Integrations Engineer

Avo•New York, NY

2d•Remote

About The Position

Avo is a clinical AI platform trusted by clinicians at thousands of hospitals, practices, and clinics across the US. Our AI-powered tools serve as an intelligent co-pilot for clinicians, embedded directly within their clinical workflows to improve decision-making and reduce cognitive burden. Our commercial and founding teams are primarily based in the United States, while our engineering organization spans US and Seoul-based pods. We are a fast-moving, high-impact team where your work directly shapes how clinicians deliver care. The Opportunity We are looking for a Software Developer to join Avo's integrations team. You will build and maintain the connections between Avo and the EHR systems used by our hospital and clinic partners. You will also get meaningful exposure to product development across Avo's broader platform, working alongside a team that spans clinical AI, decision support tooling, and EHR-embedded workflows. Prior EHR integration experience is not required. We care far more about strong engineering fundamentals, curiosity about the healthcare space, and a willingness to learn a specialized domain.

Requirements

3+ years of professional software development experience
Proficiency in JavaScript/TypeScript (React) or Python (Django)
Solid understanding of REST APIs, data modeling, and systems that handle sensitive, high-reliability data
Strong written communication skills — we are a written-first culture
US work authorization required; visa sponsorship is not available for this role

Nice To Haves

Prior experience with EHR integrations (Epic, Cerner, or equivalent) using FHIR, HL7, or vendor-specific APIs
Experience with Epic App Orchard certification or Cerner SMART on FHIR workflows
Clinical background or experience working closely with clinical teams
Experience with AWS, Docker, or Terraform
Experience scaling AI/LLM features in production

Responsibilities

EHR Integration Development
Build and maintain integrations with Epic, Cerner, and other major EHR platforms using FHIR, HL7, and vendor-specific APIs — we will ramp you up on the specifics
Own integration work end-to-end: scoping, development, testing, deployment, and ongoing maintenance
Troubleshoot and resolve integration issues in production clinical environments where reliability is mission-critical
Work with hospital IT teams and EHR vendors to support new integration rollouts and navigate certification requirements
Platform Development
Contribute to product features across Avo's broader platform, including clinical AI tooling, decision support, and EHR-embedded workflows, as team needs evolve
Collaborate with product, design, and clinical stakeholders to translate healthcare workflow requirements into clean, reliable code
Participate in code reviews, providing and receiving constructive feedback
Quality & Compliance
Write unit and integration tests with a focus on reliability in high-stakes clinical environments
Proactively identify and resolve bugs, performance issues, and edge cases in integration data flows
Uphold our security and compliance standards — HIPAA, SOC2, and EHR vendor certification requirements (we will get you up to speed)
Collaboration & Communication
Contribute to technical discussions, RFC processes, and sprint planning
Communicate clearly and asynchronously with teammates, implementation partners, and EHR vendor contacts across time zones
Help document integration patterns and onboard other engineers to EHR tooling as the team grows