Staff Integrations Engineer

Zus Health • Boston, MA

22h

About The Position

Zus Health is hiring a Staff Integrations Engineer as a hands-on, high-impact individual contributor at the intersection of software engineering and solution delivery. The role involves writing production-grade code, building and operating data systems, and owning the technical strategy and delivery of complex customer integrations across healthcare data sources such as HIEs, EHRs, claims systems, and labs. The engineer will turn ambiguous requirements into clear designs, build secure and reliable data pipelines, and maintain system performance through monitoring and observability. They will also advise customers on architecture, troubleshoot problems, and guide integration implementation. The role calls for building and improving systems rather than merely configuring them, with work spanning HL7 payloads, Go services, Python scripting, and customer-facing technical discussions.

Requirements

• At least 7 years of experience in software, integrations, or forward-deployed engineering.
• Strong programming skills in Python, Go, or similar, with a track record of building production systems.
• Experience with healthcare interoperability standards, including HL7, FHIR, ADT, and CDA.
• Proven ability to design and build data pipelines and integrations, not just configure them.
• Strong SQL skills and experience working with large, messy datasets.
• Experience building monitoring and observability systems.
• Ability to debug complex distributed systems end to end.
• Experience working directly with customers in a technical, consultative role.
• Excellent communication skills with technical and non-technical audiences.
• Strong ownership and ability to independently drive ambiguous problems to completion.
• Familiarity with security and compliance requirements such as HIPAA and SOC 2.
• Desire to improve healthcare data infrastructure.

Responsibilities

• Own end-to-end delivery of customer integrations, including State HIE and ADT feeds, from scoping through production support.
• Design and implement data pipelines for ingestion, transformation, and delivery.
• Build roster management workflows for ingestion, reconciliation, and lifecycle management.
• Architect reliable and scalable data transmission mechanisms, including APIs, SFTP, and event-driven systems.
• Establish automated QA and validation frameworks to ensure data integrity.
• Partner with customers to design integration approaches and guide technical decisions.
• Translate ambiguous requirements into clear, implementable solutions.
• Advise customers on interoperability best practices and system architecture.
• Align customer needs with platform capabilities.
• Serve as an escalation point for complex integration and data pipeline issues.
• Debug across the full stack, from transformation logic to downstream delivery.
• Identify root causes and implement durable, code-driven fixes.
• Reduce operational overhead by automating solutions to recurring issues.
• Develop monitoring and observability systems for integration health.
• Create alerting, dashboards, and automated diagnostics.
• Build internal tools to accelerate implementation, QA, and troubleshooting.
• Continuously improve the scalability and reliability of integration systems.

Benefits

• Competitive compensation, including cash and equity.
• For full-time permanent roles, health insurance, wellness benefits, a 401(k) with a match, and unlimited PTO.
• Opportunity to work alongside a passionate team.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed