Head of Integration Engineering

About Us

At Sully.ai, We’re Building the Most Impactful Healthcare Company on Earth

We believe that access to a great doctor is a basic human right. Today, that’s not a reality. Delays, misdiagnoses, administrative chaos, and burnout plague the system.

Our Mission:

One Human, One Doctor. We build AI teammates that augment clinicians — scribes, nurses, receptionists, translators — all powered by our own world-class models and deployed in real-world care.

Our Traction

• 450+ organizations signed 16 months
• AI agents cut admin by ~2.8 hours daily and reduce onboarding 85%.
• 5M+ Clinical Tasks completed to date, serving 36+ specialties.
• Raised $25M from YC, Eric Yuan, Amity, Semper Virens
• Patented AI architecture (MedCon-1) outperforms GPT-4.5, Gemini, Claude on clinical reasoning tasks

Sully requires A-players capable of 4 months = 1 year output.

What You’ll Do:

Own the strategy, design, and execution of all platform integrations that connect Sully.ai’s AI medical employees with major EHRs, partner APIs, and healthcare data standards. Build and scale a high-performing team, work closely with Product, Clinical, Security, and Customer Success, and ensure integrations are robust, secure, HIPAA compliant, and loved by customers.

What You Must Bring:

• 6+ years of software engineering, including 3+ years managing and scaling teams in high-growth early stage startups.
• Deep integrations experience across industries with the ability to quickly master healthcare data standards and EHRs.
• Strong system design skills: microservices, REST or gRPC, message buses like Kafka or RabbitMQ, and SQL or NoSQL design.
• Hands-on coding in Python, Node.js, or TypeScript. Familiarity with React and TypeScript integration patterns is a plus.
• CI/CD and cloud expertise: GitHub Actions or Jenkins, Docker and Kubernetes, AWS or GCP or Azure.
• Security and compliance knowledge: HIPAA and SOC 2, security reviews, threat modeling.
• Excellent communication with technical and non-technical stakeholders.
• Experience at a Series A or B AI or healthcare startup.
• Working knowledge of ML, AI, and LLMs.

First-Month Focus

• Audit current integrations, reliability, and security posture. Define and publish SLAs and on-call runbooks.
• Finalize a 12-month integration roadmap and target list across EHRs and partner APIs.
• Ship an SDK and sample app MVP for partner onboarding. Kick off hiring for two key roles.

90 Day OKRs

• Deliver one net-new EHR connector to production or pilot, and set a repeatable template to hit Q4 target of 5 integrations.
• Establish gold-standard CI/CD and observability: p95 deploy time under 15 minutes, error budget policy in place, on-call rotation running.
• Reduce integration incident rate and MTTR by 30 percent through automated monitoring, alerting, and self-healing.
• Define and drive a unified integrations strategy across FHIR, HL7, DICOM, and custom partner APIs.
• Lead design and hands-on development of core connectors for Epic, Cerner, Athenahealth, Meditech, and others.
• Recruit, mentor, and grow an integrations and reliability engineering team. Partner cross-functionally to prioritize the roadmap and meet HIPAA and SOC 2 requirements.

If you’ve ever said, “I want to do work that actually matters”, this is it. Let’s build something life-changing, together

Who Thrives Here

• Entrepreneurial to your core: You think in outcomes, thrive in chaos, and take ownership without limits
• Mission-obsessed: You’re here to save lives, not just ship features — patients and doctors are your why.
• Impact-driven & fast-moving: You sprint toward hard problems and ship with sharp judgment.
• Elite teammate: You raise the bar through high standards, direct feedback, and craft excellence.

Why Join Sully.ai? 🔥 Revolutionizing the antiquated $800B+ Healthcare market

🧠 50%+ of us are ex-founders. We hire A-players, not passengers

⚡️ Speed matters - we operate with urgency, autonomy, and ownership

🧪 You’ll work on real, first-of-their-kind problems at the edge of AI and medicine

❤️ Your work helps doctors reclaim their time - and patients get better, faster care