Sierra Club

Healthcare Integrations Architect

Sierra Club • $125K — $150K *
New York, NY 10025In-Person
Healthcare
8 - 10 years of experience
Reposted Today
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Job Overview by Ladders

Qualifications

  • 8+ years of hands-on software engineering experience at a Senior Software Engineer level
  • Deep knowledge of HIPAA compliance and healthcare integration security standards
  • Strong expertise in healthcare interoperability standards (FHIR, HL7, OAuth/SMART)
  • Experience integrating with major EHR systems like Epic and athenahealth
  • Strong judgment on product and platform design for healthcare complexity
  • Comfortable working with technical teams and directly engaging customers
  • Degree in Computer Science or related field, or equivalent professional experience

Responsibilities

  • Design and build healthcare integration primitives for EHR connection
  • Own integrations with various healthcare platforms using FHIR and HL7
  • Develop reusable platform capabilities for healthcare data workflows
  • Collaborate with Agent Engineers on healthcare workflow design
  • Act as a technical SME, translating interoperability needs into actionable plans
  • Define standards for safe healthcare agent interactions
  • Ensure compliance with data privacy and safety standards

Benefits

  • Flexible (unlimited) paid time off
  • Medical, dental, and vision benefits for employees and their families
  • Life insurance and disability benefits
  • Retirement plan based on country of employment
  • Parental leave
  • Fertility and family building benefits
  • Lunch and snacks provided
  • Discretionary benefit stipend for personal spending
  • Unique offer of free alphorn lessons
Full Job Description
What you'll do
  • Design integrations grounded in real healthcare workflows. Translate customer requirements into clear recommendations on interfaces, data flows, and EHR configuration. Identify assumptions, tradeoffs, and limitations so engineering teams have an actionable implementation plan.
  • Resolve customer-specific EHR complexity. Understand how each organization configures and operates its EHR, including scheduling rules, patient identity, permissions, and workflow dependencies. Work with customer analysts, vendor teams, and Sierra engineers to investigate unexpected behavior and resolve integration blockers.
  • Guide integration readiness through go-live. Define customer setup requirements, dependencies, and validation criteria. Guide EHR and IT teams through application registration, access provisioning, environment setup, and workflow testing, partnering with engineers to verify that integrations behave as intended.
  • Bring EHR expertise to customer discovery. Partner with Sales, Sales Engineering, and Agent Development to assess feasibility, explain integration requirements, and scope achievable projects. Make clear what Sierra supports today and what requires additional configuration or development.
  • Shape Sierra's healthcare integration roadmap. Evaluate vendor capabilities, integration programs, and emerging customer needs. Recommend where to invest, distinguishing reusable platform capabilities from customer-specific configuration and implementation work.
  • Make each implementation easier than the last. Turn deployment experience into reference designs, implementation guides, and internal training. Help teams apply proven approaches and recognize when a customer's requirements call for a different design.
What you'll bring
  • 5+ years of experience in healthcare interoperability or EHR implementation, with 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. You understand its integration options, configuration model, and implementation processes, and can investigate unfamiliar capabilities independently.
  • Practical knowledge of patient-access workflows, such as scheduling, registration, or referral management. You can explain how operational rules and customer configuration affect what an integration can do.
  • Technical fluency in healthcare integrations. You can read API documentation, interpret requests and responses, and troubleshoot data and configuration issues. You have hands-on experience with relevant approaches such as FHIR, HL7v2, vendor APIs, or file-based exchange, and can explain when to use them.
  • A track record of taking third-party integrations through deployment. You have worked through application registration, authentication and permissions, test and production environments, workflow validation, and go-live dependencies.
  • Clear communication and independent judgment. You can lead discovery with EHR analysts and operational teams, turn incomplete information into an implementation plan, and explain recommendations to software engineers and business stakeholders. You know when to validate an assumption before committing to an approach.
Even better...
  • Epic certifications in areas such as Bridges, Cadence, Prelude, or Interconnect, or comparable expertise in another EHR ecosystem.
  • Experience across multiple EHR vendors or health systems, particularly integrating third-party products into patient-access or contact-center workflows.
  • Experience using SQL, scripts, or code to investigate integration issues, or working with teams building AI agents for healthcare.
  • Hands-on software development experience, including building or extending integrations with EHRs or other healthcare systems.
  • Comfortable contributing directly to integration code, including implementing API calls, troubleshooting failures, and writing tests. Experience with TypeScript, Go, or Python is a plus.
What we offer

We want our benefits to reflect our values and offer the following to full-time employees:
  • 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 through Carrot
  • Lunch, as well as delicious snacks and coffee to keep you energized
  • Discretionary benefit stipend giving people the ability to spend where it matters most
  • Free alphorn lessons

About Sierra Club

The Sierra Club is a nonprofit organization that promotes environmental conservation. It was founded in 1892 by John Muir and is one of the oldest and largest environmental organizations in the United States. The organization has over 3.8 million members and supporters and is dedicated to protecting the planet's natural resources and wildlife. The Sierra Club engages in a variety of activities, including lobbying for environmental legislation, organizing outdoor activities, and publishing a magazine. The organization is headquartered in Oakland, California.
Learn more about Sierra Club
Size
800 employees
Industry
Education, Government & Non-Profit
Founded
1892
* Ladders Estimates

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