Senior Software Engineer, Healthcare Interoperability & EHR Integrations

Sierra

San Francisco (CA)

On-site

USD 180,000 - 260,000

Full time

14 days+

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Benefits offered by this job

Flexible paid time off

Medical, dental, and vision benefits

Life insurance and disability benefits

Retirement plan

Parental leave

Fertility and family benefits

Lunch and snacks

Job summary

Sierra is hiring a Software Engineer focused on Healthcare Interoperability in San Francisco. You will design and build core healthcare integration primitives to connect Sierra agents with EHRs and other healthcare systems.

You will own integrations with Epic, athenahealth, Oracle Health, eClinicalWorks, and MEDITECH, including FHIR/HL7, APIs, and flat files. You’ll drive reusable platform capabilities and partner with engineers to enable complex workflows.

Qualifications

8+ years of hands-on software engineering experience, including senior level responsibilities.

Responsibilities

Design and build core healthcare integration primitives to connect Sierra agents with EHRs and healthcare systems.
Own production integrations with Epic, athenahealth, Oracle Health, eClinicalWorks, MEDITECH, and related APIs and data formats.
Build reusable platform capabilities for healthcare data access, write-back workflows, authentication, authorization, auditability, testing, and deployment.
Collaborate with Agent Engineers to design and ship healthcare workflows like appointment scheduling and patient intake.
Serve as a technical SME with customers’ EHR, IT, security, and operations teams to translate interoperability requirements into concrete plans.
Help define Sierra’s standards for safe healthcare agent actions including validation, idempotency, permissions, and PHI/data privacy safeguards.