> 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 Product Engineer

Canonical URL: https://nextmove.md/fde/jobs/d2733a0bcb09996e

Onos Health posts a senior FDE role to build what the customer runs in San Francisco, CA, at $200,000–$250,000 base, level with the staff+ FDE median of $225,000 across 388 postings with pay. Senior Product Engineer serving as a hands-on technical lead for customer-facing integrations and end-to-end product development at an early-stage healthcare AI company. Read from the employer’s posting on November 8, 2026.

- [Onos Health](https://nextmove.md/fde/companies/onos-health)

Posted Jul 27, 2026 by Onos Health · open on Ashby as of Nov 8, 2026

**$200,000–$250,000** + equity San Francisco, CA Hybrid, 3 days a week in office Full-time

Senior Product Engineer serving as a hands-on technical lead for customer-facing integrations and end-to-end product development at an early-stage healthcare AI company.

- [See roles that fit me](https://nextmove.md/sign-up?from=%2Ffde%2Fjobs%2Fd2733a0bcb09996e&placement=top)
- [View posting at Onos Health](https://jobs.ashbyhq.com/onoshealth/58d36bae-5153-471a-9c8c-2094339be001/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

$200K–$250K Level with the median

Midpoint $225K · median $225K

This job $200K to $250K. 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 (not covered)

- **Coding**: Writes production code

- **Builds for**: External customers

- **Level**: Staff+

- **Role**: Technical lead

### What they ask for

Experience

- **5+ years** building software applications

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 San Francisco, CA. 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**: San Francisco, CA

- **Work arrangement**: Hybrid, 3 days a week in office

- **Remote work restrictions**: Based in San Francisco; in-office 3 days per week at the San Francisco Financial District office.

- **Employment type**: Full-time

- **Pay**:

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

## The job description from Onos Health

Posted by Onos Health on Jul 27, 2026

### About Onos Health

Onos Health’s mission is simple but ambitious: ensure every healthcare dollar goes toward delivering the highest quality care. Today, 30% of total U.S. healthcare spending is wasted due to ineffective care and administrative burden caused by misalignment between providers and payers.

Onos is addressing this by building the largest AI-driven healthcare data platform. Our models enables payers to make faster, more accurate decisions across their populations. By guiding members to the right care, Onos is channeling more dollars to high-quality care that drives better outcomes while making healthcare more affordable.

Onos is well-funded by some of the best healthcare investors and is working with the nation’s largest health plans. Come join a category-defining company and help reimagine healthcare for the better.

### Why Onos?

- Meaningful impact: Help fix what is fundamentally broken in healthcare
- Direct collaboration: Work alongside experienced founders with deep healthcare and data expertise
- Culture: Join a high-performing, transparent, and results-oriented team
- Ownership: Significant responsibility and autonomy from day one
- Opportunity: Play a pivotal role in building a fast-growing, category-defining healthcare AI company

### The Role

We're seeking an experienced Product (Full-Stack) Engineer, someone who is product minded and customer oriented to join and be our technical lead to interface directly with clients. As an early team member, you'll work closely with our founding team while helping to build and lead a growing engineering team. This role is a hybrid role based in San Francisco, where you'll be expected to work at our office in person 3 times a week.

### What you'll be doing at Onos:

- Work directly with health plan customers to understand their claims workflows, data formats, and pain points, then translate that into working software
- Be the primary technical point of contact during integrations and rollouts of the Onos platform for new enterprise customers, and provide actionable insights and recommendations to health plan administrators
- Own end-to-end development of new features and functionality for the Onos platform, including requirements gathering, scoping, architecting, implementation and testing to deliver timely and high quality outcomes
- Shape our technical roadmap, make key architectural decisions, and influence the company's product and technical strategy

### Technical Challenges At Onos:

- Develop an intelligent engine that ingests complex medical standards of care documents and evaluates provider adherence to guidelines
- Design and implement robust and extensible systems to easily support many different kinds of enterprise workflows and integrations
- Build AI/ML pipelines to analyze handwritten clinical notes, accurately extract important medical information, and automate recommendations for clinical reviewers
- Scale our systems to process millions of healthcare records while maintaining strict security and compliance requirements

### Tech Stack:

At Onos, we work with a modern tech stack where we continuously evaluate and adopt cutting-edge technologies as we scale.

- **Infrastructure/Systems:** AWS (ECS, Bedrock, Glue, etc.), Docker, Github Actions, Terraform

### Languages/Frameworks

- Backend: Python, Django, Celery / Celery Beat, django-ninja, django-tenants
- Frontend: NextJS, Typescript, Tanstack Query, Shadcn UI, Zod, Nuqs
- **Database/Storage:** PostgreSQL (AWS RDS), S3, Clickhouse
- **Development Tools:** Github, Jira, Claude Code, CoderabbitAI, Tusk

### What we're looking for:

- 5+ years experience building software applications
- Strong product sense and system design skills with a track record of defining clear requirements, test scenarios, and acceptance criteria for complex systems
- Customer obsessed and motivated to make an impact in the healthcare space
- A hands-on technical leader who can architect robust and extensible systems, establish best practices with AI coding tools, and ship high quality production code

### Bonus points if you have:

- Worked with machine learning and large language models for end-user applications
- Hands-on experience navigating healthcare data formats such as EDI X12, HL7, FHIR, and custom payer flat files

### Benefits and Perks

- Flexible hybrid arrangement: 3 days/week at San Francisco office (Financial District), remote-first culture
- Unlimited vacation policy
- Paid parental leave
- Medical, dental, and vision insurance
- Pre-tax commuter benefits
- 401(k)
- Significant equity as an early employee
- Direct mentorship from experienced founders
- Ground-floor opportunity to help build a team and culture
- Regular team events and offsites
- Company-provided equipment and home office setup

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

[View posting at Onos Health](https://jobs.ashbyhq.com/onoshealth/58d36bae-5153-471a-9c8c-2094339be001/application)

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