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Staff Integrations Engineer

Zus Health· Commercial – Solutions & Forward Deployed Engineering
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Remote$160k - $200kFull-timePosted 5mo ago

About the role

Hands-on, senior IC role at the intersection of software engineering and solution delivery to lead healthcare data integrations across HIEs, EHRs, claims systems, and labs. Owns design, development, and operation of data pipelines and customer integrations, while advising customers on architecture and best practices.

Responsibilities

  • 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
  • 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
  • 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
  • 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)
  • AI-native development
  • 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

Skills

Required:ProgrammingHL7 / FHIR / ADT / CDASQLData pipelinesObservability & monitoringCustomer engagement
Nice to have:Security & compliance

Benefits

  • Competitive compensation that includes cash and equity
  • Robust benefits including health insurance, wellness benefits, 401k with match, unlimited PTO
  • Opportunity to work with a passionate team focused on changing healthcare
Last updated Aug 26, 2026. Interested? Apply on the company site.

About Zus Health

Meet your new best friend — the ZAP

Zus is a next-generation shared health data platform designed to accelerate healthcare data interoperability by providing easy-to-use patient data at the point of care via standalone app, API, embedded components, and direct EHR integrations.

Aggregated ProfileEHR integrationsdata interoperabilityembedded componentsAPI
Company profileWebsite

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