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From the employer's careers site First seen 27 Oct 2026

Staff Integrations Engineer

Zus United States Remote staff Full-time

Salary

USD 160,000-200,000 per-year-salary

Apply on Zus

Description

Role Overview

We're seeking a Staff Integrations Engineer to join our team as a high-impact individual contributor at the intersection of software engineering and solution delivery. In this role, you'll write production-grade code, build and operate data systems, and own the technical strategy and execution of complex customer integrations.

Key Responsibilities

Lead and Deliver Integrations

  • 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

Requirements

  • 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

Benefits

  • Competitive compensation that reflects the value you bring to the team,a combination of cash and equity
  • Robust benefits that include health insurance, wellness benefits, 401k with a match, unlimited PTO
  • Opportunity to work alongside a passionate team that is determined to help change the world (and have fun doing it)

Skills

Required

Ready to apply?

You apply with the employer directly. Their original posting is here: https://jobs.lever.co/zushealth/b4ec615d-29bf-4164-ad54-61f0ff9d5d94

Apply on Zus