Duet

Design and build backend systems and integrations with healthcare data platforms, ensuring reliability and scalability. | Extensive experience in backend engineering, API development, and working with complex data systems, preferably in healthcare or similar industries. | Senior Backend Engineer, Data & Integrations About Duet Duet empowers Nurse Practitioners (NPs) to tackle the primary care crisis by leading their own practices—closing gaps in access while keeping care local. We’re a well-funded seed-stage company led by experienced entrepreneurs and Nurse Practitioners, backed by investors including Kairos HQ and Lerer Hippeau. Our mission is to help independent, NP-led practices thrive in an era of rapid healthcare consolidation. Duet is building a vertically integrated enablement platform for independent primary care practices. We sit alongside EHRs and practice management (PM) systems, leveraging their data to power patient engagement, operational efficiency, business forecasting, and value-based care—while fostering community among NPs. At the core of everything we build is data: messy, fragmented, real-world healthcare data that we turn into leverage for clinicians and their practices. Role As a Senior Backend Engineer, Data & Integrations, you will be a foundational technical hire responsible for how Duet connects to, ingests, and operates on data from external systems like EHRs, PM tools, and interoperability vendors. This is an IC-heavy role with significant ownership. You’ll design and build the backend systems that make Duet’s platform possible, working hands-on in Python and GCP while helping define long-term integration patterns, reliability standards, and best practices. You’ll also have the opportunity to lead technical relationships with data and interoperability partners as Duet scales—acting as a trusted engineering counterpart when needed. Key Responsibilities Build & Own Integrations Design, implement, and maintain integrations with electronic health record (EHR) and practice management (PM) systems (e.g., athenahealth, Tebra, eClinicalWorks) using APIs, flat files, SFTP, and other programmatic mechanisms. Normalize, validate, and model healthcare data so it can power downstream product features and analytics. Navigate real-world constraints: partial APIs, inconsistent schemas, vendor quirks, and evolving requirements. Backend & Platform Development Build scalable, reliable backend services in Python on Google Cloud Platform. Design APIs and internal services that expose clean, well-documented interfaces to product and data consumers. Partner closely with data and product teams to ensure ingestion pipelines and application logic evolve together. Operational Excellence Implement monitoring, logging, and alerting to ensure integrations are observable and resilient Own incident response and debugging for integration-related issues in production Champion testing strategies for integration code, including data validation and regression protection Foundational Impact Influence backend architecture, data flow patterns, and engineering standards from an early stage. Contribute to hiring, onboarding, and mentorship as the engineering team grows (without being a people manager by default). What We’re Looking For Experience 5+ years of experience in backend or platform engineering roles. Experience building and operating production systems that integrate with third-party platforms. Prior healthcare experience is a plus, but not required—comfort with complex data is. Technical Skills Strong proficiency in Python. Experience building backend systems on Google Cloud Platform (BigQuery, Cloud Run, Pub/Sub, Cloud SQL, etc.); light AWS exposure is a plus. Solid understanding of API design (REST), authentication (OAuth 2.0), and secure data handling. Experience working with asynchronous workflows, data pipelines, and event-driven systems. Data & Integration Mindset Comfortable working with imperfect, evolving data schemas. Able to reason about data quality, lineage, and downstream impact. Familiarity with healthcare data concepts (EHRs, PM systems, clinical vs. operational data) is a bonus. Ways of Working Strong ownership mindset—you care deeply about systems once they’re in production. Clear communicator who can explain technical concepts to non-engineers when needed. Comfortable operating in ambiguity and helping shape the “right” solution rather than waiting for perfect specs. This role is hybrid in NYC.

