Technical Solutions Engineer

Job Description:

• 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.

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.
• 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.