Integration Engineer

Knowtex; San Francisco (CA); Hybrid; USD 140,000 - 190,000; Full time

Benefits offered by this job

Competitive salary

Equity compensation

Unlimited PTO

Health coverage

401(k) plan

Hybrid in-person SF

Job summary

Knowtex is seeking an Integration Engineer to own and scale our healthcare system integrations, focusing on EMR/EHR platforms and internalizing dependencies. You will design, implement, and maintain data pipelines, APIs, and interoperability across on-premises and cloud environments, with a hybrid in-office schedule in San Francisco.

This high-impact role provides direct visibility into production healthcare environments and opportunities to shape integration architecture across specialties and

Qualifications

• 5+ years of software engineering experience, ideally in healthcare.
• Experience integrating with third-party APIs and external systems.
• Strong backend development experience with Python, Node.js, or similar technologies.
• Experience working with AWS services.
• Solid understanding of REST APIs, authentication flows, and distributed systems.
• Experience working with structured healthcare data.

Responsibilities

• Design, build, and maintain integrations with EMR/EHR platforms across API-based and legacy systems
• Internalize and replace third-party integration dependencies where appropriate
• Develop scalable, secure, and reliable healthcare data pipelines
• Build data validation, transformation, and normalization layers across heterogeneous healthcare systems
• Monitor integration health, troubleshoot production issues, and implement observability best practices
• Collaborate with product, clinical, and AI teams to translate workflow requirements into technical integration designs
• Contribute to long-term integration architecture strategy as Knowtex expands across specialties and health systems

Skills

Healthcare software engineering

API integration

Backend development (Python/Node.js)

AWS services

REST APIs & distributed systems

Structured healthcare data

Tools

AWS

Job description

About Knowtex

Knowtex is building the future of voice AI operating systems for clinicians, transforming how healthcare documentation happens at the point of care. Founded by Stanford AI scientists with deep clinical experience, we are experiencing rapid growth across both commercial health systems and federal healthcare, with our ambient documentation platform scaling to thousands of clinicians across hundreds of specialties.

We are at an inflection point where advances in AI can fundamentally change how clinicians interact with technology, giving them more time to focus on what matters most: their patients.

Position Overview

Knowtex is seeking an Integration Engineer to own and scale our healthcare system integrations.

This role will focus on internalizing critical EMR integrations, reducing reliance on external vendors, and building scalable, secure, and reliable system-to-system interoperability across commercial and federal customers.

You will be responsible for designing, implementing, and maintaining integrations with EMR/EHR platforms, working across modern API-based systems as well as legacy workflows.

This is a high-impact role with direct visibility into production healthcare environments and strategic importance as integrations become a core competency at Knowtex.

Key Responsibilities

• Design, build, and maintain integrations with EMR/EHR platforms across API-based and legacy systems

• Internalize and replace third-party integration dependencies where appropriate

• Develop scalable, secure, and reliable healthcare data pipelines

• Build data validation, transformation, and normalization layers across heterogeneous healthcare systems

• Monitor integration health, troubleshoot production issues, and implement observability best practices

• Collaborate with product, clinical, and AI teams to translate workflow requirements into technical integration designs

• Contribute to long-term integration architecture strategy as Knowtex expands across specialties and health systems

Required Qualifications

• 5+ years of software engineering experience, ideally in healthcare

• Experience integrating with third-party APIs and external systems

• Strong backend development experience with Python, Node.js, or similar technologies

• Experience working with AWS services

• Solid understanding of REST APIs, authentication flows, and distributed systems

• Experience working with structured healthcare data

Preferred Qualifications

• Experience integrating with EMR/EHR systems

• Familiarity with healthcare interoperability standards such as FHIR and HL7

• Experience designing idempotent, fault-tolerant integration workflows

• Familiarity with HIPAA-compliant environments

Technical Environment

• AWS

• Python and Node.js / TypeScript

• React frontend for internal tools and integration dashboards

• Event-driven and asynchronous processing architectures

Compensation & Benefits

• Competitive salary

• Meaningful equity compensation

• Unlimited PTO

• Premium health, dental, and vision coverage

• 401(k) plan

• Work model: Hybrid In-person (Monday, Tuesday, Wednesday in office in SF)