Senior Full Stack Engineer, Integrations VistA

Abridge; United States; On-site; USD 210,800 - 248,000; Full time

Benefits offered by this job

Generous Time Off

Comprehensive Health Plans

401(k) Matching

Parental Leave

Sabbatical Leave

Personal Device Allowance

Lifestyle Wallet

Mental Health Support

Job summary

Abridge is seeking a Senior Integrations Engineer to design, build, and scale real-time and batch healthcare data integrations with partners and clients. You will collaborate with engineers, implementation specialists, support, and product managers to deliver secure, compliant interfaces using standards like FHIR and OAuth2.0.

Ideal candidates bring 5+ years launching enterprise integrations, 2+ years VistA experience, and comfort working across domains with a user-centric mindset in a

Qualifications

• 5+ years of experience launching business-critical integrations with large enterprises.
• 2+ years of VistA Integration experience.
• Experience with mPage Workflow components, Dynamic Documentation, and CCL.
• Experience working with REST-like APIs (FHIR), OAuth2.0, mTLS.
• Excitement about working on our tech stack: NodeJS/TypeScript and Google Cloud Platform.

Responsibilities

• Build robust healthcare integrations without compromising security, privacy, or quality.
• Scale up our integrations and infrastructure to support growth.
• Collaborate with health system customers to deploy, troubleshoot, and support integrations.
• Enhance existing systems to add new functionality and improve performance, stability, and security.
• Advocate for high standards, improve code quality, add documentation, and reduce technical debt.

Skills

Enterprise integrations

VistA integration

FHIR REST APIs

OAuth 2.0

mTLS

Node.js/TypeScript

Google Cloud Platform

Healthcare data security

Tools

REST-like APIs (FHIR)

OAuth2.0

mTLS

NodeJS/TypeScript

GCP

Job description

About Abridge

Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI‑powered platform was purpose‑built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most—their patients. Our enterprise‑grade technology transforms patient‑clinician conversations into structured clinical notes in real‑time, with deep EMR integrations. Powered by Linked Evidence and our purpose‑built, auditable AI, we are the only company that maps AI‑generated summaries to ground truth, helping providers quickly trust and verify the output. As pioneers in generative AI for healthcare, we are setting the industry standards for the responsible deployment of AI across health systems. We are a growing team of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care more sense. We have offices located in the Mission District in San Francisco, the SoHo neighborhood of New York, and East Liberty in Pittsburgh.

The Role

We’re looking for Senior Integrations Engineers to join our growing team! This role is instrumental in supporting our expansion in our hyper‑growth phase. You’ll play a key role in designing, building, and scaling our integrations powering our product. You’ll work alongside our engineers, implementation specialists, support, and product managers to build real‑time and batch data integrations with our partners and clients.

What You’ll Do

• Build robust healthcare integrations without compromising security, privacy, or quality. These integrations will leverage technology standards using REST‑like APIs, healthcare standards such as FHIR, and other third‑party APIs.
• Scale up our business by designing, building, and supporting our integrations and infrastructure.
• Collaborate closely with our health system customers to deploy, troubleshoot, and support integrations. Be comfortable engaging with external partners and stakeholders.
• Enhance existing systems to add new functionality, and to improve performance, stability, quality, and security.
• Advocate for high standards; make quality‑of‑life improvements to the codebase; add documentation and share knowledge; and help limit the growth of technical debt.
• Build deep user empathy and maintain a user‑centric mindset.
• Communicate regularly and effectively within and on behalf of our cross‑functional product delivery teams. You’ll work with other disciplines, including design, product, machine learning, and infrastructure, and will have opportunities to learn from and contribute to projects across the company.

What You’ll Bring

• 5+ years of experience launching business‑critical integrations with large enterprises.
• 2+ years of VistA Integration experience.
• Experience with mPage Workflow components, Dynamic Documentation, and CCL.
• Experience working with technologies REST‑like APIs (FHIR), OAuth2.0, mTLS.
• Excitement about working on our tech stack, which includes NodeJS/TypeScript and Google Cloud Platform.
• Passionate about working in healthcare integrations.
• Ability to act with autonomy & self‑direction while working well in a team environment.
• Willingness to pitch in wherever needed – as a fast‑moving startup we need to do good work, quickly.
• Comfortable with working across domains and languages with a curiosity to experiment & learn new things.
• Strong communication with internal and external stakeholders.

Nice to Have

• 2+ years of experience working with healthcare data integrations.
• Experienced in delivering integrations with EHRs like Oracle Health/VistA and others.
• Familiarity with one or more of the following technologies: FHIR, HL7, X12.

Why Work at Abridge

At Abridge, we’re transforming healthcare delivery experiences with generative AI, enabling clinicians and patients to connect in deeper, more meaningful ways. Our mission is clear: to power deeper understanding in healthcare. We’re driving real, lasting change, with millions of medical conversations processed each month.

Joining Abridge means stepping into a fast‑paced, high‑growth startup where your contributions truly make a difference. Our culture requires extreme ownership—every employee has the ability to (and is expected to) make an impact on our customers and our business.

Beyond individual impact, you will have the opportunity to work alongside a team of curious, high‑achieving people in a supportive environment where success is shared, growth is constant, and feedback fuels progress. At Abridge, it’s not just what we do—it’s how we do it. Every decision is rooted in empathy, always prioritizing the needs of clinicians and patients.

We’re committed to supporting your growth, both professionally and personally. Whether it's flexible work hours, an inclusive culture, or ongoing learning opportunities, we are here to help you thrive and do the best work of your life.

If you are ready to make a meaningful impact alongside passionate people who care deeply about what they do, Abridge is the place for you.

How we take care of Abridgers

• Generous Time Off: 14 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees.
• Comprehensive Health Plans: Medical, Dental, and Vision coverage for all full‑time employees and their families.
• Generous HSA Contribution: If you choose a High Deductible Health Plan, Abridge makes monthly contributions to your HSA.
• Paid Parental Leave: Generous paid parental leave for all full‑time employees.
• Family Forming Benefits: Resources and financial support to help you build your family.
• 401(k) Matching: Contribution matching to help invest in your future.
• Personal Device Allowance: Tax‑free funds for personal device usage.
• Pre‑tax Benefits: Access to Flexible Spending Accounts (FSA) and commuter benefits.
• Lifestyle Wallet: Monthly contributions for fitness, professional development, coworking, and more.
• Mental Health Support: Dedicated access to therapy and coaching to help you reach your goals.
• Sabbatical Leave: Paid Sabbatical Leave after 5 years of employment.
• Compensation and Equity: Competitive compensation and equity grants for full time employees.
• … and much more!

Equal Opportunity Employer

Abridge is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability. We provide reasonable accommodations throughout the interview process. If you need reasonable accommodation in applying, interviewing, completing any assessment or otherwise participating in the employee selection process, please contact us at [e-mail].

Staying safe – Protect yourself from recruitment fraud

We are aware of individuals and entities fraudulently representing themselves as Abridge recruiters and/or hiring managers. Abridge will never ask for financial information or payment, or for personal information such as bank account number or social security number during the job application or interview process. Any emails from the Abridge recruiting team will come from an @abridge.com email address. You can learn more about how to protect yourself from these types of fraud by referring to this article. Please exercise caution and cease communications if something feels suspicious about your interactions.

Compensation Range: $210.8K - $248K