> 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. # Lead Clinical Automation & AI Systems Engineer Canonical URL: https://nextmove.md/fde/jobs/b8b31c9940995d7b Generation Next Fertility posts a FDE role to build for teams inside the company in New York, NY, at $150,000–$200,000 base, below the senior FDE median of $190,000 across 1,864 postings with pay. Own the architecture and implementation of AI-assisted clinical automation and integrations across a fertility practice, from patient intake and insurance authorization to lab coordination. Read from the employer’s posting on November 8, 2026. - [Generation Next Fertility](https://nextmove.md/fde/companies/generation-next-fertility) Posted Oct 22, 2026 by Generation Next Fertility · open on Greenhouse as of Nov 8, 2026 **$150,000–$200,000** *annualized* New York, NY Hybrid Own the architecture and implementation of AI-assisted clinical automation and integrations across a fertility practice, from patient intake and insurance authorization to lab coordination. - [See roles that fit me](https://nextmove.md/sign-up?from=%2Ffde%2Fjobs%2Fb8b31c9940995d7b&placement=top) - [View posting at Generation Next Fertility](https://job-boards.greenhouse.io/generationnextfertilitypllc/jobs/4463681009) 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 $150K–$200K Below the median Midpoint $175K · median $190K This job $150K to $200K. Senior FDE postings, 1,864 postings: the middle 50% of posted pay is $160K to $220K, median $190K. ### The work Builds for teams inside the company 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**: Internal teams - **Level**: Senior - **Role**: Technical lead ### What they ask for Experience - **3+ years** Professional software development Background - **Software engineering** ### Do you meet what the posting states? The posting asks for 3+ years. How many do you have? The posting reads as a senior 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**: Hybrid - **Remote work restrictions**: Midtown Manhattan, NYC; hybrid preferred, remote considered for exceptional candidates. ## More like this [Yext](https://nextmove.md/fde/companies/yext) ### [AI Transformation Engineer](https://nextmove.md/fde/jobs/f1bbbc92ca8b5b74) New York, NY New · 6d ago $142,500–$213,500 [Crowe](https://nextmove.md/fde/companies/crowe) ### [AI Technical Lead](https://nextmove.md/fde/jobs/09376e25483dddb4) Chicago, IL · Washington, DC · +35 more Hybrid 2w ago $102,400–$204,100 [Google](https://nextmove.md/fde/companies/google) ### [AI Tooling Technical Solutions Consultant, GSRS Security Systems and Technology](https://nextmove.md/fde/jobs/b06d4e026bdf987b) Sunnyvale, CA · Austin, TX · +5 more 2w ago $152,000–$221,000 ## The job description from Generation Next Fertility Posted by Generation Next Fertility on Oct 22, 2026 **Lead Clinical Automation & AI Systems Engineer** **Department:** Clinical Operations & Technology Engineering **Reports to:** Founders & Associate Director of Clinical Operations **Location:** Midtown Manhattan, NYC (Hybrid preferred; Remote considered for exceptional candidates) **Salary: **150-200k yearly **About Generation Next Fertility (GNF)** Generation Next Fertility (GNF) is a premier, physician-led reproductive care practice. Fertility treatments (IVF, egg freezing, embryo transfers, pre-conception testing) require deeply complex, high-touch workflows spanning clinical decision-making, real-time lab orchestration, insurance pre-authorizations, and compassionate patient communication. We believe the future of clinical excellence lies at the intersection of empathetic care and agentic software infrastructure. We are hiring a Lead Clinical Automation & AI Systems Engineer to own the technical architecture that reduces operational friction, unburdens clinical teams, and builds the next generation of automated clinical workflows. **The Mission** You will design, build, edit, and deploy the internal software and agentic workflows that power GNF. This role goes far beyond simple RPA scripts or Zapier zaps: you will architect resilient, event-driven pipelines where autonomous AI agents augment human expertise —handling everything from automated patient chart preparation and cycle intake to real-time prior-authorization processing and care coordination. **What You’ll Build & Own** **Autonomous & Assistive Clinical Agents:** Design, test, and deploy multi-agent systems that autonomously execute multi-step operational tasks (e.g., insurance verification, medication schedule reconciliation, lab result triaging, and patient-tailored educational updates). **Stateful Workflow Orchestration:** Build resilient, state-driven workflow pipelines (using modern orchestration platforms like Temporal, Inngest, or LangGraph) that safely bridge probabilistic LLM outputs with deterministic clinical operations. **Human-in-the-Loop (HITL) Architectures:** Architect internal tooling and queues that allow physicians, embryologists, and patient coordinators to supervise, inspect, and approve AI-generated actions before they write back to production systems. **EHR & Systems Interoperability:** Build reliable API-level integrations connecting our core Electronic Health Record (EHR) / IVF Practice Management Systems (eIVF) with our communications stack, billing engines, and