Senior Integrations Engineer

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

United States;
Mountain View, California, United States

,
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.

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.

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.

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.

• Deep expertise in Node.js, Type Script, 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.

• 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.

• 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.

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-their-kind problems at the edge of AI and medicine

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