Note: The job is a remote job and is open to candidates in USA. Avo is the leading AI platform for healthcare enterprises, helping clinicians make better decisions and improve patient care. The Integrations Engineer will be responsible for building and maintaining connections between Avo and EHR systems, managing integration work from scoping to deployment, and ensuring reliability in clinical environments.
Responsibilities
- Build and maintain integrations with Epic, Cerner, and other major EHR platforms using FHIR, HL7, and vendor-specific APIs - we will ramp you up on the specifics
- Own integration work end-to-end: scoping, development, testing, deployment, and ongoing maintenance
- Troubleshoot and resolve integration issues in production clinical environments where reliability is mission-critical, read raw FHIR resources, trace HL7 message flows, and resolve data mapping issues
- Work with hospital IT teams and EHR vendors to support new integration rollouts and navigate certification requirements
- Contribute to product features across Avo's broader platform, including clinical AI tooling, decision support, and EHR-embedded workflows, as team needs evolve
- Collaborate with product, design, and clinical stakeholders to translate healthcare workflow requirements into clean, reliable code
- Participate in code reviews, providing and receiving constructive feedback
- Write unit and integration tests with a focus on reliability in high-stakes clinical environments
- Proactively identify and resolve bugs, performance issues, and edge cases in integration data flows
- Uphold our security and compliance standards — HIPAA, SOC2, and EHR vendor certification requirements (we will get you up to speed)
- Contribute to technical discussions, RFC processes, and sprint planning
- Communicate clearly and asynchronously with teammates, implementation partners, and EHR vendor contacts across time zones
- Help document integration patterns and onboard other engineers to EHR tooling as the team grows
Skills
- 3-5+ years of professional software development experience
- Proficiency in JavaScript/TypeScript (React) or Python (Django)
- Solid understanding of REST APIs, data modeling, and systems that handle sensitive, high-reliability data
- Strong written communication skills - we are a written-first culture
- Passion and drive to improve the lives of clinicians with the latest technology
- Hustle and the desire to wear many hats in a fast-paced, cross-functional environment
- Startup 'get it done' attitude with independent drive and out-of-the-box thinking
- Experience in a high-growth startup or B2B SaaS environment
- Familiarity with HIPAA compliance requirements in a software context
- Familiarity with both our front-end (React/TypeScript) and back-end (Python/Django) stacks
- Comfort with AI-assisted development workflows
- Prior experience with EHR integrations (Epic, Cerner, or equivalent) using FHIR, HL7, or vendor-specific APIs
- Experience with Epic App Orchard certification or Cerner SMART on FHIR workflows
- Clinical background or experience working closely with clinical teams
- Experience with AWS, Docker, or Terraform
- Experience scaling AI/LLM features in production
Benefits
- Flexible and generous PTO
- Medical, dental, and vision coverage for you and your family
- 401K Matching:Contribution matching to help invest in your future
- Personal Device Allowance:Tax-free funds for personal device usage
- Work from anywhere in the US with flexible hours
Company Overview