Senior Integration Engineer (Python/TypeScript, FHIR/HL7)

Role: Senior Healthcare Integration Engineer (Python/TypeScript, FHIR/HL7)

Location: Remote

Candidates must be able to work EST hours

Job Description

* Designing and building integrations, APIs, and data pipelines that connect our platform to customer systems of record EHRs, claims platforms, care management systems).

* Working directly with US enterprise healthcare customers to understand their architecture, scope integration requirements, and translate them into technical specs.

* Building and maintaining FHIR, HL7, and custom API integrations with payer and health plan systems.

* Debugging data quality issues — conflicting sources of truth, deduplication, schema mismatches, and edge cases specific to healthcare data.

* Owning UAT testing end-to-end, working with customer IT teams to validate data flows before go-live.

* Building internal tooling and shared integration patterns that make the next deployment faster.

* Contributing to developer documentation and integration playbooks.

* Collaborating closely with the core platform team to ensure integration needs inform platform architecture.

Qualifications Required:

* Strong backend engineering fundamentals — APIs, data pipelines, distributed systems.

* Strong backend development experience using Python and TypeScript to build scalable, high-performance applications.

* Hands-on experience with AWS cloud services and Nix for infrastructure, development, and deployment automation.

* Experience working with FHIR and HL7 standards to develop and integrate healthcare interoperability solutions.

* Experience integrating with enterprise systems, ideally in healthcare (payer, EHR, claims).

* Comfort working directly with customers and translating ambiguous requirements into clean technical solutions.

* Experience with data quality challenges — deduplication, schema mapping, reconciliation across multiple sources.

* Ability to work autonomously from detailed technical specs while flagging blockers and ambiguity early.

* Time zone compatibility with US East Coast ET) working hours.