Sr Integration Engineer: EMR/API, Equity, Unlimited PTO

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

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