Staff Software Engineer, Reporting Integrations

What You'll Be Doing

• Design, build, and own real-time context synchronization integrations — primarily FHIRcast for context sharing, alongside file-based (XML/JSON drop) integrations with PACS, worklists, and EHRs.
• Help architect a flexible, evolvable integration platform — one where new integrations are composed from reusable building blocks rather than rebuilt from scratch.
• Work hand-in-hand with Product to shape what's possible with third-party systems — bringing an integrations-first engineering perspective early.
• Extend that platform into new categories of integration partners beyond the traditional reporting workflow — non-clinical analytics tools, CDI tools, and clinical AI tools that generate draft reports.
• Collaborate across a wide set of stakeholders including internal teams, customers, external vendors and integration partners.
• Partner directly with customers and vendors: get on calls, map out their clinical workflows and edge cases, and carry integrations through go-lives and escalations into production.
• Coordinate the connectivity that gets cloud-delivered integrations live by working with hospital IT, security, and identity teams on firewall access, certificate handling, and SSO.
• Drive standardization: turn one-off, customer-specific integrations into reusable connectors that shorten every future go-live.
• Own reliability and observability for integrations including build the logging, tracing, and staging/E2E testing.
• Debug and resolve integration issues end-to-end, often across systems you don't control.
• Raise the bar for the team: document hard-won knowledge about vendor quirks and workflow scenarios, and mentor other engineers working in this space.

Who We're Looking For

• A backend leaning full stack engineer who is passionate about integrations in healthcare.
• Expertise in part of this stack (TypeScript, Node, React, Electron), with interest in picking up the gaps.
• Experience building and operating production services in a cloud environment.
• Practical hands-on experience with healthcare context-sharing and data-exchange technologies like FHIRcast, SMART on FHIR, FHIR, or equivalent standards and protocols.
• A track record of shipping and supporting production integrations with third-party clinical systems.
• Experience thinking at the platform level by building integrations as reusable, extensible frameworks rather than a pile of one-offs.
• Strong communication skills where you can run a technical call with a customer, vendor, or partner, diagnose the problem, and propose a standardized path forward in the same conversation.

Nice to Haves

• Direct radiology experience — this is a major plus.
• Hands-on experience integrating with PACS, radiology worklists, or Epic.
• Familiarity with HL7 or DICOM.
• Familiarity navigating legacy desktop integration mechanisms used by older clinical systems.
• Participation in IHE Connectathons, or experience implementing IHE profiles such as IRA (Integrated Reporting Applications), SWF (Scheduled Workflow).

Benefits

• Comprehensive Medical, Dental, Vision & Life insurance
• HSA (with employer match), FSA, & DCFSA
• 401(k)
• 11 Paid Company Holidays
• Flexible PTO policy
• Annual company-wide offsite
• Periodic team offsites
• Annual equipment stipend