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About the Role
Design and build core healthcare integration primitives that enable Sierra agents to safely connect with EHRs and other healthcare systems of record. Own production integrations with systems such as Epic, athenahealth, Oracle Health, eClinicalWorks, MEDITECH, and other healthcare platforms, including FHIR, HL7, APIs, flat files, and customer-specific integration patterns. Build reusable platform capabilities for healthcare data access, write-back workflows, authentication, authorization, auditability, observability, testing, and deployment across customers. Partner closely with Agent Engineers to help them design and ship healthcare workflows such as appointment scheduling, patient intake, care navigation, CRM updates, clinical task routing, and other read/write agent actions. Serve as a technical SME with customers’ EHR, IT, security, and operations teams, translating complex interoperability requirements into clear implementation plans and durable Sierra platform capabilities. Help define Sierra’s standards for safe healthcare agent actions, including validation, idempotency, permissions, human-in-the-loop review, escalation, and PHI/data privacy safeguards.
Responsibilities
- Design and build core healthcare integration primitives
- Own production integrations with systems such as Epic, athenahealth, Oracle Health, eClinicalWorks, MEDITECH, and other healthcare platforms
- Build reusable platform capabilities for healthcare data access, write-back workflows, authentication, authorization, auditability, observability, testing, and deployment
- Partner closely with Agent Engineers to help them design and ship healthcare workflows
- Serve as a technical SME with customers’ EHR, IT, security, and operations teams
- Help define Sierra’s standards for safe healthcare agent actions
Requirements
- 8+ years of hands-on software engineering experience, including experience operating at or above the level of Senior Software Engineer
- Deep experience shipping production healthcare integrations under HIPAA, security, privacy, and compliance constraints
- Strong technical fluency with healthcare interoperability standards and patterns, including FHIR, HL7, OAuth/SMART-style authorization, patient identity, data mapping, audit logs, and EHR-specific APIs
- Experience building integrations with one or more major EHRs or healthcare platforms, such as Epic, athenahealth, Oracle Health, eClinicalWorks, MEDITECH, or similar systems
- Strong product and platform judgment
- Comfort working directly with customers, including EHR analysts, security teams, technical executives, and operations leaders, while staying deeply hands-on in the code
- Degree in Computer Science or related field, or equivalent professional experience
Skills
- FHIR
- HL7
- OAuth/SMART-style authorization
- Patient identity
- Data mapping
- Audit logs
- EHR-specific APIs
- Epic
- athenahealth
- Oracle Health
- eClinicalWorks
- MEDITECH
- React
- TypeScript
- Go
- Eval frameworks
- Agent tooling
- RAG pipelines
- Prompt engineering
Location
- San Francisco
- Atlanta
- New York
- London
- Paris
- Madrid
- Munich
- Singapore
- Tokyo
- Sydney
Work Type
- In-person
- Full-time
Experience Level
- Senior Software Engineer
Education Level
- Computer Science degree or related field
- Equivalent professional experience
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 through Carrot
- Lunch, as well as delicious snacks and coffee
- Discretionary benefit stipend
- Free alphorn lessons
- Equity plans
About the Company
- Sierra is creating a platform to help businesses build better, more human customer experiences with AI.
- We are guided by a set of values that are at the core of our actions and define our culture: Trust, Customer Obsession, Craftsmanship, Intensity, and Family.
- Our co-founders are Bret Taylor and Clay Bavor.
- Our healthcare agents already reach over 50% of U.S. families.
- We partner with leading health plans, providers, and healthcare platforms to deliver AI agents that handle some of the most sensitive and high stakes conversations in any industry.
- Our healthcare customers include major health insurance networks, nonprofit providers, multi-site primary and urgent care practices, healthcare diagnostics companies, and healthcare financial platforms.
- Join us to transform the patient experience across the healthcare system—and help build technology that makes care more accessible, more human and more affordable for everyone.
Equal Opportunity
- We encourage you to apply even if your experience doesn't precisely match the job description.
- We strive to evaluate all applicants consistently without regard to race, color, religion, gender, national origin, age, disability, veteran status, pregnancy, gender expression or identity, sexual orientation, citizenship, or any other legally protected class.