Integration Engineer

Knowtex•San Francisco, CA

5d•Hybrid

About The Position

Knowtex is seeking an Integration Engineer to own and scale healthcare system integrations. The role focuses on bringing critical EMR integrations in-house, reducing reliance on external vendors, and building scalable, secure, and reliable interoperability across commercial and federal customers. The engineer will design, implement, and maintain integrations with EMR/EHR platforms, spanning modern API-based systems and legacy workflows. The position offers direct visibility into production healthcare environments and is strategically important as integrations become a core competency at Knowtex.

Requirements

At least 5 years of software engineering experience, ideally in healthcare.
Experience integrating with third-party APIs and external systems.
Strong backend development experience with Python, Node.js, or similar technologies.
Experience working with AWS services.
Solid understanding of REST APIs, authentication flows, and distributed systems.
Experience working with structured healthcare data.

Nice To Haves

Experience integrating with EMR/EHR systems.
Familiarity with healthcare interoperability standards such as FHIR and HL7.
Experience designing idempotent, fault-tolerant integration workflows.
Familiarity with HIPAA-compliant environments.

Responsibilities

Design, build, and maintain integrations with EMR/EHR platforms across API-based and legacy systems.
Internalize and replace third-party integration dependencies where appropriate.
Develop scalable, secure, and reliable healthcare data pipelines.
Build data validation, transformation, and normalization layers across heterogeneous healthcare systems.
Monitor integration health, troubleshoot production issues, and implement observability best practices.
Collaborate with product, clinical, and AI teams to translate workflow requirements into technical integration designs.
Contribute to long-term integration architecture strategy as Knowtex expands across specialties and health systems.