Founding Forward Deployed Engineer (USA)
- Location
- San Francisco Bay Area
- Listed
- 6 days ago
How We Work
- Customer obsession - we start with the customer and work backwards
- Intellectual honesty - ideas matter more than titles; we communicate directly and assume good intent, even in disagreement
- Bias for action - we build and learn with customers rather than debate in the abstract
- Extreme ownership - we own outcomes, not just tasks, and see problems through
About the role
You are a software engineer who works directly with our customers. You will be deployed inside practices, clinics and hospitals in New York, understand how doctors and staff actually work, and build the integrations and product features that make Optexity work in their environment. Many of these systems have no APIs, so you will often be building the way in. You will own the customer’s technical outcome from first meeting to daily usage.
What you’ll do
- Deploy and set up Optexity inside practices and clinics, including systems with no APIs, using the integration infrastructure we’ve built and open-sourced
- Sit with doctors and staff to understand their workflows and requirements, and turn them into working software
- Build and improve data pipelines and integrations with EMRs and other clinical systems
- Work with the core team on our search and chat system, and bring real customer feedback into the product
- Debug and resolve customer issues quickly, and own them until they are fixed
- Help drive customer success: onboarding, training, and increasing usage
- Make general solutions from one-off customer problems, so each deployment makes the next one faster
- Share what you learn with the founders to shape product direction
Ideal candidate
- Bachelor’s in computer science or a related field
- Strong in Python and comfortable with backend work, data and APIs
- Comfortable working directly with customers, including non-technical ones
- Energized by open-ended problems and takes ownership without needing to be guided
- Genuinely wants a startup over big tech, with speed and ambiguity as defaults, not exceptions
- New Grads Welcome to apply
Nice to have
- Prior founder, founding engineer or solutions engineering experience
- Experience with browser or desktop automation, or reverse engineering systems with no APIs
- Built LLM-powered products before
- Familiarity with healthcare data, EMRs, or HIPAA
- Strong product taste
- Ambitions to start your own company someday, and we’ll support that path
- Preferred to be based in SF but remote also considered.
What you get
- Direct, daily work with the founders, plus exposure to board and investor conversations
- Real ownership of technical direction, with scope that grows as the company does
- Full compute and data to do the work properly
- Competitive salary and meaningful equity
About Optexity
Optexity is a product-driven research lab building clinical reasoning and computer use models on data no other lab can reach. We deploy directly inside clinics and hospitals - including systems with no APIs, using integration infrastructure we've built and open-sourced - and in return become their preferred partner. That gives us proprietary clinical reasoning trajectories from practicing physicians, and a feedback loop between real patient encounters, our models, and the products built on top of them.
We're a small, fast-moving founding team with multiple published papers in NeurIPS, ICML, CVPR etc and background from Apple, Amazon, Microsoft, CMU, IIT.
We are backed by world-class investors and leaders like Jeff Dean, Neotribe VC, PearVC, Together Fund and Zapier Fund.
From Pear VC's careers page, first listed on Rolev.ai on November 3, 2026. Rolev.ai is not the employer.
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Common questions
Where is the Founding Forward Deployed Engineer (USA) job at Pear VC located?
This Founding Forward Deployed Engineer (USA) position at Pear VC is located in San Francisco Bay Area. Always check Pear VC's application page for specific state eligibility or relocation policies.
How do I apply for the Founding Forward Deployed Engineer (USA) position at Pear VC?
This listing links directly to Pear VC's Ashby application page. You can apply directly on Pear VC's site, or use Rolev.ai to check your resume fit, generate a zero-hallucination tailored resume and cover letter for this posting, and autofill the Ashby application form in 1 click with the Rolev.ai Chrome extension. You always review the form and press Submit yourself.