About Fathom

Fathom is on a mission to use AI to understand and structure the world’s medical data, starting by making sense of the terabytes of clinician notes contained within the electronic health records of the world’s largest health systems. Our deep learning AI models automate the translation of patient records into billing codes used for healthcare provider reimbursement, a process today that costs hospitals in the US $15B+ annually and tens of billions more in errors and denied claims. We are a Series B venture-backed company, backed by Lightspeed, Founders Fund, CVS Health, and others.

About the role

We are looking for an AI Deployment Strategist to join our Client Success and Strategy (CSS) team. In this role, you will own the full client lifecycle for a portfolio of strategic accounts, from initial AI deployment through post-live optimization and account expansion. You will work hands-on with our AI products while building deep relationships with client stakeholders at all levels.

This role combines the first-principles problem solving of product and business operations teams, the technical depth of a forward-deployed engineer, and the relationship ownership of a strategic account executive.

While this is a remote position open to candidates across the United States, we expect employees to work consistently from a single, fixed location within the US.

What you’ll do

• Own end-to-end client outcomes for a portfolio of strategic accounts

• Lead AI deployment projects from kickoff through go-live, including technical configuration and integration work

• Build and maintain relationships with client stakeholders from end users to executives

• Drive product adoption through client education, workflow optimization, and proactive engagement

• Identify and execute expansion opportunities within assigned accounts

• Build systems and playbooks that scale the CSS function and Fathom

• Build with AI tools to improve client experience and team efficiency

• Continuously raise the bar on client experience — measure, iterate, improve

You may be a good fit if you have:

• 6+ years of experience in solutions engineering, business operations, management consulting, investment banking, or Epic integrations

• Experience at a high-growth startup where you wore multiple hats

• A track record of owning complex, high-stakes client relationships

• Demonstrated ability to operate independently with minimal oversight

• Strong written and verbal communication skills

• Technical proficiency: Proficiency in SQL, Python, or other programming languages, troubleshooting software, and debugging integrations

• AI tools expertise (LLMs, automation) in your own workflows

• A background in healthcare

Who you are

• High integrity: You do what you say you'll do. You take responsibility when things go wrong. You act with integrity when no one is watching.

• High output: You have a bias toward action and high sustained output. You don't wait to be told what to do. You find work, prioritize, and execute with urgency and optimism.

• Systems builder: You solve problems once, not repeatedly. You create leverage through automation, process, and documentation. You see how pieces connect and optimize for the whole system.

• Client experience obsessed: You believe every interaction matters. You aim to deliver the best experience your clients have ever had. You sweat the details others overlook.

• On the frontier of AI: You use AI tools daily and push boundaries on what's possible. You're excited to work at the frontier.

What we offer

• Competitive compensation, including salary, equity, 401K matching

• Salary range: $175K-240K

• Comprehensive benefits including health, dental, and vision

• Opportunity to work on cutting-edge AI technology with real-world impact

• Senior team of strong operators

• Environment of high ownership and autonomy where your work directly shapes outcomes