Staff Integrations Engineer

Zushealth; United States; On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health insurance

401(k) with match

Unlimited PTO

Job summary

Zushealth is seeking a Staff Integrations Engineer to deliver customer integrations and build data systems. This role requires strong programming skills and experience with healthcare interoperability standards.

Responsibilities include managing integration deliveries, troubleshooting systems, and advising customers. The ideal candidate has over 7 years of experience in software and integrations.

Zushealth offers competitive compensation and robust benefits in a passionate work environment.

Qualifications

• 7+ years of experience in software, integrations, or forward-deployed engineering.
• Strong programming skills with a track record of building production systems.
• Excellent communication skills across technical and non-technical audiences.

Responsibilities

• Own end-to-end delivery of customer integrations.
• Translate ambiguous requirements into clear solutions.
• Serve as an escalation point for complex integration issues.

Skills

Python

Go

SQL

HL7

FHIR

ADT

CDA

Job description

Who we are

Zus is a shared health data platform designed to accelerate healthcare data interoperability by providing easy-to-use patient data via API, embedded components, and direct EHR integrations. Founded in 2021 by Jonathan Bush, co‑founder and former CEO of athenahealth, Zus partners with HIEs and other data networks to aggregate patient clinical history and then translates that history into user‑friendly information at the point of care. Zus's mission is to catalyze healthcare's greatest inventors by maximizing the value of patient insights, so that they can build up, not around.

What we're looking for

We’re hiring a Staff Integrations Engineer to operate as a high-impact individual contributor at the intersection of software engineering and solution delivery. This is a deeply hands‑on role: you’ll write production‑grade code, build and operate data systems, and own the technical strategy and execution of complex customer integrations.

Responsibilities

• Lead and Deliver Integrations
  • Own end-to-end delivery of customer integrations, including State HIE and ADT feeds—from scoping through production support.
  • Design and implement data pipelines for ingestion, transformation, and delivery.
  • Build roster management workflows (ingestion, reconciliation, lifecycle management).
  • Architect reliable and scalable data transmission mechanisms (APIs, SFTP, event‑driven systems).
  • Establish automated QA and validation frameworks to ensure data integrity.
• Act as a Technical Advisor
  • Partner with customers to design integration approaches and guide technical decisions.
  • Translate ambiguous requirements into clear, implementable solutions.
  • Advise on interoperability best practices and system architecture.
  • Align customer needs with platform capabilities.
• Troubleshoot and Improve Systems
  • Serve as an escalation point for complex integration and data pipeline issues.
  • Debug across the full stack, from transformation logic to downstream delivery.
  • Identify root causes and implement durable, code‑driven fixes.
  • Reduce operational overhead by eliminating recurring issues through automation.
• Build Internal Systems and Tooling
  • Develop monitoring and observability systems for integration health.
  • Create alerting, dashboards, and automated diagnostics.
  • Build internal tools to accelerate implementation, QA, and troubleshooting.
  • Continuously improve the scalability and reliability of integration systems.

Qualifications

• 7+ years of experience in software, integrations, or forward‑deployed engineering.
• Strong programming skills (Python, Go, or similar) with a track record of building production systems.
• Experience with healthcare interoperability standards (HL7, FHIR, ADT, CDA).
• Proven ability to design and build data pipelines and integrations—not just configure them.
• Strong SQL skills and experience working with large, messy datasets.
• Experience building monitoring and observability systems.
• Ability to debug complex distributed systems end‑to‑end.
• Experience working directly with customers in a technical, consultative role.
• Excellent communication skills across technical and non‑technical audiences.
• Strong ownership and ability to independently drive ambiguous problems to completion.
• Familiarity with security and compliance requirements (e.g., HIPAA, SOC 2).
• A desire to improve healthcare data infrastructure.

Benefits

• Competitive compensation that reflects the value you bring to the team, a combination of cash and equity.
• Robust benefits that include health insurance, wellness benefits, 401(k) with match, unlimited PTO.
• Opportunity to work alongside a passionate team determined to help change the world and have fun doing it.