> 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/dd1c68c037e1d288 HealthLeap posts a FDE role to build what the customer runs in San Francisco, CA, at $200,000–$275,000 base, above the senior FDE median of $190,000 across 1,849 postings with pay. A customer-facing engineer who owns hospital integrations end to end, from technical discovery to reliable production data. Read from the employer’s posting on November 6, 2026. - [HealthLeap](https://nextmove.md/fde/companies/healthleap) Posted Sep 24, 2026 by HealthLeap · open on Ashby as of Nov 6, 2026 **$200,000–$275,000** + equity San Francisco, CA On-site Full-time A customer-facing engineer who owns hospital integrations end to end, from technical discovery to reliable production data. - [See roles that fit me](https://nextmove.md/sign-up?from=%2Ffde%2Fjobs%2Fdd1c68c037e1d288&placement=top) - [View posting at HealthLeap](https://jobs.ashbyhq.com/healthleap/03344ac2-a4c0-439c-b642-ee248435cf27/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–$275K Above the median Midpoint $238K · median $190K This job $200K to $275K. Senior FDE postings, 1,849 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 (not covered) 2. Proof of concept (not covered) 3. Implementation 4. Operations - **Coding**: Writes production code - **Builds for**: External customers - **Level**: Senior - **Role**: Individual contributor ### What they ask for Experience - **5+ years** building and operating production software 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 senior 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**: On-site - **Remote work restrictions**: San Francisco office, in person by default; flexibility to work from home when needed - **Employment type**: Full-time - **Pay**: ## More like this [Concurrence](https://nextmove.md/fde/companies/concurrence) ### [Senior Applied AI Engineer (Forward Deployed) [NYC or SF]](https://nextmove.md/fde/jobs/d7f8666921b5b55f) New York, NY On-site New · 6d ago $200,000–$260,000 [Sierra](https://nextmove.md/fde/companies/sierra) ### [Healthcare Integrations Architect](https://nextmove.md/fde/jobs/f70a270105c7febe) San Francisco, CA On-site 3mo ago $150,000–$290,000 [Niantic Spatial](https://nextmove.md/fde/companies/niantic-spatial) ### [Senior/Staff Product Engineer, Embodied AI](https://nextmove.md/fde/jobs/19e6cf58dd331caa) San Francisco, CA Hybrid 5w ago $207,000–$265,000 ## The job description from HealthLeap Posted by HealthLeap on Sep 24, 2026 ### About Healthleap Every day, millions of hospitalized patients who need intervention are missed because clinicians simply can't see everything. Healthleap is building the AI operating system that helps care teams identify these missed patients, enabling them to improve health outcomes and generate millions of dollars. Healthleap is changing what is possible: closing gaps that traditional workflows and clinician capacity could never. Over the past year, we've grown contracted revenue more than 13x, expanded rapidly across leading health systems, and now help care teams identify patients across millions of inpatient encounters. We've raised $38M, backed by Sequoia, First Round and Hummingbird. SF-based and in person. And we're delivering results that are changing lives. ### Forward Deployed Engineer ### About the role Build software with hospital teams, then turn what works into product. HealthLeap helps clinicians find patients who need attention first. We’re live at 40+ hospitals and plan to add another 100. Each hospital has its own systems, API quirks, and clinical workflows. You’ll work directly with hospital IT and clinical teams to understand what they need. Much of the job is building and running integrations. Some problems call for more: a tool to help a hospital inspect its data, analytics for a clinical team, or a workflow built around how that hospital works. You’ll build those solutions and make the useful patterns reusable. Our stack is Python and TypeScript. ### What you’ll do - Own the engineering work behind hospital integrations, from technical discovery through reliable production data. - Build and debug connections to record systems, including authentication, APIs, data mapping, and monitoring. - Work with hospital teams to investigate problems and test solutions with the people who use them. - Build customer tools or analytics when the standard product does not yet meet a hospital’s needs. - Turn repeated requests into reusable connectors, validation tools, and product features. ### What we’re looking for - 5+ years building and operating production software, with strong backend, API, data modeling, and SQL skills. - Experience taking a complex third-party integration live with the technical team on the other side. - Evidence that you’ve built software around a customer’s workflow and improved it after they used it. - Enjoyment of customer work. You can investigate an unclear problem, explain tradeoffs, and decide what to build without waiting for a complete spec. ### What will make you stand out - You’ve founded a company or been an early engineer who owned the messy parts. - You’ve worked with EHRs, HL7, or FHIR. Strong engineering and integration judgment matters more than healthcare experience. ### This role is NOT for you if - You’d rather maintain an interface than build the system. - You want the spec handed to you. - You want to stay heads-down. You’ll work with hospital teams regularly. - You want predictable 9-to-5 hours. We protect deep rest, but a hospital go-live can mean a 60+ hour week. ### Interview process No LeetCode or puzzles. Use the tools you’d use on the job, including AI. 1. Intro call 2. System design 3. Take-home exercise 4. Onsite with the team in San Francisco We decide the same week as the onsite. ### Compensation and benefits - $200,000–$275,000 base plus meaningful equity - 100% covered healthcare premiums - Unlimited PTO with a 20-day minimum - 4% 401(k) match - Laptop and home office budget ### Location San Francisco, in person. We work together in the office by default, with flexibility to work from home when needed. We judge output, not hours. If you're passionate about applying frontier AI to real-world impact, join us in building healthcare's future. [View posting at HealthLeap](https://jobs.ashbyhq.com/healthleap/03344ac2-a4c0-439c-b642-ee248435cf27/application) ## About HealthLeap Builds EHR-integrated AI that prioritizes at-risk inpatients for hospital care teams, starting with malnutrition screening and expanding to additional conditions. Late-stage private · 10–50 people ## Similar jobs [Casca](https://nextmove.md/fde/companies/casca) ### [Forward Deployed Engineer](https://nextmove.md/fde/jobs/927bef3af6c8393d) San Francisco, CA On-site 4w ago $160,000–$265,000 [6sense](https://nextmove.md/fde/companies/6sense) ### [Sr. ML Ops Engineer, Forward-Deployed ](https://nextmove.md/fde/jobs/06ba4bd7675e00f2) San Francisco, CA Remote 11d ago $191,475–$260,830 [Fulcrum](https://nextmove.md/fde/companies/fulcrum) ### [Forward Deployed AI Engineer](https://nextmove.md/fde/jobs/93c0e9cb9ecf62ba) San Francisco, CA On-site 2mo ago $140,000–$300,000 [OpenClaw Foundation](https://nextmove.md/fde/companies/openclaw-foundation) ### [Forward Deployed Engineer](https://nextmove.md/fde/jobs/bc34865d20736808) San Francisco, CA On-site 4mo ago $200,000–$300,000 [Cogent Security, Inc.](https://nextmove.md/fde/companies/cogent-security-inc) ### [Forward Deployed Agent Engineer](https://nextmove.md/fde/jobs/8b2ffedbcbde8090) San Francisco, CA Hybrid 7w ago $100,000–$300,000 - [Compare senior FDE salary ranges](https://nextmove.md/fde/salary/senior) - [Similar jobs in SF Bay Area](https://nextmove.md/fde/jobs?region=sf-bay-area) - [Similar jobs that build what the customer runs](https://nextmove.md/fde/jobs?role=builds-for-customers) Hiring at HealthLeap and want this page changed or removed? 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