Healthcare Integrations Architect

Sierra•San Francisco, CA

11d•$150,000 - $290,000•Onsite

About The Position

Sierra is seeking a Healthcare Integrations Architect to join their growing team. This role is crucial for designing and implementing integrations between Sierra's AI platform and healthcare systems, specifically Electronic Health Records (EHRs). The architect will translate customer requirements into actionable plans, resolve complex EHR configurations, guide integrations through go-live, and contribute to the company's healthcare integration roadmap. The position involves close collaboration with customers, vendor teams, and internal engineering and sales teams to ensure successful and efficient deployments. The goal is to transform the patient experience by making healthcare more accessible, human, and affordable through AI-powered agents.

Requirements

5+ years of experience in healthcare interoperability or EHR implementation, with direct responsibility for designing or delivering integrations at an EHR vendor, health system, healthcare technology company, or implementation consultancy.
Deep expertise in at least one major EHR ecosystem, such as Epic, athenahealth, Oracle Health, eClinicalWorks, MEDITECH, or similar systems.
Understanding of EHR integration options, configuration model, and implementation processes, with the ability to investigate unfamiliar capabilities independently.
Practical knowledge of patient-access workflows, such as scheduling, registration, or referral management.
Ability to explain how operational rules and customer configuration affect what an integration can do.
Technical fluency in healthcare integrations, including reading API documentation, interpreting requests and responses, and troubleshooting data and configuration issues.
Hands-on experience with relevant approaches such as FHIR, HL7v2, vendor APIs, or file-based exchange, and ability to explain when to use them.
A track record of taking third-party integrations through deployment, including application registration, authentication and permissions, test and production environments, workflow validation, and go-live dependencies.
Clear communication and independent judgment.
Ability to lead discovery with EHR analysts and operational teams.
Ability to turn incomplete information into an implementation plan.
Ability to explain recommendations to software engineers and business stakeholders.
Knowledge of when to validate an assumption before committing to an approach.

Nice To Haves

Epic certifications in areas such as Bridges, Cadence, Prelude, or Interconnect, or comparable expertise in another EHR ecosystem.
Experience across multiple EHR vendors or health systems, particularly integrating third-party products into patient-access or contact-center workflows.
Experience using SQL, scripts, or code to investigate integration issues.
Experience working with teams building AI agents for healthcare.
Hands-on software development experience, including building or extending integrations with EHRs or other healthcare systems.
Comfortable contributing directly to integration code, including implementing API calls, troubleshooting failures, and writing tests.
Experience with TypeScript, Go, or Python.

Responsibilities

Design integrations grounded in real healthcare workflows, translating customer requirements into recommendations on interfaces, data flows, and EHR configuration.
Identify assumptions, tradeoffs, and limitations to create actionable implementation plans for engineering teams.
Resolve customer-specific EHR complexity by understanding organizational EHR configurations, including scheduling rules, patient identity, permissions, and workflow dependencies.
Work with customer analysts, vendor teams, and Sierra engineers to investigate unexpected behavior and resolve integration blockers.
Guide integration readiness through go-live by defining customer setup requirements, dependencies, and validation criteria.
Guide EHR and IT teams through application registration, access provisioning, environment setup, and workflow testing.
Partner with engineers to verify that integrations behave as intended.
Bring EHR expertise to customer discovery by partnering with Sales, Sales Engineering, and Agent Development to assess feasibility, explain integration requirements, and scope achievable projects.
Make clear what Sierra supports today and what requires additional configuration or development.
Shape Sierra’s healthcare integration roadmap by evaluating vendor capabilities, integration programs, and emerging customer needs.
Recommend where to invest, distinguishing reusable platform capabilities from customer-specific configuration and implementation work.
Make each implementation easier than the last by turning deployment experience into reference designs, implementation guides, and internal training.
Help teams apply proven approaches and recognize when a customer’s requirements call for a different design.