Senior Integrations Engineer

Role Description

Heidi is investing in a dedicated Integrations Engineer to own the stability and scale of our most strategic enterprise accounts — starting with Beth Israel Lahey Health (BILH) and Franciscan — and to build the account health infrastructure that lets us move from reactive fixes to proactive engineering.

This is a senior, largely independent role. You'll work closely with our GTM and Enterprise teams and report to the NA Regional Integration Team Lead, joining three existing integrations engineers who together own 10+ active initiatives.

What You’ll Do

• Own the health of Heidi's strategic enterprise accounts (BILH, Franciscan, and others), including building and maintaining account health dashboards.
• Respond to session-loss and integration incidents against a sub-2-hour initial response target, and help define realistic SLAs across incident severities.
• Identify recurring failure patterns and drive the architectural improvements that fix root causes — not repeated surface-level patches.
• Build systems that live inside clinical workflows: shape how Heidi integrates with the EHRs that run American healthcare, so integrations feel native rather than bolted on.
• Turn clinical and billing complexity — payer constraints, compliance requirements, health-system-specific rules — into systems that absorb that complexity so clinicians never see it.
• Write clean, testable, observable code for workflows that clinicians, operators, and downstream systems depend on.
• Own outcomes, not just code: care whether what you build actually reduces churn risk and improves account health, not just whether it technically works.
• Ship agentic workflow functionality — AI-assisted extraction, reconciliation, and drafting — with human review, auditability, and clear controls.
• Partner closely with the GTM and Enterprise account teams during US business hours, since our largest customers depend on real-time coverage rather than a 24-hour turnaround.
• Operate independently while looping in the NA Regional Integration TL on roadmap, prioritization, and cross-initiative dependencies.

Qualifications

• 5+ years of software engineering experience, with a track record of owning complex, production-critical systems end-to-end.
• Direct experience with enterprise integrations and, ideally, EHR or healthcare-adjacent systems — you're comfortable being the person a hospital system's stability depends on.
• Sound engineering judgment: you make sensible trade-offs, scope clearly, and raise quality through testing and thoughtful design rather than heroics.
• Genuine ownership and follow-through — you take responsibility for what you commit to, communicate early when something changes, and unblock yourself.
• A collaborative operator who works comfortably alongside GTM and account teams, not just other engineers.
• Full availability during US Eastern business hours. This isn't a nice-to-have: our largest accounts need real-time coverage, and this role exists specifically to close that gap.
• Fluency with modern AI coding tools to accelerate delivery, while staying rigorous about correctness and validation.

Benefits

• Fully remote, with a hard requirement to work US Eastern business hours to stay in step with the GTM team and our largest customers.
• Healthcare, Dental, Vision benefit options.
• 401k with 3% match.
• Personal development budget of $500 per annum.
• Become an owner, with shares (equity) in the company — if Heidi wins, we all win.
• The rare chance to create global impact as you immerse yourself in one of the leading healthtech startups.
• The opportunity to fast-track your startup career!