Founding Engineer, Forward Deployed (US)

We are looking for a Forward Deployed Engineer with 3+ years of experience to join Backbone as a founding team member and close the engineering-product-design loop directly with customers. You'll sit with providers and payers, understand their workflows in real-time, and ship full-stack features end-to-end at high velocity. This is a heavily engineering-focused role (~60-70% building, ~30-40% customer-facing) where you'll identify what's broken, implement the fix, and deploy it, often same-day. You'll work directly with the CEO and founding engineer to turn messy healthcare workflows into elegant product solutions that power instant payments between payers and providers.

What will you be doing?

• Sitting with providers and payers to observe their authorization, claims, denial, and payment workflows, then shipping features end-to-end to solve their pain points

• Closing the EPD (engineering-product-design) loop independently, from identifying a customer problem to implementing and deploying the solution at high velocity

• Debugging live customer issues across charts, claims, payer portals, and operational queues, often shipping fixes same-day

• Traveling to customer sites when needed to deepen product understanding and accelerate deployment quality

• Working across the full stack with a backend orientation to build and iterate on product features from pilot through post-close expansion