Location: San Francisco, CA (Onsite) Compensation: $150,000 – $200,000 base + competitive equity Visa Sponsorship: H-1B, O-1 supported Experience Level: 0–8 years Employment Type: Full-Time
About TriFetch
TriFetch builds AI agents for private practices and specialty clinics, automating workflows such as appointment scheduling, rescheduling, prior authorizations, and operational coordination. Their platform integrates directly into clinic environments and deploys customized AI solutions rapidly across healthcare workflows.
The company currently has 4 live pilots, 10 clinics on the waitlist, and has raised $2M in pre-seed funding backed by healthcare AI operators — including a founder of Hippocratic AI. The team is highly technical, lean, and based in San Francisco.
About the Role
TriFetch is hiring Forward Deployed Engineers to own end-to-end customer deployments for healthcare AI systems. This is an extremely high-agency, customer-facing engineering role where engineers directly manage implementation, debugging, deployment, and ongoing optimization inside clinical environments. The role combines production engineering, client communication, systems integration, healthcare operations understanding, and rapid iteration under live production pressure.
What You'll Own
Take clinics from sales handoff through complete production deployment
Run onboarding and workflow discovery sessions with clinic operators
Customize voice agents, OCR systems, and computer-use agents for each clinic environment
Meet customers weekly during deployment cycles and iterate rapidly on workflows
Debug live production issues on customer calls under time pressure
Build modular production code enabling same-day deployments
Own customer success outcomes directly tied to implementation quality
Collaborate with clinicians and operational staff in high-stakes healthcare environments
Data Protection & Security
Handle PHI within HIPAA-compliant infrastructure
Follow least-privilege access standards and store secrets securely in GCP Secret Manager
Maintain encrypted devices and audit logging
Complete HIPAA privacy and security training annually
Follow all internal security and acceptable use policies
Requirements
Strong Python engineering skills
Experience shipping production-ready systems
Strong debugging ability in live production environments
Extreme ownership mentality and high agency
Excellent communication skills under pressure
Comfortable speaking directly with clinicians and healthcare operators
Strong engineering pedigree aligned with top-school founding team expectations
Based in San Francisco or willing to relocate onsite
Nice to Have
Prior Forward Deployed Engineering experience
Healthcare or healthtech integrations experience
Cloud infrastructure experience
Startup founder or founding engineer background
Experience with voice AI, OCR systems, or computer-use agents
Strong interpersonal or leadership indicators for junior candidates
This Role Is NOT For
Candidates with frequent job hopping or short recent tenures
Low-agency enterprise engineering backgrounds
Research-heavy ML backgrounds without production ownership
Engineers with weak communication skills or inability to debug live under pressure
Interview Process
Screen with CEO
Technical round with whiteboarding and system design
Final vibe check
One-day onsite trial
Offer stage
Logistics
Role is fully onsite in San Francisco — please only apply if you can commit to this
H-1B and O-1 visa sponsorship available
Shortlisted candidates will be contacted by David Joseph & Co., the recruiting partner managing this search on behalf of TriFetch.