Integrations Engineer

About Avo

Avo is the leading AI platform for healthcare enterprises, helping clinicians make better decisions, move faster, and improving the quality of patient care. Serving as a central hub for care teams, Avo brings together patient data, clinical knowledge, and AI-powered workflows to support diagnosis, care planning, documentation, orders, and evidence-based decision-making at the point of care.Clinicians today navigate dozens of tabs, applications, datasets, hospital protocols, medical guidelines, and payer policies to deliver high-quality care. Avo changes that.

We are product-obsessed, collaborative, and scrappy, united by a mission to improve healthcare delivery through AI. Our investors include Noro-Moseley Partners, AlleyCorp, Scrub Capital, and several leading hospitals and universities.

The Role

We are looking for an Integrations Engineer to join Avo's Engineering Team. This role will be responsible for building and maintaining the connections between Avo and the EHR systems used by our hospital and clinic partners. You will own integration work end-to-end - scoping, building, testing, deploying, and keeping things running in production clinical environments where reliability is non-negotiable. 

This role sits on a small, distributed team with distributed engineers across our US and Asia Team. We work async-first. Clear written communication is as important here as clean code. Prior EHR integration experience is not required. We care far more about strong engineering fundamentals, curiosity about the healthcare space, and a willingness to learn a specialized domain.

What You'll Do

EHR Integration Development

Build and maintain integrations with Epic, Cerner, and other major EHR platforms using FHIR, HL7, and vendor-specific APIs - we will ramp you up on the specifics

Own integration work end-to-end: scoping, development, testing, deployment, and ongoing maintenance

Troubleshoot and resolve integration issues in production clinical environments where reliability is mission-critical, read raw FHIR resources, trace HL7 message flows, and resolve data mapping issues 

Work with hospital IT teams and EHR vendors to support new integration rollouts and navigate certification requirements

Platform Development

Contribute to product features across Avo's broader platform, including clinical AI tooling, decision support, and EHR-embedded workflows, as team needs evolve

Collaborate with product, design, and clinical stakeholders to translate healthcare workflow requirements into clean, reliable code

Participate in code reviews, providing and receiving constructive feedback

Quality & Compliance

Write unit and integration tests with a focus on reliability in high-stakes clinical environments

Proactively identify and resolve bugs, performance issues, and edge cases in integration data flows

Uphold our security and compliance standards — HIPAA, SOC2, and EHR vendor certification requirements (we will get you up to speed)

Collaboration & Communication

Contribute to technical discussions, RFC processes, and sprint planning

Communicate clearly and asynchronously with teammates, implementation partners, and EHR vendor contacts across time zones

Help document integration patterns and onboard other engineers to EHR tooling as the team grows

The Stack

Front-end: React, TypeScript, Vite, Tailwind, Jotai

Back-end: Python, Django, Celery, PostgreSQL, Redis

Integrations: FHIR R4, HL7 v2, Epic App Orchard, Cerner SMART on FHIR

Infrastructure: AWS (ECS/ECR), GitHub Actions, Terraform

AI: OpenAI/Azure LLMs, RAG pipelines

What You Bring 

Must-Haves

3-5+ years of professional software development experience

Proficiency in JavaScript/TypeScript (React) or Python (Django)

Solid understanding of REST APIs, data modeling, and systems that handle sensitive, high-reliability data

Strong written communication skills - we are a written-first culture

Passion and drive to improve the lives of clinicians with the latest technology

Hustle and the desire to wear many hats in a fast-paced, cross-functional environment

Startup "get it done" attitude with independent drive and out-of-the-box thinking

Strongly Preferred

Experience in a high-growth startup or B2B SaaS environment

Familiarity with HIPAA compliance requirements in a software context

Familiarity with both our front-end (React/TypeScript) and back-end (Python/Django) stacks

Comfort with AI-assisted development workflows

Nice-to-Haves

Prior experience with EHR integrations (Epic, Cerner, or equivalent) using FHIR, HL7, or vendor-specific APIs

Experience with Epic App Orchard certification or Cerner SMART on FHIR workflows

Clinical background or experience working closely with clinical teams

Experience with AWS, Docker, or Terraform

Experience scaling AI/LLM features in production

Why Join Avo

Impact:  Avo’s products run inside hospitals, helping clinicians make better calls at the point of care. The work is real, and the mission is meaningful.

Ownership:  You will own your accounts end-to-end and build the CS function from the ground up. Your fingerprints will be on every process.

High Agency:  We move fast, trust our people, and avoid bureaucracy.

Great Team:  Work alongside a talented, low-ego group of clinicians, engineers, and product folks who care deeply about craft.

Remote-First:  Work from anywhere in the US with flexible hours.

How We Take Care of Our Team

Generous Time Off:  Flexible and generous PTO

Comprehensive Health Plans:  Medical, dental, and vision coverage for you and your family

401K Matching:  Contribution matching to help invest in your future

Personal Device Allowance:  Tax-free funds for personal device usage

Compensation and Equity:   $160,000 - $185,000 base salary and equity