> Markdown version of [/jobs/ext/2722832-staff-integrations-engineer](https://www.wearedevelopers.com/jobs/ext/2722832-staff-integrations-engineer). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Staff Integrations Engineer - **Company:** Zus Health - **Location:** United States (Remote available) - **Experience:** Expert - **Contract:** Permanent contract - **Skills:** Application Programming Interfaces (APIs), Artificial Intelligence, Automation of Tests, Mobile Application Development, Computer Programming, Data Transmissions, Data Integrity, Data Systems, Database Queries, Software Debugging, Distributed Systems, Monitoring of Systems, Interoperability, Python (Programming Language), Software Engineering, Systems Architecture, Systems Integration, File Transfer Protocol (FTP), Fast Healthcare Interoperability Resources, Event Driven Architecture, Build Management, Production Code, Health Level Seven International, Data Pipelines - **Published:** September 4, 2026 - **Apply:** https://startup.jobs/staff-integrations-engineer-zushealthhq-7963845 ## About the Role * 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 * AI-native development * 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 ## Description 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., * 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 Act as a Technical Advisor * 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 Troubleshoot and Improve Systems * 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 Build Internal Systems and Tooling * 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 ## Related Videos - [Why make use of an integration platform in today's software developments and infrastructure?](https://www.wearedevelopers.com/videos/758-why-make-use-of-an-integration-platform-in-today-s-software-developments-and-infrastructure) - [From Messy Queries to Scalable Systems - How Data Engineering actually works](https://www.wearedevelopers.com/videos/100203-from-messy-queries-to-scalable-systems-how-data-engineering-actually-works) - [Why and when should we consider Stream Processing frameworks in our solutions](https://www.wearedevelopers.com/videos/1085-why-and-when-should-we-consider-stream-processing-frameworks-in-our-solutions) - [Exploring 5 Key Applications of AI Abundance with Blockchain Assurance](https://www.wearedevelopers.com/videos/971-exploring-5-key-applications-of-ai-abundance-with-blockchain-assurance) - [Modern Data Architectures need Software Engineering](https://www.wearedevelopers.com/videos/1030-modern-data-architectures-need-software-engineering) - [The Data Mesh as the end of the Datalake as we know it](https://www.wearedevelopers.com/videos/156-the-data-mesh-as-the-end-of-the-datalake-as-we-know-it) ## Related Articles - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [Why Upskilling And Reskilling is Important For Developers](https://www.wearedevelopers.com/magazine/428-why-upskilling-and-reskilling-is-important-for-developers) - [Is Software Engineering Over-Saturated?](https://www.wearedevelopers.com/magazine/418-is-software-engineering-over-saturated) - [The Most Popular IT Jobs on the Market](https://www.wearedevelopers.com/magazine/376-the-most-popular-it-jobs-on-the-market) - [Top-Paying Tech Jobs (with Salaries)](https://www.wearedevelopers.com/magazine/372-top-paying-tech-jobs-with-salaries) - [The Biggest German Tech Companies](https://www.wearedevelopers.com/magazine/424-the-biggest-german-tech-companies)