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Healthcare Integrations Architect

Sierra· Engineering
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San Francisco, CA, New York, NY$150k - $290kFull-timePosted 2mo ago

About the role

Healthcare Integrations Architect leading design and delivery of healthcare integrations, EHR workloads, and interoperability solutions for Sierra’s healthcare customers.

Responsibilities

  • Design integrations grounded in real healthcare workflows. Translate customer requirements into clear recommendations on interfaces, data flows, and EHR configuration. Identify assumptions, tradeoffs, and limitations so engineering teams have an actionable implementation plan.
  • Resolve customer-specific EHR complexity. Understand how each organization configures and operates its EHR, including scheduling rules, patient identity, permissions, and workflow dependencies. Work with customer analysts, vendor teams, and Sierra engineers to investigate unexpected behavior and resolve integration blockers.
  • Guide integration readiness through go-live. Define customer setup requirements, dependencies, and validation criteria. Guide EHR and IT teams through application registration, access provisioning, environment setup, and workflow testing, partnering with engineers to verify that integrations behave as intended.
  • Bring EHR expertise to customer discovery. Partner with Sales, Sales Engineering, and Agent Development to assess feasibility, explain integration requirements, and scope achievable projects. Make clear what Sierra supports today and what requires additional configuration or development.
  • Shape Sierra’s healthcare integration roadmap. Evaluate vendor capabilities, integration programs, and emerging customer needs. Recommend where to invest, distinguishing reusable platform capabilities from customer-specific configuration and implementation work.
  • Make each implementation easier than the last. Turn deployment experience into reference designs, implementation guides, and internal training. Help teams apply proven approaches and recognize when a customer’s requirements call for a different design.

Qualifications

  • 5+ years of experience in healthcare interoperability or EHR implementation, with direct responsibility for designing or delivering integrations at an EHR vendor, health system, healthcare technology company, or implementation consultancy.
  • Deep expertise in at least one major EHR ecosystem, such as Epic, athenahealth, Oracle Health, eClinicalWorks, MEDITECH, or similar systems.
  • Practical knowledge of patient-access workflows, such as scheduling, registration, or referral management.
  • Technical fluency in healthcare integrations. Experience with FHIR, HL7v2, vendor APIs, or file-based exchange, and ability to read API documentation, interpret requests/responses, and troubleshoot data/config issues.
  • Experience taking third-party integrations through deployment (application registration, authentication/permissions, test and production environments, workflow validation, go-live).
  • Clear communication and independent judgment to lead discovery, translate requirements into implementation plans, and explain recommendations to engineers and stakeholders.

Skills

Required:Healthcare interoperabilityEHR systemsFHIR

Benefits

  • Flexible (unlimited) paid time off
  • Medical, dental, and vision benefits for you and your family
  • Life insurance and disability benefits
  • Retirement plan dependent on country of employment
  • Parental leave
  • Fertility and family building benefits through Carrot
  • Lunch, snacks, and coffee
  • Discretionary benefit stipend
  • Free alphorn lessons
Last updated Sep 16, 2026. Interested? Apply on the company site.
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About Sierra

Better customer experiences. Built on Sierra.

Sierra helps businesses build better, more human customer experiences with AI.

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