Healthcare Integrations Architect

The role

You will design healthcare integrations and translate customer requirements into implementation plans. You will resolve EHR complexity, guide integration readiness through go-live, and shape the healthcare integration roadmap.

What you will do

• Design integrations grounded in real healthcare workflows
• Translate customer requirements into recommendations on interfaces, data flows, and EHR configuration
• Resolve customer-specific EHR complexity
• Work with customer analysts, vendor teams, and engineers to resolve integration blockers
• Guide integration readiness through go-live
• Define customer setup requirements, dependencies, and validation criteria
• Partner with Sales, Sales Engineering, and Agent Development to assess feasibility
• Shape Sierra’s healthcare integration roadmap
• Turn deployment experience into reference designs, implementation guides, and internal training

Required qualifications

• 5+ years of experience in healthcare interoperability or EHR implementation
• Direct responsibility for designing or delivering integrations at an EHR vendor, health system, healthcare technology company, or implementation consultancy
• Deep expertise in at least one major EHR ecosystem, such as Epic, athenahealth, Oracle Health, eClinicalWorks, MEDITECH, or similar systems
• Practical knowledge of patient-access workflows, such as scheduling, registration, or referral management
• Technical fluency in healthcare integrations
• Hands-on experience with FHIR, HL7v2, vendor APIs, or file-based exchange
• Track record of taking third-party integrations through deployment
• Clear communication and independent judgment

Nice to have

• Epic certifications in areas such as Bridges, Cadence, Prelude, or Interconnect
• Experience across multiple EHR vendors or health systems
• Experience using SQL, scripts, or code to investigate integration issues
• Experience working with teams building AI agents for healthcare
• Hands-on software development experience
• Experience with TypeScript, Go, or Python

Benefits

• Flexible (unlimited) paid time off
• Medical, dental, and vision benefits for you and your family
• Life insurance and disability benefits
• Retirement plan dependent on country of employment
• Parental leave
• Fertility and family building benefits
• Lunch, as well as delicious snacks and coffee when working onsite
• Discretionary benefit stipend
• Free alphorn lessons
• Equity plans for eligible full-time employees

About the company

Sierra is a platform for customer-facing AI agents working with brands like The GAP, Rocket Mortgage, SoFi, Sutter Health, and SoftBank. It is an in-person company based in San Francisco.