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Zus Health

Staff Integrations Engineer

Builds and owns end-to-end customer integrations with healthcare systems like HIEs, EHRs using Python, Go, and standards like HL7/FHIR. Designs data pipelines, troubleshoots issues, advises customers technically, and develops monitoring tools. Requires 7+ years experience.

160k – 200kUnited StatesSolutions ArchitectureRemote7+ YOE
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About the role

Key Responsibilities

Lead and Deliver Integrations

  • 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

Act as a Technical Advisor

  • 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

Troubleshoot and Improve Systems

  • 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

Build Internal Systems and Tooling

  • 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

Requirements

  • 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)
  • 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

Skills

PythonGoSQLHl7FHIRAdtCdaData PipelinesAPIsSftpMonitoringObservabilityHIPAADistributed Systems Debugging

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