Head of Engineering, Integrations (Hl7 / FHIR)
Mountain View, California
Direct Hire
Salary Range : $225,000 - $325,000
Benefits : Equityfully paid Healthcareno 401K yetunlimited PTO
Head of Engineering, Integrations
The Opportunity
We’re looking for a senior engineering leader to drive the future of healthcare data connectivity. In this role, you will take ownership of the full strategy and execution for integrating our AI-driven healthcare solutions with major EHR systems, third-party APIs, and industry data standards. You’ll lead a team of builders who thrive on solving complex integration challenges, while working closely with product, clinical, and customer success teams to ensure our platform delivers secure, seamless, and reliable experiences for providers and patients.
Your Impact
- Shape the integration roadmap : Define and deliver a cohesive architecture that connects with FHIR, HL7, DICOM, and partner APIs.
- Build mission-critical connectors : Lead the design and development of integrations with Epic, Cerner, AthenaHealth, Meditech, and other major EHR systems.
- Set the standard for operations : Establish CI / CD, observability, and reliability best practices; design monitoring, alerting, and automated recovery for production systems.
- Enable partner success : Develop SDKs, documentation, and sample apps to streamline onboarding and empower developers across the healthcare ecosystem.
- Lead and scale the team : Recruit, mentor, and inspire integration and reliability engineers; foster a culture that emphasizes ownership, collaboration, and innovation.
- Collaborate cross-functionally : Partner with product, compliance, and customer teams to align priorities, ensure HIPAA / SOC-2 compliance, and optimize live integrations.
What You Bring
6+ years of software engineering experience, including 3+ years leading and scaling technical teams in high-growth environmentsStrong background in designing distributed systems and integrations—APIs (REST / gRPC), microservices, messaging frameworks (Kafka, RabbitMQ), and database design (SQL / NoSQL)Hands-on development skills in Python, Node.js, or Go; exposure to React / TypeScript for front-end integration work is a plusProven experience with CI / CD pipelines, container orchestration (Kubernetes / Docker), and cloud platforms (AWS, GCP, Azure)Familiarity with healthcare compliance requirements (HIPAA, SOC-2) and experience with security reviews and threat modelingExcellent communication skills with the ability to bridge technical and non-technical audiencesKnowledge of ML, AI, or LLM-powered systemsBonus Points
Experience in early-stage startups, especially in healthtech or AIContributions to healthcare integration standards or open-source projectsFamiliarity with LLM-powered workflows, agentic AI systems, or RAG pipelinesBackground in site reliability engineering or DevOps cultureOur Stack
Frontend : ReactJS, TypeScript, Node.jsDatabases : SQL and NoSQLAI / ML : GenAI applications, LLMOps, and evaluation frameworksWe help people find the next step in their careers in technology, marketing, sales, human resources, finance, accounting, and real estate. Check out what jobs we have available today.
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