Forward Deployed Engineer; Healthcare

We are hiring a Forward Deployed Engineer to take our healthcare customers from scoping calls to production. Healthcare administration is a $1T opportunity that is largely inaccessible to AI today. Asteroid gives customers programmable APIs to the healthcare systems where work gets done, and lets them rapidly convert manual workflows into AI-assisted automations. We are a YC W25 company. Our agents run a quarter of a million operations a month across 300+ healthcare portals and systems.

We have seven figures of revenue and are growing 30%+ month over month. Customer churn is exceptionally low, and we pride ourselves on strong relationships with our customers.

Large parts of the fragmented healthcare industry rely on legacy systems that have no APIs. AI is capable of work like prior authorization, referral intake and patient scheduling, yet today whole teams still do these tasks by hand. Asteroid's platform opens up access to these systems and makes it possible to automate any workflow on them. The FDE role exists to turn manual healthcare work into browser, computer-use or API-based automations on our platform.

You will work directly with healthcare customers from day one and make sure they succeed on Asteroid. What you learn from them feeds back to our engineering team and improves how we automate healthcare work.

Scoping. You join sales and onboarding calls with healthcare teams. You learn how they do the work today and define with them what the workflow looks like and what "done" means: inputs, outputs, edge cases, system access and success criteria.

Building. You turn that scope into a production workflow on the Asteroid platform using our AI assistant or our MCP server. You test the workflow against real portals.

Running. Once a workflow is live, you triage early failures, fix issues and tune reliability and cost.

Account ownership. You are the first responder in each customer's Slack channel. You answer, reproduce, fix what you can and escalated what needs engineering. You run check-ins with our enterprise accounts and spot where they can do more with us. This may include traveling to see customers on site.

Example workflows you might work on:
Prior authorization submission and status tracking in payer portals (Availity, UHC, Aetna and others) Eligibility and benefits checks before a visit EHR write-back: patient demographics, notes, documents, orders Patient creation and scheduling in practice management systems Referral intake from fax and provider portals Enrollment in marketplace and carrier portals Legacy and Citrix-hosted EHRs through computer-use agents

As we scale to eight-figure ARR, your insights will shape where the company goes. Dozens of healthcare accounts running real work on Asteroid. The day-to-day product experience. You will work with a high-performing engineering team to improve the platform in ways small and large. The shape and design of our APIs, which the next wave of healthcare companies will build on.

The playbook we use for every healthcare deployment.

A track record of building. You have built something real, such as a product with users.

You are comfortable with scripts, APIs, logs and debugging.

Experience solving problems with LLMs. You can identify where models fail and reason about the trade-offs in reliability, cost and speed between LLM calls, API calls and deterministic scripts. You do not need to be an ML engineer.

Healthcare knowledge. You have worked in healthcare operations, built software for healthcare or studied it. You know what a prior auth, an eligibility check and a write-back are.

Customer skills. You can hold a conversation with a…