Jobs in the United States

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Civil Engineer-In-Training (EIT) - Data Centers
AKS Engineering & Forestry, LLC
Tualatin, OR
AKS is seeking a motivated Civil Engineer-in-Training (EIT) to join our team and support the planning, design, and delivery of high-tech manufacturing developments and mission-critical data…
Added 1 min ago
SE
Project Engineer II - Automation
SEL Engineering Services, Inc.
ID
- $89,400 to $134,100 USD / year
Automation = software, integration and automation, industrial controls, PLCs, industry protocols (IEC-61850, DNP, Modbus), Ethernet systems, protocol analyzers, and industry SCADA practices.
Added 3 mins ago
Senior Hardware Engineer - Cross Domain Solutions (SME)
CACI, INC.-FEDERAL
Fort Meade, MD
Extensive experience in hardware engineering, infrastructure integration, rack design, and systems maintenance within Department of Defense (DoD) or Intelligence Community (IC) environments.
Added 3 mins ago
Senior Test Engineer, Mechanical and Fluid Systems
Panthalassa
Portland, OR
We are seeking a Senior Test Engineer, Mechanical and Fluid Systems to design, build, and operate large-scale test equipment for hydraulic turbines, electrical generation powertrains, and…
Added 4 mins ago
Senior Design Engineer
IN
The Large Power Systems Division (LPSD) has an opening for a Senior Design Engineer responsible for leadership and execution of Mechanical Engineering Design to Order (DTO) projects for the…
Added 4 mins ago
MI
Systems Engineer - Expert-Level
Mission Intel
Springfield, VA
- $140,000 to $175,000 USD / year
Mission Intelligence Group is seeking an Expert-Level Systems Engineer to provide technical leadership across some of the nation's most critical GEOINT, defense, and intelligence…
Added 5 mins ago
WI
(USA) Software Engineer III, Information Security
Walmart Inc.
United States
- $90,000 to $180,000 USD / year
…and model supply chain challenges. Leveraging expertise in systems engineering, cloud migration, continuous integration, and software development, the team builds secure, scalable…
Added 5 mins ago
Full Stack Engineer
Hubbard Broadcasting
Cincinnati, OH
Design and implement APIs and integration patterns to connect internal tools to systems such as finance/billing, reporting, storage, and other operational platforms.
Added 5 mins ago
Sr Professional Services Consultant
Vectra
Maryland City, MD
As a Consulting Engineer in Vectra AI Professional Services, you will lead technically complex customer implementations across enterprise and Federal environments. You will combine deep…
Added 10 mins ago
HPC Infrastructure Engineer - Classified Environment
Oak Ridge National Laboratory
Oak Ridge, TN
Storage and Networking: Engineer and integrate high-performance storage, parallel file systems, high-speed interconnects, and associated data center infrastructure.
Added 10 mins ago
Thermal-Mechanical R&D Engineer
Advantest
Lake Forest, CA
We are seeking a Thermal-Mechanical R&D Engineer to join our Global Thermal R&D Team. This position will contribute to the development, evaluation, and integration of advanced thermal…
Added 10 mins ago
Network & Systems Engineer
Leidos
Fort Belvoir, VA
Leidos is seeking a Network & Systems Engineer to provide advanced engineering, strategic systems analysis, and operational oversight for large-scale operations on a high-profile Department…
Added 10 mins ago
PE
Systems Engineer MAGTF C2 (8700)
Patricio Enterprises
Stafford, VA
- $140,081 to $157,401 USD / year
Knowledge of systems engineering, command and control systems, system architectures, technical reviews, configuration/change control, architecture runway, integration across systems and…
Added 10 mins ago
Solutions Architect - IT Nuclear
Dominion Energy
GLEN ALLEN, VA
7+ years of relevant experience in application, solution, systems, integration, infrastructure, software engineering, cybersecurity, or a directly related field.
Added 10 mins ago
RU
Software Engineer - Product R/D - IV
Randstad USA
Seattle, WA
- $69.42 to $79.42 USD / hour
Salesforce is seeking an enthusiastic, experienced Front End / Full Stack Engineer to join the Digital Ecosystem Engineering team. In this role, you will design and build innovative…
Added 10 mins ago
Geospatial Data Scientist & Quality Assurance Engineer
Bridge Core (BCore)
Herndon, VA
…missions as a Geospatial Data Scientist & Quality Assurance Engineer in Herndon,…
Added 10 mins ago
Sr. DevSecOps Engineer - U.S. Citizenship Required
CGI Technologies and Solutions, Inc.
Fairfax, VA
To support continued growth, we’re seeking a senior DevSecOps engineer who can quickly learn new technologies, enhance existing systems, and understand the client ecosystem. You’ll automate…
Added 10 mins ago
Technical Business Analyst (Senior)
CGI Technologies and Solutions, Inc.
Fairfax, VA
. Experience with enterprise systems integration (API driven, SOA, microservices).
Added 10 mins ago
Technical Business Analyst (Junior)
CGI Technologies and Solutions, Inc.
Fairfax, VA
. Experience with enterprise systems integration (API driven, SOA, microservices).
Added 10 mins ago
Flight Software Engineers (Associate/Experienced/Senior)
The Boeing Company
El Segundo, CA · Mountain View, CA
Support the design, integration, modification, test, and debugging of software that is integrated into embedded devices and systems and meets industry, customer, safety and regulation…
Added 10 mins ago
Live Fire Structures Test & Evaluation Engineer (Associate, Experienced or Senior)
The Boeing Company
Berkeley, MO
Boeing is seeking a Live Fire Structures Test & Evaluation Engineer (Associate, Experienced or Senior), to work in the Structures and Mechanical Test (STR) capability as part of the…
Added 10 mins ago
Software Test Engineer
Tapestry - G0G
Maryland Heights, MO · Hazelwood, MO
Tapestry Solutions, a part of Boeing Global Services (BGS), is seeking a Software Test Engineer in Maryland Heights, MO. and/or Hazelwood, MO. In this role you will test software for the…
Added 10 mins ago
Systems Engineer (Associate or Experienced)
The Boeing Company
Herndon, VA
The Intelligence Systems (IS) program within Boeing Defense, Space & Security (BDS) / Space, Intelligence, and Weapon Systems (SI&WS) is seeking a Systems Engineer (Associate or…
Added 10 mins ago
M
Autosar BSW Platform Integration Engineer
modis
Allen Park, MI
- $42 to $45 USD / hour
Modis is seeking an Autosar BSW Platform Integration Engineer for a Contract with a client in Allen Park, MI. The ideal candidate will develop and integrate embedded platform software for…
Added 10 mins ago
Test Engineer (Manual) -- Junior
CGI Technologies and Solutions, Inc.
Fairfax, VA
CGI is looking for strong Test Engineer (Manual) with the ability to independently work alongside the client, business, and development Teams. In this role, you will be responsible for…

Pear VC

Founding Forward Deployed Engineer (USA)

Palo Alto, CA, United States

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Job details

Posting language: English
Posted: Nov 3, 2026

Original job description

ABOUT OPTEXITY

Optexity is a product-driven research lab building clinical reasoning and computer use models on data no other lab can reach. We deploy directly inside clinics and hospitals - including systems with no APIs, using integration infrastructure we've built and open-sourced - and in return become their preferred partner. That gives us proprietary clinical reasoning trajectories from practicing physicians, and a feedback loop between real patient encounters, our models, and the products built on top of them.

We're a small, fast-moving founding team with multiple published papers in NeurIPS, ICML, CVPR etc and background from Apple, Amazon, Microsoft, CMU, IIT.

We are backed by world-class investors and leaders like Jeff Dean, Neotribe VC, PearVC, Together Fund and Zapier Fund.

HOW WE WORK

Customer obsession - we start with the customer and work backwards
Intellectual honesty - ideas matter more than titles; we communicate directly and assume good intent, even in disagreement
Bias for action - we build and learn with customers rather than debate in the abstract
Extreme ownership - we own outcomes, not just tasks, and see problems through

About the role

You are a software engineer who works directly with our customers. You will be deployed inside practices, clinics and hospitals in New York, understand how doctors and staff actually work, and build the integrations and product features that make Optexity work in their environment. Many of these systems have no APIs, so you will often be building the way in. You will own the customer’s technical outcome from first meeting to daily usage.

What you’ll do

Deploy and set up Optexity inside practices and clinics, including systems with no APIs, using the integration infrastructure we’ve built and open-sourced
Sit with doctors and staff to understand their workflows and requirements, and turn them into working software
Build and improve data pipelines and integrations with EMRs and other clinical systems
Work with the core team on our search and chat system, and bring real customer feedback into the product
Debug and resolve customer issues quickly, and own them until they are fixed
Help drive customer success: onboarding, training, and increasing usage
Make general solutions from one-off customer problems, so each deployment makes the next one faster
Share what you learn with the founders to shape product direction

Ideal candidate

Bachelor’s in computer science or a related field
Strong in Python and comfortable with backend work, data and APIs
Comfortable working directly with customers, including non-technical ones
Energized by open-ended problems and takes ownership without needing to be guided
Genuinely wants a startup over big tech, with speed and ambiguity as defaults, not exceptions
New Grads Welcome to apply

Nice to have

Prior founder, founding engineer or solutions engineering experience
Experience with browser or desktop automation, or reverse engineering systems with no APIs
Built LLM-powered products before
Familiarity with healthcare data, EMRs, or HIPAA
Strong product taste
Ambitions to start your own company someday, and we’ll support that path
Preferred to be based in SF but remote also considered.

What you get

Direct, daily work with the founders, plus exposure to board and investor conversations
Real ownership of technical direction, with scope that grows as the company does
Full compute and data to do the work properly
Competitive salary and meaningful equity