Head of Integration Engineering

Job type:
Full Time
· Department:
Engineering
· Work type:
Hybrid
· USD 210000
-260000 / year

United States;
Mountain View, California, United States

About Us  ,
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 (Med Con-1)
outperforms GPT-4.5, Gemini, Claude on clinical reasoning tasks

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

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.

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 Rabbit

MQ, and SQL or No

SQL design.

Hands‑on coding in Python, Node.js, or Type Script. Familiarity with React and Type Script integration patterns is a plus.

CI/CD and cloud expertise:
Git Hub 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.

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.

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

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.

🔥 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‑the‑ir kind problems at the edge of AI and medicine

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