Engineering Manager, AI Integrations

Jobtailor

Mountain View (CA)

Hybrid

USD 180,000 - 240,000

Full time

5 days ago

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Job summary

Jobtailor is seeking a senior engineering leader to own end-to-end delivery for Orchestrator integrations with EHR systems, including the intake pipeline and user-facing interfaces.

You will grow and mentor a mid-to-senior engineering team, while remaining technically hands-on with design reviews, production incidents, and interoperability strategy across HL7 v2, FHIR, and X12. A hybrid Mountain View/SF presence is expected three days weekly.

Qualifications

Direct experience building software that integrates with EHRs.
Shipped and supported an integration against at least one major EHR platform.
Working fluency in healthcare interoperability, including HL7 v2 message structure, FHIR resources, interface engines, and site-specific customization.
Strong full-stack engineering background.
Experience building and operating production services and interfaces.
At least 1 year managing engineers.
5 or more years as an IC engineer.
U.S. work authorization/sponsorship status disclosure required.

Responsibilities

Own delivery for Orchestrator end to end, including the intake pipeline, coordinator-facing application, voice automation, and EHR write-back.
Grow the team through hiring, run interview loops, close candidates, and onboard new hires
Stay technical through design documents, code reviews, and occasional production incidents
Set the integration strategy and determine when to use HL7 v2, FHIR, and X12 versus UI automation
Prepare the system for growth in referral volume, customer count, and integration count
Partner directly with existing customers, health system IT, interface analysts, and clinical operations leads
Translate customer workflow conversations into generalized product abstractions and configurable solutions
Coach engineers into larger scopes and provide direct feedback on scope performance
Work with the Director of Engineering on roadmap and prioritization

Skills

Full-Stack Engineering

Team Management

Healthcare Interoperability

Production Services

Document AI

OCR Pipelines

Voice Agents

Telephony Infrastructure

Tools

Interface Engines

HL7 v2

FHIR

SIP

IVR Navigation

Real-Time Speech

Job description

Own delivery for Orchestrator end to end, including the intake pipeline, coordinator-facing application, voice automation, and EHR write-back
Grow the team through hiring, run interview loops, close candidates, and onboard new hires
Stay technical through design documents, code reviews, and occasional production incidents
Set the integration strategy and determine when to use HL7 v2, FHIR, and X12 versus UI automation
Prepare the system for growth in referral volume, customer count, and integration count
Partner directly with existing customers, health system IT, interface analysts, and clinical operations leads
Translate customer workflow conversations into generalized product abstractions and configurable solutions
Coach engineers into larger scopes and provide direct feedback on scope performance
Work with the Director of Engineering on roadmap and prioritization

Requirements

Direct experience building software that integrates with EHRs
Shipped and supported an integration against at least one major EHR platform
Working fluency in healthcare interoperability, including HL7 v2 message structure, FHIR resources, interface engines, and site-specific customization
Strong full-stack engineering background
Experience building and operating production services and interfaces
At least 1 year managing engineers
5 or more years as an IC engineer
Comfort with ambiguity in the problem space
Track record of building products that serve many customers rather than one
Experience with document AI or OCR pipelines at scale is a plus
Experience with voice agents or telephony infrastructure, including SIP, IVR navigation, and real-time speech, is a plus
Background in referral management, prior authorization, care coordination, or revenue cycle is a plus
Experience selling and supporting into large health systems, including security review and integration onboarding, is a plus
Ability to work from the Mountain View or San Francisco, CA office 3 days per week
U.S. work authorization/sponsorship status disclosure required

Core Competencies

Demonstrates expertise in healthcare interoperability, including HL7 v2 and FHIR, while managing engineering teams and delivering scalable software solutions that integrate with EHRs. Proven ability to translate customer workflows into product abstractions and lead technical design and code reviews.

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