Deployment Strategist, CSS

Fathom is on a mission to eliminate the billions of dollars of administrative waste in US healthcare. We're starting with one of its most expensive, labor-intensive workflows: medical coding. Using AI, we automate the translation of clinical notes into the billing codes used for provider reimbursement—a process that costs US hospitals $15B+ annually, plus tens of billions more in errors and denied claims.

The result is healthcare that spends less time and money on administration and more on what actually matters: patients. KLAS named us the #1 emerging technology for reducing the cost of care, and many of the nation's largest health systems, health plans, and physician groups rely on us to do it.

We're a Series B company backed by Lightspeed, Founders Fund, and CVS Health—taking on hard problems at the frontier of AI and healthcare, where getting it right has real consequences. We're scaling fast and looking for exceptional people who want their work to matter.

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 post-sale 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 depth of a technical product manager, 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.

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

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  Lead AI deployment projects from kickoff through go-live, including defining detailed technical requirements for configuration and integration work

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

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

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  Identify and execute expansion opportunities within assigned accounts

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  Build systems and playbooks that scale the CSS function and Fathom

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  Build with AI tools to improve client experience and team efficiency

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

• 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

• 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.