Medable's mission is to get effective therapies to patients faster. We provide an end-to-end, cloud-based platform with a flexible suite of tools that allows patients, healthcare providers, clinical research organizations and pharmaceutical sponsors to work together as a team in clinical trials. Our solutions enable more efficient clinical research, more effective healthcare delivery, and more accurate precision and predictive medicine. Our target audiences are patients, providers, principal investigators, and innovators who work in healthcare and life sciences.

Our vision is to accelerate the path to human discovery and medical cures. We are passionate about driving innovation and empowering consumers. We are proactive, collaborative, self-motivated learners, committed, bold and tenacious. We are dedicated to making this world a healthier place.

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.

Experience

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.

Skills

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.

Education, Certifications, Licenses

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.

Travel Requirements

Travel as needed
Blend of remote work, on-site customer embedding, and occasional office collaboration (if applicable).

At Medable, we believe that our team of Medaballers is our greatest asset. That is why we are committed to your personal and professional well-being. Our rewards are more than just benefits - they demonstrate our commitment to providing an inclusive, healthy and rewarding experience for all our team members.

Flexible Work

Remote from the start, we believe in a flexible employee experience

Compensation

Competitive base salaries
Annual performance-based bonus
Stock options for employees, aligning personal achievements to Medable's success

Health and Wellness

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)

Recognition

Peer-to-peer recognition program, celebrating achievements and milestones

Community Involvement

Volunteer time off to support causes you care about

Medable is committed to providing reasonable accommodations for qualified individuals with disabilities in our job application procedures. If you need assistance or would like to request an accommodation due to a disability, please contact us at hr@medable.com.

Forward Deployed Engineer – Agentic AI for Clinical Development