Senior Integration Engineer

The role

You will own the pipelines that power the Duet platform. You will build new EHR and clearinghouse integrations and maintain data pipelines for clinical, scheduling, billing, and claims data.

What you will do

• Build new EHR and clearinghouse integrations.
• Design and implement integrations with ambulatory EHRs and clearinghouses using FHIR, HL7v2, and EDI standards.
• Harden existing connections with observability, alerting, and automated failure recovery.
• Participate in shared on-call for integration incidents.
• Build tooling for faster incident response and root-cause analysis.
• Design and maintain pipelines that ingest, transform, and deliver clinical, scheduling, billing, and claims data.
• Partner with product and engineering to ensure data powers customer-facing features.
• Define standards for connection design, error handling, retries, and monitoring.
• Document decisions and build extensible systems.

Required qualifications

• 5+ years of experience as an integration engineer, software engineer, or related discipline.
• Strong Python programming skills.
• Experience building and operating production data pipelines, including monitoring, alerting, and incident response.
• A builder's orientation working in small teams.
• Strong communication skills.

Nice to have

• Strong command of healthcare interoperability standards: FHIR, HL7v2, and X12 EDI.
• Clearinghouse or EDI experience (X12 835/837 claim submission and remittance workflows).
• Experience with cloud data warehouses (BigQuery, Snowflake, or similar).
• Cloud infrastructure experience (AWS or GCP).
• Prior experience at a healthcare tech, RCM, or practice management company.
• Familiarity with SMART on FHIR or OAuth-based EHR app frameworks.

Benefits

• Equity
• Competitive benefits

About the company

Duet is an early-stage company that helps nurse-practitioners build and scale independent practices. The company is backed by investors including Lerer Hippeau and Kairos.