Senior Integrations Engineer

Heidi•New York, NY

9d•$160,000 - $220,000•Remote

About The Position

Heidi is investing in a dedicated Integrations Engineer to own the stability and scale of our most strategic enterprise accounts — starting with Beth Israel Lahey Health (BILH) and Franciscan — and to build the account health infrastructure that lets us move from reactive fixes to proactive engineering. This is a senior, largely independent role. You'll work closely with our GTM and Enterprise teams and report to the NA Regional Integration Team Lead, joining three existing integrations engineers who together own 10+ active initiatives.

Requirements

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.

Responsibilities

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.