Senior Integrations Engineer

Heidi Health

Senior Integrations Engineer at Heidi, managing strategic healthcare enterprise accounts and integrations. Collaborating with GTM and Enterprise teams for system architectures and health of integrations.

Posted 7/24/2026full-timeRemote • New York • 🇺🇸 United StatesSenior💰 $160,000 - $220,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing enterprise integrations, particularly within healthcare systems, while ensuring high-quality software delivery and real-time operational support. Capable of transforming complex clinical and billing requirements into seamless workflows that enhance account health and reduce churn risk.

Highest-signal resume keywords

Enterprise IntegrationsEHR Systems ExperienceSoftware EngineeringAI Coding Tools FluencyReal-Time Operational Support

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Software EngineeringIntegration DevelopmentCode Quality AssuranceWorkflow AutomationSystem Architecture

Soft Skills

Collaborative OperationGenuine OwnershipEffective Communication

Tools & Technologies

AI-Assisted ToolsHealth System IntegrationsAccount Health Dashboards

Industry Keywords

Clinical WorkflowsPayer ConstraintsCompliance RequirementsProduction-Critical SystemsIncident Management

About the role

Key responsibilities & impact

Own the health of Heidi's strategic enterprise accounts (BILH, Franciscan, and others), including building and maintaining account health dashboards.
Respond to session-loss and integration incidents against a sub-2-hour initial response target, and help define realistic SLAs across incident severities.
Identify recurring failure patterns and drive the architectural improvements that fix root causes — not repeated surface-level patches.
Build systems that live inside clinical workflows: shape how Heidi integrates with the EHRs that run American healthcare, so integrations feel native rather than bolted on.
Turn clinical and billing complexity — payer constraints, compliance requirements, health-system-specific rules — into systems that absorb that complexity so clinicians never see it.
Write clean, testable, observable code for workflows that clinicians, operators, and downstream systems depend on.
Own outcomes, not just code: care whether what you build actually reduces churn risk and improves account health, not just whether it technically works.
Ship agentic workflow functionality — AI-assisted extraction, reconciliation, and drafting — with human review, auditability, and clear controls.
Partner closely with the GTM and Enterprise account teams during US business hours, since our largest customers depend on real-time coverage rather than a 24-hour turnaround.
Operate independently while looping in the NA Regional Integration TL on roadmap, prioritization, and cross-initiative dependencies.

Requirements

What you’ll need

5+ years of software engineering experience, with a track record of owning complex, production-critical systems end-to-end.
Direct experience with enterprise integrations and, ideally, EHR or healthcare-adjacent systems — you're comfortable being the person a hospital system's stability depends on.
Sound engineering judgment: you make sensible trade-offs, scope clearly, and raise quality through testing and thoughtful design rather than heroics.
Genuine ownership and follow-through — you take responsibility for what you commit to, communicate early when something changes, and unblock yourself.
A collaborative operator who works comfortably alongside GTM and account teams, not just other engineers.
Full availability during US Eastern business hours. This isn't a nice-to-have: our largest accounts need real-time coverage, and this role exists specifically to close that gap.
Fluency with modern AI coding tools to accelerate delivery, while staying rigorous about correctness and validation.

Benefits

Comp & perks

Healthcare, Dental, Vision benefit options
401k with 3% match
Personal development budget of $500 per annum
Become an owner, with shares (equity) in the company — if Heidi wins, we all win.
The rare chance to create global impact as you immerse yourself in one of the leading healthtech startups.
The opportunity to fast-track your startup career!