Senior Integrations Engineer

About Us
👏 Team from OpenAI, DeepMind, NASA, GoogleX, Tesla, and 2 physicians: 6 exits, 2 IPOs.
🔥 Our model outperforms Claude, Gemini, and GPT-4.5 on clinical benchmarks.
📈 400+ healthcare orgs signed in 16 months.
⚡️ $25M raised from YC, Amity Ventures, Sequoia scouts, and more.
🌎 $1T+ market opportunity. We’re going after all of it.

About the Role

As our Integrations Engineer, you’ll help drive the technical design and execution of howSully.ai connects with the healthcare ecosystem. You’ll be responsible for creating scalable, secure, and reliable integrations with a wide variety of EHR systems, from SMB tools to enterprise-grade platforms.

Key Responsibilities

• Drive integrations development across FHIR, HL7, APIs, and RPA-based solutions.

• Implement core infrastructure for connecting to EHRs (Epic, Cerner, Athena, DrChrono, eCW, Healthie, Practice Fusion, etc.).

• Partner closely with co-founders to set integration strategy and make build vs. buy decisions.

• Work directly with customers to gather requirements, define workflows, and deliver production-ready solutions.

• Collaborate with AI/ML engineers to bridge integrations with applied GenAI systems, ensuring real-world deployment of intelligent automation.

Hard Requirements

• Deep expertise in Node.js, TypeScript, and Python.

• Proven experience integrating with multiple EHR systems across SMB and enterprise environments.

• Hands-on work with FHIR, HL7, REST APIs, SOAP APIs, and hybrid/on-prem systems.

• Experience building with RPA frameworks (Selenium or similar).

• Background in customer-facing engineering roles, gathering requirements and translating them into technical deliverables.

Nice-to-Have

• Previously founder/co-founder of a SaaS or AI company

• Experience at a Series A or B AI or healthcare startup.

• Familiarity with LLM-powered workflows, RAG, or agentic platforms.

• Open-source contributions in healthcare integrations or standards.

• Background in SRE or DevOps.

First-Month Focus

• Audit current integrations, reliability, and security posture.

• Finalize a 12-month integration roadmap and target list across EHRs and partner APIs.

• Ship an SDK and sample app MVP for partner onboarding.

Success OKRs (90 Days)

• Migrate 3 legacy integrations to the EHR Proxy.

• Reach 100% automated test coverage for all integrations behind the EHR proxies.

• Ensure reusability across all integration projects to deduce engineering rework by 50%.

Culture Fit

• Persistent, driven problem solver

• Willing to push back on leadership to defend quality and timelines

• Thrives in high-ambiguity, fast-paced startup environments

Why Join Sully.ai ?
🔥 Shape the Future of Healthcare: Build category-defining partnerships that enable doctors to focus on saving lives.
📈 Early-Stage Impact: Join early and play a critical role in shaping our partnership roadmap and overall company growth.
🌎 Remote-First Culture: Work with a talented, mission-driven team in a flexible, remote environment.
💰 Competitive Compensation: Enjoy a competitive salary, equity, and the opportunity to make a real difference.
🏆 Solve Scalability Challenges: Tackle complex challenges in a rapidly growing company, driving impactful change in healthcare.

Sully.ai is an equal opportunity employer. In addition to EEO being the law, it is a policy that is fully consistent with our principles. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status such as race, religion, color, national origin, sex, sexual orientation, gender identity, genetic information, pregnancy or age. Sully.ai prohibits any form of workplace harassment.