ascertain - Technical Solutions Engineer
Requirements
• 3–5 years shipping production code in a commercial engineering role. • Fluent in Python; proficient with SQL, REST APIs, and at least one full-stack or front-end framework. • A track record of delivering in environments where the problem was not fully specified - early-stage startup, consulting, applied research, or an operations-heavy role. • Strong written and verbal communication. You can lead a working session with a non-technical practice manager and produce a concise specification afterward. • Willingness to travel occasionally to customer sites. • Strongly preferred • Healthcare experience: EHRs, claims and EDI (X12 270/271, 278, 837), HL7/FHIR, payer portals, RCM, or prior authorization workflows specifically. • Production experience with LLMs or agent frameworks—prompt design, evaluations, tool use, retrieval, guardrails. • Applied integration experience: OAuth flows, webhook plumbing, browser automation, PDF and document parsing. • Prior experience as an embedded engineer working directly with enterprise customers. • This role will not suit you if • You prefer a well-defined backlog of tickets. • You are looking to specialize deeply in a single technical area.
Responsibilities
• Embed with new and existing customer practices, remotely and on-site, to map prior authorization, referral, and related workflows end to end. • Build and own the integrations that connect Ascertain's agents to customer systems: EHR APIs (Athena, eClinicalWorks, Epic, etc.), payer portals, fax and EDI, document intake, and the rest of the practice's stack. • Configure and extend our agent platform for each customer—ontology, prompts, tools, guardrails, escalation paths—and harden what works into reusable patterns. • Debug production issues across the full stack: data, prompts, APIs, UI, and the surrounding human workflow. • Serve as the technical voice in customer conversations. Translate between clinical-operations language and engineering, and make informed decisions on what to build, what to configure, and what to decline. • Surface learnings to the product and platform teams so patterns discovered once become reusable. • Why Ascertain? Make a real difference: Your work will directly impact healthcare organizations and improve patient care. Join Ascertain in transforming healthcare with AI!
Benefits
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