What are the responsibilities and job description for the Staff Integrations Engineer position at Zus Health?
We’re hiring a Staff Integrations Engineer to operate as a high-impact individual contributor at the intersection of software engineering and solution delivery. This is a deeply hands-on role: you’ll write production-grade code, build and operate data systems, and own the technical strategy and execution of complex customer integrations.
You’ll lead integrations across HIEs, EHRs, claims systems, labs, and other healthcare data sources. This includes turning ambiguous requirements into clear designs, building secure and reliable data pipelines, and ensuring ongoing system performance through monitoring and observability.
You’ll also serve as a senior technical advisor to customers—guiding architecture decisions, troubleshooting issues, and shaping how integrations are implemented. This role is for someone who builds and improves systems, not just configures them.
The ideal candidate is comfortable working across the stack: parsing messy HL7 payloads, building services in Go, scripting in Python, and leading technical conversations with customers.
Key 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 (ingestion, reconciliation, lifecycle management)
Architect reliable and scalable data transmission mechanisms (APIs, SFTP, 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 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 eliminating recurring issues through automation
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
7 years of experience in software, integrations, or forward-deployed engineering
Strong programming skills (Python, Go, or similar) with a track record of building production systems
Experience with healthcare interoperability standards (HL7, FHIR, ADT, 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 across technical and non-technical audiences
Strong ownership and ability to independently drive ambiguous problems to completion
Familiarity with security and compliance requirements (e.g., HIPAA, SOC 2)
A desire to improve healthcare data infrastructure
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.