Staff Integrations Engineer

Role Description

We’re hiring a Staff Integrations Engineer to operate as a high-impact individual contributor at the intersection of software engineering and solution delivery. This is a deeply hands-on role: you’ll write production-grade code, build and operate data systems, and own the technical strategy and execution of complex customer integrations.

• Lead integrations across HIEs, EHRs, claims systems, labs, and other healthcare data sources.
• Turn ambiguous requirements into clear designs.
• Build secure and reliable data pipelines.
• Ensure ongoing system performance through monitoring and observability.
• Serve as a senior technical advisor to customers—guiding architecture decisions, troubleshooting issues, and shaping how integrations are implemented.
• This role is for someone who builds and improves systems, not just configures them.

Key Responsibilities

• Lead and Deliver Integrations
  • Own end-to-end delivery of customer integrations, including State HIE and ADT feeds—from scoping through production support.
  • Design and implement data pipelines for ingestion, transformation, and delivery.
  • Build roster management workflows (ingestion, reconciliation, lifecycle management).
  • Architect reliable and scalable data transmission mechanisms (APIs, SFTP, event-driven systems).
  • Establish automated QA and validation frameworks to ensure data integrity.
• Act as a Technical Advisor
  • Partner with customers to design integration approaches and guide technical decisions.
  • Translate ambiguous requirements into clear, implementable solutions.
  • Advise on interoperability best practices and system architecture.
  • Align customer needs with platform capabilities.
• Troubleshoot and Improve Systems
  • Serve as an escalation point for complex integration and data pipeline issues.
  • Debug across the full stack, from transformation logic to downstream delivery.
  • Identify root causes and implement durable, code-driven fixes.
  • Reduce operational overhead by eliminating recurring issues through automation.
• Build Internal Systems and Tooling
  • Develop monitoring and observability systems for integration health.
  • Create alerting, dashboards, and automated diagnostics.
  • Build internal tools to accelerate implementation, QA, and troubleshooting.
  • Continuously improve the scalability and reliability of integration systems.

Qualifications

• 7+ years of experience in software, integrations, or forward-deployed engineering.
• Strong programming skills (Python, Go, or similar) with a track record of building production systems.
• Experience with healthcare interoperability standards (HL7, FHIR, ADT, CDA).
• Proven ability to design and build data pipelines and integrations—not just configure them.
• Strong SQL skills and experience working with large, messy datasets.
• Experience building monitoring and observability systems.
• Ability to debug complex distributed systems end-to-end.
• Experience working directly with customers in a technical, consultative role.
• Excellent communication skills across technical and non-technical audiences.
• Strong ownership and ability to independently drive ambiguous problems to completion.
• Familiarity with security and compliance requirements (e.g., HIPAA, SOC 2).
• A desire to improve healthcare data infrastructure.

Requirements

• $160,000 - $200,000 a year.

Benefits

• Competitive compensation that reflects the value you bring to the team a combination of cash and equity.
• Robust benefits that include health insurance, wellness benefits, 401k with a match, unlimited PTO.
• Opportunity to work alongside a passionate team that is determined to help change the world (and have fun doing it).