Staff Integrations Engineer

Zus Health

. Own end-to-end delivery of customer integrations, including State HIE and ADT feeds—from scoping through production support .

Posted 5/6/2026full-timeRemote • 🇺🇸 United StatesLead💰 $160,000 - $200,000 per yearWebsite

Tech Stack

Tools & technologies

Distributed SystemsGoPythonSQL

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

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

Benefits

Comp & perks

Competitive compensation that reflects the value you bring to the team a combination of cash and equity
Robust benefits that include health insurance, wellness benefits, 401k with a match, unlimited PTO
Opportunity to work alongside a passionate team that is determined to help change the world (and have fun doing it)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

PythonGoSQLdata pipelinesAPIsSFTPevent-driven systemsautomated QAmonitoring systemsobservability systems

Soft Skills

communicationproblem-solvingownershipconsultative skillstechnical guidancetranslating requirementsdebuggingcollaborationindependent drivecustomer partnership