Software Engineer, Agent - Healthcare Integrations
About The Position
Sierra is seeking a Software Engineer to join their Healthcare Integrations team. This role involves designing and building core healthcare integration primitives that enable Sierra agents to safely connect with EHRs and other healthcare systems. The engineer will own production integrations with systems like Epic, athenahealth, Oracle Health, eClinicalWorks, and MEDITECH, utilizing standards such as FHIR and HL7. Responsibilities include building reusable platform capabilities for data access, workflows, authentication, authorization, auditability, observability, testing, and deployment. The role also involves partnering with Agent Engineers to develop healthcare workflows, serving as a technical SME with customers, and defining standards for safe healthcare agent actions, including data privacy safeguards.
Requirements
- 8+ years of hands-on software engineering experience, including experience operating at or above the level of Senior Software Engineer.
- Deep experience shipping production healthcare integrations under HIPAA, security, privacy, and compliance constraints.
- Strong technical fluency with healthcare interoperability standards and patterns, including FHIR, HL7, OAuth/SMART-style authorization, patient identity, data mapping, audit logs, and EHR-specific APIs.
- Experience building integrations with one or more major EHRs or healthcare platforms, such as Epic, athenahealth, Oracle Health, eClinicalWorks, MEDITECH, or similar systems.
- Strong product and platform judgment: you know what should become a reusable primitive, what should remain customer-specific, and how to design abstractions that survive real-world healthcare complexity.
- Comfort working directly with customers, including EHR analysts, security teams, technical executives, and operations leaders, while staying deeply hands-on in the code.
- Degree in Computer Science or related field, or equivalent professional experience.
Nice To Haves
- Experience building and scaling end-to-end production systems.
- Experience building or deploying AI/LLM systems in production.
- Have been a founder or founding engineer—you know what it means to balance craft, ownership, and speed.
- Familiarity with tools that power today's AI agents: eval frameworks, agent tooling, RAG pipelines, and prompt engineering.
- Prior experience with React, TypeScript, and/or Go.
- Previous roles where you interfaced with customers or led technical projects with external stakeholders.
Responsibilities
- Design and build the core healthcare integration primitives that enable Sierra agents to safely connect with EHRs and other healthcare systems of record.
- Own production integrations with systems such as Epic, athenahealth, Oracle Health, eClinicalWorks, MEDITECH, and other healthcare platforms, including FHIR, HL7, APIs, flat files, and customer-specific integration patterns.
- Build reusable platform capabilities for healthcare data access, write-back workflows, authentication, authorization, auditability, observability, testing, and deployment across customers.
- Partner closely with Agent Engineers to help them design and ship healthcare workflows such as appointment scheduling, patient intake, care navigation, CRM updates, clinical task routing, and other read/write agent actions.
- Serve as a technical SME with customers’ EHR, IT, security, and operations teams, translating complex interoperability requirements into clear implementation plans and durable Sierra platform capabilities.
- Help define Sierra’s standards for safe healthcare agent actions, including validation, idempotency, permissions, human-in-the-loop review, escalation, and PHI/data privacy safeguards.
Benefits
- Flexible (unlimited) paid time off
- Medical, dental, and vision benefits for you and your family
- Life insurance and disability benefits
- Retirement plan dependent on country of employment
- Parental leave
- Fertility and family building benefits through Carrot
- Lunch, as well as delicious snacks and coffee to keep you energized
- Discretionary benefit stipend giving people the ability to spend where it matters most
- Free alphorn lessons
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Associate degree
