Z
Zushealth3d ago
New
USD 160000–200000/yr

Staff Integrations Engineer

United StatesUnited StatesRemoteFull-timelead
OtherIntegrations Engineer
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Quick Summary

Requirements Summary

We’re hiring a Staff Integrations Engineer to operate as a high-impact individual contributor at the intersection of software engineering and solution delivery.

Technical Tools
gopythonsqldistributed-systemsetl
Who we are

Zus is a shared health data platform designed to accelerate healthcare data interoperability by providing easy-to-use patient data via API, embedded components, and direct EHR integrations. Founded in 2021 by Jonathan Bush, co-founder and former CEO of athenahealth, Zus partners with HIEs and other data networks to aggregate patient clinical history and then translates that history into user-friendly information at the point of care. Zus's mission is to catalyze healthcare's greatest inventors by maximizing the value of patient insights - so that they can build up, not around.

We’re hiring a Staff Integrations Engineer to operate as a high-impact individual contributor at the intersection of software engineering and solution delivery. This is a deeply hands-on role: you’ll write production-grade code, build and operate data systems, and own the technical strategy and execution of complex customer integrations.

You’ll lead integrations across HIEs, EHRs, claims systems, labs, and other healthcare data sources. This includes turning ambiguous requirements into clear designs, building secure and reliable data pipelines, and ensuring ongoing system performance through monitoring and observability.

You’ll also serve as a senior technical advisor to customers—guiding architecture decisions, troubleshooting issues, and shaping how integrations are implemented. This role is for someone who builds and improves systems, not just configures them.

The ideal candidate is comfortable working across the stack: parsing messy HL7 payloads, building services in Go, scripting in Python, and leading technical conversations with customers.

  • 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

  • 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

Location & Eligibility

Where is the job
United States
Remote within one country
Who can apply
US

Listing Details

Posted
May 4, 2026
First seen
May 6, 2026
Last seen
May 7, 2026

Posting Health

Days active
0
Repost count
0
Trust Level
80%
Scored at
May 6, 2026

Signal breakdown

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Z
Staff Integrations EngineerUSD 160000–200000