Principal Engineering Automation

Orchestrator Engineering ManagerReferrals are where care falls apart. A specialist referral leaves a primary care office as a fax, gets keyed into a queue by hand, waits on a phone call that nobody picks up, and lands back in an EHR days later with half the clinical context missing. It ingests referrals however they arrive (fax, phone, direct EHR feed), extracts the clinical and demographic data, handles the outbound coordination work that today eats a coordinator's entire day, and writes the result back into the EHR of record. It is a mix of document AI, voice automation, and hard integration engineering, sitting on top of a full-stack product that referral coordinators live in for eight hours a day.We are looking for an Engineering Manager to lead the team building it. This is an existing team with a shipping product and real customers, and you will grow it meaningfully over the next year. You will own delivery, drive the architecture decisions, and run your own hiring, working closely with the Director of Engineering on roadmap and prioritization. This is a good fit if you have a year or two of management under you, a deep engineering background, and you want the scope to grow quickly.What You'll DoOwn delivery for Orchestrator end to end: intake pipeline, coordinator-facing application, voice automation, and EHR write-back.Referral volume, customer count, and integration count are all growing, and the current architecture was built for the stage before this one.Partner directly with existing customers, including the ones with the most complicated workflows. You will be on calls with health system IT, interface analysts, and clinical operations leads, translating between what they can support and what we need.Every customer will describe their referral process as unique, and some of them will be right. Your job is to find the shared abstraction underneath, build that, and configure around the edges rather than forking the product per account.What You HaveRequiredDirect experience building software that integrates with EHRs. You have shipped and supported an integration against at least one major EHR platform, and can speak concretely about how it went wrong.HL7 v2 message structure, FHIR resources, and the operational reality of interface engines and site-specific customization.Strong full-stack engineering background. We care more about the depth of the IC foundation than the length of the management track record.A track record of building products that serve many customers rather than one. Nice to haveExperience with document AI or OCR pipelines at scale.Background in referral management, prior authorization, care coordination, or revenue cycle.Employees will act in accordance with the organization's information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization.