[Remote] Staff Integrations Engineer

Note: The job is a remote job and is open to candidates in USA. Zus Health is a shared health data platform that accelerates healthcare data interoperability through APIs, embedded components, and direct EHR integrations. The Staff Integrations Engineer will lead complex healthcare data integrations, build secure and reliable pipelines and internal tooling, and advise customers on technical architecture and interoperability.

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

Skills

• 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

Benefits

• Equity
• Health insurance
• Wellness benefits
• 401k with a match
• Unlimited PTO
• Opportunity to work alongside a passionate team that is determined to help change the world (and have fun doing it)

Company Overview

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