Build and maintain integrations with Epic, Cerner, and other major EHR platforms using FHIR, HL7, and vendor-specific APIs
Own integration work end-to-end: scoping, development, testing, deployment, and ongoing maintenance
Troubleshoot and resolve integration issues in production clinical environments
Work with hospital IT teams and EHR vendors to support new integration rollouts
Contribute to product features across Avo's broader platform
Collaborate with product, design, and clinical stakeholders
Write unit and integration tests
Proactively identify and resolve bugs, performance issues, and edge cases in integration data flows
Uphold security and compliance standards
Contribute to technical discussions, RFC processes, and sprint planning
Help document integration patterns and onboard other engineers to EHR tooling

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
Experience in a high-growth startup or B2B SaaS environment (strongly preferred)
Familiarity with HIPAA compliance requirements (strongly preferred)
Familiarity with both React/TypeScript and Python/Django stacks (strongly preferred)
Prior experience with EHR integrations (Epic, Cerner, or equivalent) using FHIR, HL7, or vendor-specific APIs (nice-to-have)

Integrations Engineer

Key skills