Medable, Inc · 1 day ago
Forward Deployed Engineer – Agentic AI for Clinical Development
United States
Full-time
Remote
Senior Level
6+ years expMedable, Inc is focused on accelerating the delivery of effective therapies to patients through a cloud-based platform for clinical trials. They are seeking a Forward Deployed Engineer to lead technical engagements, design and implement AI-driven solutions, and collaborate with various stakeholders to enhance clinical development workflows.
BiotechnologyMedical DeviceTelecom & CommunicationsHealthcarePharmaceuticalClinical TrialsHealth CareMessaging
Responsibilities
Lead technical engagements with prospective and existing customers, acting as the primary solution consultant, technical advisor, and embedded engineer for agentic AI and agent system deployments
Partner directly with customer stakeholders—from clinical operations, data science, and IT teams to C-level executives—to scope requirements and deploy agentic AI systems that enable autonomous clinical development workflows with built-in human oversight
Design, architect, and implement tailored solutions integrating Medable’s platform with eClinical systems (EDC, eCOA, CTMS, RTSM/IWRS), enterprise environments, and agentic AI frameworks to build autonomous systems powered by agent systems for end-to-end trial automation
Demonstrate Medable capabilities through live demos, technical deep dives, proof-of-concepts, and production deployments of agentic AI, showcasing autonomous agents, reasoning loops, multi-agent orchestration, and goal-driven adaptation in clinical contexts
Build, deploy, and optimize agentic AI and agent systems in regulated environments, enabling autonomous capabilities such as real-time patient matching, adaptive protocol execution, predictive risk mitigation, automated data reconciliation, and trial simulation—while enforcing human-in-the-loop safeguards (supervision loops, safety gates, audit trails, and escalation protocols)
Incorporate robust human-in-the-loop systems throughout agentic deployments, including intervention points, validation workflows, and hybrid decision-making to maintain compliance, ethical standards, and human accountability in autonomous clinical operations
Wrangle large-scale clinical, real-world, and operational data to power agentic AI reasoning and agent coordination, accelerating autonomous insights while ensuring seamless integration with human review processes
Develop custom integrations, APIs, configurations, and tooling to support agentic AI autonomy and agent system interoperability, addressing customer-specific needs like decentralized trial flows or adaptive designs
Troubleshoot and refine agentic AI deployments on-site or remotely, optimizing for scalability, reliability, low-latency reasoning, and effective human-AI collaboration in production clinical environments
Collaborate with product, engineering, and go-to-market teams to relay field insights from agentic AI deployments, prioritizing features for autonomous clinical systems with human safeguards, and influencing roadmap decisions
Contribute to RFPs, technical proposals, solution designs, and executive presentations highlighting the transformative impact of agentic AI and agent systems in enabling autonomous yet compliant clinical development
Drive adoption, quantify impact (e.g., reduced enrollment timelines, minimized protocol deviations, improved data integrity), and expand customer relationships to support revenue growth and sustained success
Other duties as assigned in a fast-evolving, AI-driven environment
Qualification
Required
6+ years of hands-on experience in technical consulting, solution engineering, forward deployed engineering, or implementation roles—ideally in life sciences, clinical research, health tech, or regulated AI-intensive industries (or equivalent combination of education and experience)
Proven track record deploying agentic AI systems and agent systems, including autonomous agents, goal-oriented reasoning, multi-agent orchestration, adaptive planning, tool-use integration, and iterative execution in complex, dynamic environments
Extensive experience designing and deploying regulated agentic AI with strong governance, auditability, compliance (e.g., GCP, 21 CFR Part 11, GDPR), and human-in-the-loop mechanisms to enable safe autonomous clinical development workflows (e.g., automated monitoring, adaptive trials, real-time decision support)
Demonstrated expertise in agent systems and agentic AI patterns—such as reasoning loops, multi-agent collaboration, retrieval-augmented execution, and guardrail frameworks—applied to clinical or life sciences use cases
1+ years of post-college software engineering experience with end-to-end ownership in high-stakes, dynamic projects involving AI agent deployments
Strong background in enterprise integrations, cloud platforms (AWS/Azure/GCP), APIs, data pipelines, modern architectures, and large-scale data handling to support agentic AI autonomy
Deep expertise in eClinical technologies (EDC, eCOA, CTMS, RTSM/IWRS) and interoperability standards (e.g., FHIR, CDISC, HL7), with proven ability to integrate them into agentic AI-driven autonomous systems
Proficiency in technical platform implementation for building, deploying, and orchestrating agent systems and agentic AI automations
Strong knowledge of data structures, storage systems, cloud infrastructure, front-end frameworks, and AI tooling (e.g., LLMs, vector databases, agent frameworks) for reasoning, planning, and multi-agent coordination
Exceptional ability to translate complex agentic AI and autonomous system concepts into clear business value for clinical stakeholders
Outstanding communication, presentation, relationship-building, and stakeholder management skills across technical and executive levels
Highly analytical mindset with eagerness to solve ambiguous, high-impact problems using agentic AI in regulated clinical settings
Comfort thriving in fast-paced, evolving environments with shifting priorities and direct customer exposure, particularly in deploying human-supervised autonomous systems
Team collaboration skills in mixed technical/non-technical settings
Bachelor's, Master's, or PhD in Computer Science, Engineering, Life Sciences, Data Science, Mathematics, Physics, or a related field
Preferred
Direct experience in clinical trials, decentralized trials, digital health, or pharma/biotech operations with agentic AI-enabled autonomy
Familiarity with enterprise LLM/agent frameworks, advanced agentic tooling, or platforms for regulated multi-agent deployments
Prior exposure to large-scale data/AI platforms in regulated industries
Benefits
Flexible Work
Competitive base salaries
Annual performance-based bonus
Stock options for employees, aligning personal achievements to Medable's success
Comprehensive medical, dental, and vision insurance coverage
Carrot Fertility Program
Health Saving Accounts (HSA) and Flexible Spending Accounts (FSA)
Wellness program (Mental, Physical and Financial)
Peer-to-peer recognition program, celebrating achievements and milestones
Volunteer time off to support causes you care about
Company
Medable, Inc
Medable's mission is to get effective therapies to patients faster.
501-1000 employees
H1B Sponsorship
Medable, Inc has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2024 (4)
2023 (5)
2022 (5)
Funding
Current Stage
Late StageTotal Funding
$506.64MKey Investors
Blackstone Accelerates Growth,GSR VenturesSapphire VenturesGSR Ventures
2021-10-26Series D· $304M
2021-04-15Series C· $78M
2020-11-19Series C· $91M
Leadership Team
Michelle Longmire
Co-Founder and CEO
Fernando Waigandt
Co-Founder, Director of Mobile Development at Medable, Inc.
Recent News
2026-01-06
2025-12-10
Company data provided by crunchbase