Staff Integrations Engineer

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
• Create 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
• 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