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# Senior Implementation Engineer

Canonical URL: https://nextmove.md/fde/jobs/f6973ddff81ab382

Metriport posts a senior FDE role to integrate and configure the product in San Francisco, CA, at $160,000–$190,000 base, below the senior FDE median of $190,000 across 1,864 postings with pay. Senior Implementation Engineer responsible for owning customer partnerships from discovery and onboarding through production rollout and ongoing support. Read from the employer’s posting on November 8, 2026.

- [Metriport](https://nextmove.md/fde/companies/metriport)

First seen Oct 4, 2026 · open on Ashby as of Nov 8, 2026

**$160,000–$190,000** + equity San Francisco, CA Hybrid Full-time

Senior Implementation Engineer responsible for owning customer partnerships from discovery and onboarding through production rollout and ongoing support.

- [See roles that fit me](https://nextmove.md/sign-up?from=%2Ffde%2Fjobs%2Ff6973ddff81ab382&placement=top)
- [View posting at Metriport](https://jobs.ashbyhq.com/metriport/c082def6-0ad8-4ebc-b367-61f90fed8d83/application)

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## At a glance

### Posted base pay

$160K–$190K Below the median

Midpoint $175K · median $190K

This job $160K to $190K. Senior FDE postings, 1,864 postings: the middle 50% of posted pay is $160K to $220K, median $190K.

### The work

Integrates and configures it

Balance **Mixed**

Project stages

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

- **Coding**: Configuration only

- **Builds for**: External customers

- **Level**: Senior

- **Role**: Individual contributor

### What they ask for

Experience

- **6+ years** supporting software implementation

Background

- **Implementation and data engineering**

### Do you meet what the posting states?

The posting asks for 6+ 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**: Hybrid

- **Remote work restrictions**: San Francisco or Bay Area; relocation accepted, with flexible work from home or office

- **Employment type**: Full-time

- **Pay**:

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## The job description from Metriport

### About Us

Medical data exchange is one of the biggest unsolved problems in US healthcare. If you've spent any real time in the healthcare system, you've felt it, and it only gets worse the sicker and older you get. Metriport exists to fix that. We connect to the data sources the healthcare providers of tomorrow need, take raw data that's unusable in its source form, and turn it into a single clean format that care teams, and their agents, actually use to improve outcomes. Record retrieval across thousands of legacy systems and antiquated data pipes that used to take weeks now takes seconds. Clinicians walk into appointments with the full patient picture already in hand, and that speed can mean spotting a condition early enough to actually treat it.

We're not a healthcare company. We're a technology company that happens to operate in healthcare, and we build every layer ourselves: connect, transform, and insight. Legacy EHRs were built to get providers paid, not to serve the clinical experience. We're building what should have existed instead: the system of record for all of US healthcare. We started in data exchange. Today we compete with the largest data platforms in the space. Tomorrow we will be the infrastructure layer healthcare runs on.

We’ve raised $28.4 million from top tier VCs (including Matrix, ARTIS and Y Combinator), found product market fit (multi million dollar ARR, 100+ customers including Amazon One Medical, Circle Medical, Color Health, and Strive Health), and have years of runway ahead of us. If you’ve had a good healthcare experience in the past few years, there’s a good chance Metriport was behind it. That’s the version of healthcare we want people to not just expect, but demand. Join us and build the future.

### About You

We're a small, high output team, mostly former founders including YC alumni, and we operate with real autonomy and almost no bureaucracy. We hire on competence, not pedigree. Leaders are in the office six days a week, and we generally expect the team to be available six days a week too. Not because we count hours, but because there's always more wood to chop when revolutionizing how tomorrow’s healthcare providers deliver care to their patients today. We trust our team to take the time off they need and we've never said no to a time off request.

You have an entrepreneurial mindset and a strong sense of ownership. You don't wait to be told what's broken. Instead, you believe you can figure out any problem that lands in your lap even outside your exact domain. When someone scopes something for three weeks, you ask why it can't be done in three days, and you also know the difference between shipping a fast v0 and cutting a corner that comes back to bite you. You walk the tightrope between craft and speed without falling off either side.

### The role

In a nutshell, we're looking for a Implementation Engineer with the following specific qualities:

- You’re entrepreneurial minded, with an olympian level work ethic (nearly our entire engineering team consists of former founders).
- You are confident in your ability to connect with customers and building strong partnerships while providing technical guidance
- You believe you can solve any problem that comes at you, and don't shy away from diving deep into areas where you may lack domain expertise and have a strong sense of ownership over your work.
- You care more about the end result and delivering value to a customer, rather than what new and frilly tech is being used under the hood for a given feature.
- When someone scopes out a project with an ETA of 3 weeks, you ask yourself "why can't it be done in 3 days?".
- You’re a hacker at heart, and have a good sense of what rules should, and shouldn’t, be broken.

### What you'll be doing

After quickly ramping up using our comprehensive onboarding materials to get familiar with our domain, and codebase, the goal would be to get you connected with customers as quickly as possible. Specifically, day to day, this looks like:

- Serve as the primary point of contact for the customer throughout the partnership.
- Conduct discovery calls when a customer is onboarded to understand their use cases, technical requirements, and success criteria.
- Participate in weekly syncs with onboarding customers to ensure they are deriving value from product and have successfully integrated Metriport into their day to day workflows.
- Maintain the customer relationship after onboarding, through regular check ins and providing continuous support through communication channels.
- Provide technical expertise by helping to answer questions about product capabilities, integrations, and implementation.
- Troubleshoot and debug customer issues, in some cases working with the engineering team to resolve them.
- Manage customer requests and issues by assessing priority, coordinating with engineering teams, tracking progress, and communicating resolutions to customers.
- Join weekly syncs to update the team on how customers are doing, raise anything that needs addressing, and discuss where customer feedback fits into what we're building.
- Proactively communicate relevant product updates and new feature releases that align with customer needs and use cases.
- Participating in bi weekly sprint planning / retro sessions, and quarterly planning sessions.
- Managing APIs and integrations to ensure seamless functionality for customers.
- Working with customers from onboarding to production roll out.
- Attending a daily 30 minute remote stand up at 7:30am PST Mon-Fri (our only regular mandatory meeting).

### Requirements

- You have 6+ years experience supporting software implementation
- Full stack experience: React, TypeScript, Node.js.
- You’re located in San Francisco or the Bay Area (or willing to relocate).
- Healthcare experience isn't required, but if the following terms mean something to you, that's a plus: HIPAA, FHIR, HIE, IHE, EHR/EMR, NPI, TEFCA, ADT, HL7, HEDIS, RAF, SNOMED, LOINC, ICD 10, etc.

### Benefits

- Competitive equity + compensation package 🚀
- Full family Platinum health insurance, dental, and vision coverage 🦷
- 401(k) retirement plan + matching 💰
- Flexible work from home or in office 🏢
- Healthy lunches, complimentary when working in office (breakfast/dinners as needed) 🍏
- MacBook provided by us 💻
- Unlimited PTO (we work hard, but trust you to take time you need to be at your best) 🧘♂️

### Our tech

On the frontend, we use React on the backend, we rely on Node.js and TypeScript for writing core business logic. We deploy a wide range of AWS cloud services (ie ECS, Fargate, Lambda, etc), and manage our infrastructure as code with AWS CDK. Data lives in PostgreSQL, DynamoDB, S3, Snowflake, HAPI FHIR servers, and more.

*Metriport provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, or gender expression. We are committed to a diverse and inclusive workforce and welcome people from all backgrounds, experiences, perspectives, and abilities.*

[View posting at Metriport](https://jobs.ashbyhq.com/metriport/c082def6-0ad8-4ebc-b367-61f90fed8d83/application)

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