Leading end-to-end practice launch processes, developing implementation plans, and serving as a trusted partner for new practice owners. | Extensive experience in project management, implementation, or onboarding roles, with strong organizational, communication, and healthcare-related skills. | Duet — Program Manager, New Practice Launch About us Duet empowers Nurse Practitioners (NPs) to tackle the primary care crisis by leading their own practices—closing the gap in access while keeping care local. We’re a well-funded seed-stage company led by experienced entrepreneurs and Nurse Practitioners, backed by investors including Lerer Hippeau and Kairos. We’re building a vertically integrated platform to help NP practices launch, operate, and scale as independent businesses. From opening a practice from scratch to optimizing patient access, revenue, and care delivery, our solutions are data-driven and designed to let NPs focus on what matters most: caring for their communities. About the role We’re looking for a highly organized, execution-oriented Program Manager to lead our Launcher customers—new practices that come to Duet needing hands-on support to open their doors end to end. In this role, you’ll act as the program lead for early-stage NP practices, guiding them through a complex, multi-workstream launch process that spans operations, clinical workflows, revenue readiness, and tooling. You’ll bring structure to ambiguity, translate big goals into executable plans, and ensure every practice launches confidently, compliantly, and on time. This role is ideal for someone who loves implementation work, thrives in fast-moving environments, and takes pride in building strong foundations that set customers up for long-term success. Key Responsibilities Practice Launch & Implementation Leadership Own the end-to-end onboarding and launch experience for Launcher customers, from contract signature through go-live and early stabilization Develop and manage detailed implementation plans across multiple workstreams (operations, staffing readiness, systems, workflows, revenue enablement) Keep launches on track by proactively identifying risks, resolving blockers, and driving clear next steps with urgency and accountability Ensure new customers are educated and onboarded succinctly and patiently into our Revenue Cycle service Customer Partnership & Enablement Serve as the trusted day-to-day partner for new practice owners during the most critical phase of their journey Translate complex concepts into clear, actionable guidance for first-time or early-stage practice owners Ensure customers understand not just what to do, but why it matters for long-term operational and financial success Standardization & Scalability Partner with the Head of Customer Ops to build and refine Launcher playbooks, templates, timelines, and checklists Identify patterns across launches and continuously improve the onboarding experience to make it faster, clearer, and more scalable What you bring 5+ years total experience with 2+ years in a customer-facing implementation, onboarding, customer success, or project management role Proven experience leading complex, multi-step implementations with multiple stakeholders Strong project management instincts—you naturally create structure, timelines, and accountability Comfort operating in ambiguity and building the plane while flying it Analytical and detail-oriented; comfortable working in Excel/Google Sheets to track progress and outcomes Clear, confident communicator who can guide customers through complex decisions with empathy and authority Bonus points for experience in healthcare, primary care, practice operations, EHRs, billing, or credentialing Who will thrive here Builders who love helping customers start something meaningful from the ground up Operators who get satisfaction from clean launches, tight execution, and strong foundations People who enjoy being hands-on, detail-oriented, and deeply involved in customer outcomes Self-starters who bring calm, clarity, and momentum to fast-moving environments Teammates who lead with humility, ownership, and a genuine care for healthcare providers

Lead end-to-end onboarding and launch processes for new practices, managing multiple workstreams and ensuring successful, timely implementation. | Over 5 years of experience in customer-facing implementation or project management, with proven ability to lead complex projects and operate in ambiguous environments. | Duet — Program Manager, New Practice Launch About us Duet empowers Nurse Practitioners (NPs) to tackle the primary care crisis by leading their own practices—closing the gap in access while keeping care local. We’re a well-funded seed-stage company led by experienced entrepreneurs and Nurse Practitioners, backed by investors including Lerer Hippeau and Kairos. We’re building a vertically integrated platform to help NP practices launch, operate, and scale as independent businesses. From opening a practice from scratch to optimizing patient access, revenue, and care delivery, our solutions are data-driven and designed to let NPs focus on what matters most: caring for their communities. About the role We’re looking for a highly organized, execution-oriented Program Manager to lead our Launcher customers—new practices that come to Duet needing hands-on support to open their doors end to end. In this role, you’ll act as the program lead for early-stage NP practices, guiding them through a complex, multi-workstream launch process that spans operations, clinical workflows, revenue readiness, and tooling. You’ll bring structure to ambiguity, translate big goals into executable plans, and ensure every practice launches confidently, compliantly, and on time. This role is ideal for someone who loves implementation work, thrives in fast-moving environments, and takes pride in building strong foundations that set customers up for long-term success. Key Responsibilities Practice Launch & Implementation Leadership • Own the end-to-end onboarding and launch experience for Launcher customers, from contract signature through go-live and early stabilization • Develop and manage detailed implementation plans across multiple workstreams (operations, staffing readiness, systems, workflows, revenue enablement) • Keep launches on track by proactively identifying risks, resolving blockers, and driving clear next steps with urgency and accountability • Ensure new customers are educated and onboarded succinctly and patiently into our Revenue Cycle service Customer Partnership & Enablement • Serve as the trusted day-to-day partner for new practice owners during the most critical phase of their journey • Translate complex concepts into clear, actionable guidance for first-time or early-stage practice owners • Ensure customers understand not just what to do, but why it matters for long-term operational and financial success Standardization & Scalability • Partner with the Head of Customer Ops to build and refine Launcher playbooks, templates, timelines, and checklists • Identify patterns across launches and continuously improve the onboarding experience to make it faster, clearer, and more scalable What you bring • 5+ years total experience with 2+ years in a customer-facing implementation, onboarding, customer success, or project management role • Proven experience leading complex, multi-step implementations with multiple stakeholders • Strong project management instincts—you naturally create structure, timelines, and accountability • Comfort operating in ambiguity and building the plane while flying it • Analytical and detail-oriented; comfortable working in Excel/Google Sheets to track progress and outcomes • Clear, confident communicator who can guide customers through complex decisions with empathy and authority • Bonus points for experience in healthcare, primary care, practice operations, EHRs, billing, or credentialing Who will thrive here • Builders who love helping customers start something meaningful from the ground up • Operators who get satisfaction from clean launches, tight execution, and strong foundations • People who enjoy being hands-on, detail-oriented, and deeply involved in customer outcomes • Self-starters who bring calm, clarity, and momentum to fast-moving environments • Teammates who lead with humility, ownership, and a genuine care for healthcare providers