Jobs at Ascertain

Own financial reporting integrity, accounting policies, technical accounting judgments, monthly close oversight, cost allocation, gross margin analysis, audit readiness, controls, and finance systems scalability. Direct an outsourced accounting partner, guide ASC 606 revenue recognition, support unit economics, coordinate audits and tax advisors, and lead ERP or finance technology implementation. This is a fractional contract role requiring one day per week onsite in Durham.

Own product workflows end to end, from customer discovery and roadmap prioritization through software delivery, rollout, and outcomes. Partner with engineering, design, product operations, forward-deployed engineers, and implementation teams to replace manual healthcare processes with scalable products. Define product requirements, acceptance criteria, human-in-the-loop capabilities, and customized versus standardized solutions. Prioritize prior authorization initially, using customer feedback and data to improve products and support future AI automation.

Own full-stack product features from design through production. Build React and TypeScript user experiences, Python and FastAPI backend services, and data infrastructure for a healthcare AI platform. Collaborate across product, design, and engineering; improve code quality, testing, CI/CD, observability, and development practices. Operate production systems in GCP and contribute to technical direction in an autonomous, early-stage environment.

Own customer deployments from workflow discovery through production. Build integrations with EHRs, payer portals, fax, EDI, and document systems; configure AI agents; debug full-stack production issues; and translate customer needs into software specifications. Work directly with healthcare operations teams and contribute reusable patterns to product and platform teams. Occasional travel to customer sites is required.