laboratory data layers. **Reliability, Evals & Guardrails:** Implement programmatic validation layers (e.g., Pydantic, Instructor), safety guardrails, and automated evaluation suites to continuously measure model latency, hallucination rate, token cost, and clinical accuracy. **Operational Discovery & Technical Roadmapping:** Embed with clinical coordinators, billing specialists, and fertility doctors to reverse-engineer messy, manual workflows and convert them into clean, high-scale software systems. **What You Bring** **Core Software & Engineering Foundations:** **3–5+ years** of professional software development experience (proficient in **Python** and/or modern TypeScript). Solid understanding of **API architecture (REST, webhooks, GraphQL)**, event-driven systems, and modern relational databases (PostgreSQL/SQL). **Healthcare workflows & PHI:** Demonstrated knowledge of healthcare workflows and safeguards for protected health information (PHI), including HIPAA/HITECH requirements, is required. Hands-on professional experience working in a healthcare setting and handling PHI is also required. **Applied AI & Automation Tooling:** **Agentic Frameworks:** Hands-on experience building with modern LLM orchestration frameworks (**LangGraph, LlamaIndex, CrewAI, AutoGen**) and stateful workflow engines (**Temporal, Inngest, or AWS Step Functions**). **Deterministic AI Engineering:** Deep knowledge of **tool-calling / function-calling**, structured data extraction (Pydantic, Instructor, Outlines), and Retrieval-Augmented Generation (RAG) over clinical or operational SOPs. **Model Monitoring & Evaluation:** Familiarity with tracing, evals, and observability tools (e.g., Langfuse, LangSmith, Arize Phoenix, DeepEval). **Mindset & Problem Solving:** **Pragmatism Over Hype:** You recognize when a problem calls for an autonomous agent vs. a fast deterministic Python script vs. a vendor SaaS tool. You optimize for uptime, clinical safety, and user adoption. **Cross-Functional Fluency:** You can speak technical details with software vendors in the morning, and sit elbow-to-elbow with a clinical coordinator or fertility physician in the afternoon to map their workflow. **Product Ownership:** Comfortable operating in a fast-paced environment where you own the full lifecycle from problem discovery through implementation, unit testing, user training, and maintenance. **Nice-to-Haves** **Healthcare interoperability:** Experience with healthcare standards and APIs such as FHIR, HL7, or SMART on FHIR is a plus. Direct domain experience in fertility care, reproductive endocrinology, ambulatory care, or health-tech startups. Experience building custom internal front-ends (Retool, Streamlit, React, or Next.js) for internal human-review interfaces. Track record of successfully replacing legacy RPA (UiPath, Power Automate) with clean, maintainable code-based microservices. **Why GNF?** **Massive Leverage:** You will not be a minor cog in an IT department. You will be building the core nervous system of an elite fertility practice, with leadership access directly to founders and clinical heads. **Tangible Real-World Impact:** Fertility is deeply emotional and time-critical. The systems you build directly lower cycle stress for intended parents and stop clinical staff burnout. **Modern Tech Freedom:** We don't want band-aids. You have the mandate and budget to implement modern, state-of-the-art tools and AI architectures without enterprise red tape. **Comprehensive Benefits:** Competitive salary, bonus, health insurance, 401(k) matching, and work flexibility. [View posting at Generation Next Fertility](https://job-boards.greenhouse.io/generationnextfertilitypllc/jobs/4463681009) ## About Generation Next Fertility Physician-led fertility practice providing IVF, fertility preservation, testing, and family-building care across New York City and nearby markets. ## Similar jobs [Ultra](https://nextmove.md/fde/companies/ultra) ### [Product Engineer, AI Enablement](https://nextmove.md/fde/jobs/80467aecc7af1594) New York, NY On-site 13d ago $150,000–$225,000 [Worldwide Clinical Trials](https://nextmove.md/fde/companies/worldwide-clinical-trials) ### [AI Forward Deployed Engineer - Finance-focused (US)](https://nextmove.md/fde/jobs/73308fed2f1ac7f2) Research Triangle Park, NC · Portland, OR · +6 more Remote 4w ago $121,500–$240,500 [CookUnity](https://nextmove.md/fde/companies/cookunity) ### [AI Native Engineer](https://nextmove.md/fde/jobs/a2fbee5e02877edc) New York, NY 5mo ago $130,000–$190,000 [Simpson Thacher & Bartlett](https://nextmove.md/fde/companies/simpson-thacher-bartlett) ### [Senior AI Engineer](https://nextmove.md/fde/jobs/b6baf55b3e41696e) New York, NY Hybrid 5w ago $175,000–$200,000 [Kaizen](https://nextmove.md/fde/companies/kaizen) ### [Applied AI Engineer](https://nextmove.md/fde/jobs/3e6d386ef21efa91) New York, NY Hybrid 2mo ago $150,000–$200,000 - [Compare senior FDE salary ranges](https://nextmove.md/fde/salary/senior) - [Similar jobs in New York metro](https://nextmove.md/fde/jobs?region=nyc-metro) - [Similar jobs that build for teams inside the company](https://nextmove.md/fde/jobs?role=internal-deployment) Hiring at Generation Next Fertility and want this page changed or removed? 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