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Senior Integrations Engineer

Job type: Full Time · Department: Engineering · Work type: On-Site · USD 180000 - 220000 / year

United States; Mountain View, California, United States

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:

  • 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.

What you Must Bring:

  • 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.

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%.

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

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