility outside them. Remote within the United States; periodic travel to clients and to team working sessions.

### Our Benefits

In addition, for salaried positions you would also be eligible for:

- Medical, Dental, and Vision plans
- Flexible Spending/Health Savings Accounts
- Flexible PTO
- 401(k) + Company Match
- Life Insurance, Pet insurance, and more

### Our Company

We have a relatively flat organizational structure here at OpenLoop. Everyone is encouraged to bring ideas to the table and make things happen. This fits in well with our core values of Autonomy, Competence and Belonging, as we want everyone to feel empowered and supported to do their best work.

Sound like a good fit? We’d love to meet you.

[View posting at OpenLoop Health](https://jobs.ashbyhq.com/openloophealth/8fe2c713-5a6a-4065-ae4f-3dcb269aad4f/application)

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