About This RoleHeidi is investing in a dedicated Integrations Engineer to own the stability and scale of our most strategic enterprise accounts - starting with Beth Israel Lahey Health (BILH) and Franciscan - and to build the account health infrastructure that lets us move from reactive fixes to proactive engineering.
This is a senior, largely independent role. You'll work closely with our GTM and Enterprise teams and report to the NA Regional Integration Team Lead, joining three existing integrations engineers who together own 10+ active initiatives.
What You'll Do- Own the health of Heidi's strategic enterprise accounts (BILH, Franciscan, and others), including building and maintaining account health dashboards.
- Respond to session-loss and integration incidents against a sub-2-hour initial response target, and help define realistic SLAs across incident severities.
- Identify recurring failure patterns and drive the architectural improvements that fix root causes - not repeated surface-level patches.
- Build systems that live inside clinical workflows: shape how Heidi integrates with the EHRs that run American healthcare, so integrations feel native rather than bolted on.
- Turn clinical and billing complexity - payer constraints, compliance requirements, health-system-specific rules - into systems that absorb that complexity so clinicians never see it.
- Write clean, testable, observable code for workflows that clinicians, operators, and downstream systems depend on.
- Own outcomes, not just code: care whether what you build actually reduces churn risk and improves account health, not just whether it technically works.
- Ship agentic workflow functionality - AI-assisted extraction, reconciliation, and drafting - with human review, auditability, and clear controls.
- Partner closely with the GTM and Enterprise account teams during US business hours, since our largest customers depend on real-time coverage rather than a 24-hour turnaround.
- Operate independently while looping in the NA Regional Integration TL on roadmap, prioritization, and cross-initiative dependencies.
What We're Looking For- 5+ years of software engineering experience, with a track record of owning complex, production-critical systems end-to-end.
- Direct experience with enterprise integrations and, ideally, EHR or healthcare-adjacent systems - you're comfortable being the person a hospital system's stability depends on.
- Sound engineering judgment: you make sensible trade-offs, scope clearly, and raise quality through testing and thoughtful design rather than heroics.
- Genuine ownership and follow-through - you take responsibility for what you commit to, communicate early when something changes, and unblock yourself.
- A collaborative operator who works comfortably alongside GTM and account teams, not just other engineers.
- Full availability during US Eastern business hours. This isn't a nice-to-have: our largest accounts need real-time coverage, and this role exists specifically to close that gap.
- Fluency with modern AI coding tools to accelerate delivery, while staying rigorous about correctness and validation.
Why You Will Flourish With Us - Fully remote, with a hard requirement to work US Eastern business hours to stay in step with the GTM team and our largest customers.
- Healthcare, Dental, Vision benefit options.
- 401k with 3% match.
- Personal development budget of $500 per annum.
- Become an owner, with shares (equity) in the company - if Heidi wins, we all win.
- The rare chance to create global impact as you immerse yourself in one of the leading healthtech startups.
- The opportunity to fast-track your startup career!
