{"id":700159,"url":"https://alion.io/job/zushealth-staff-integrations-engineer","title":"Staff Integrations Engineer","company":{"id":686424,"name":"Zus Health","domain":"zushealth.com","url":"https://alion.io/company/zushealth","size_band":"51-200","is_staffing_agency":false,"is_intermediary":false,"listed_via":null,"ats_vendor":"Lever","truth_index":null},"role":"Industrial Engineering","role_family":"Industrial Engineering","seniority":"staff","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":160000,"max":200000,"currency":"USD","period":"year","gross":null,"usd_annual":200000},"salary_estimate":null,"experience_years_min":7,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"HIPAA","optional":false},{"name":"Python","optional":false},{"name":"SOC 2","optional":false},{"name":"SQL","optional":false}],"status":"live","first_seen_at":"2026-05-04T17:32:56Z","employer_posted_date":"2026-05-04","last_verified_at":"2026-09-24T12:51:06Z","board_verified":true,"closed_at":null,"days_open":143,"trust":{"level":"stale","repost_count":0,"flags":["stale"],"days_open":142},"description":"What we're looking for \nWe’re hiring a Staff Integrations Engineer to operate as a high-impact individual contributor at the intersection of software engineering and solution delivery. This is a deeply hands-on role: you’ll write production-grade code, build and operate data systems, and own the technical strategy and execution of complex customer integrations.\nYou’ll lead integrations across HIEs, EHRs, claims systems, labs, and other healthcare data sources. This includes turning ambiguous requirements into clear designs, building secure and reliable data pipelines, and ensuring ongoing system performance through monitoring and observability.\nYou’ll also serve as a senior technical advisor to customers-guiding architecture decisions, troubleshooting issues, and shaping how integrations are implemented. This role is for someone who builds and improves systems, not just configures them.\nThe ideal candidate is comfortable working across the stack: parsing messy HL7 payloads, building services in Go, scripting in Python, and leading technical conversations with customers.\nKey responsibilities:\nLead and Deliver Integrations\nOwn end-to-end delivery of customer integrations, including State HIE and ADT feeds-from scoping through production support\n\nDesign and implement data pipelines for ingestion, transformation, and delivery\n\nBuild roster management workflows (ingestion, reconciliation, lifecycle management)\n\nArchitect reliable and scalable data transmission mechanisms (APIs, SFTP, event-driven systems)\n\nEstablish automated QA and validation frameworks to ensure data integrity\n\nAct as a Technical Advisor\nPartner with customers to design integration approaches and guide technical decisions\n\nTranslate ambiguous requirements into clear, implementable solutions\n\nAdvise on interoperability best practices and system architecture\n\nAlign customer needs with platform capabilities\n\nTroubleshoot and Improve Systems\nServe as an escalation point for complex integration and data pipeline issues\n\nDebug across the full stack, from transformation logic to downstream delivery\n\nIdentify root causes and implement durable, code-driven fixes\n\nReduce operational overhead by eliminating recurring issues through automation\n\nBuild Internal Systems and Tooling\nDevelop monitoring and observability systems for integration health\n\nCreate alerting, dashboards, and automated diagnostics\n\nBuild internal tools to accelerate implementation, QA, and troubleshooting\n\nContinuously improve the scalability and reliability of integration systems\n\nYou’re a good fit because you have:\n7+ years of experience in software, integrations, or forward-deployed engineering\n\nStrong programming skills (Python, Go, or similar) with a track record of building production systems\n\nExperience with healthcare interoperability standards (HL7, FHIR, ADT, CDA\n\nAI-native development\nProven ability to design and build data pipelines and integrations-not just configure them\n\nStrong SQL skills and experience working with large, messy datasets\n\nExperience building monitoring and observability systems\n\nAbility to debug complex distributed systems end-to-end\n\nExperience working directly with customers in a technical, consultative role\n\nExcellent communication skills across technical and non-technical audiences\n\nStrong ownership and ability to independently drive ambiguous problems to completion\n\nFamiliarity with security and compliance requirements (e.g., HIPAA, SOC 2)\n\nA desire to improve healthcare data infrastructure","description_format":"text","description_chars":3512,"description_truncated":false,"requirements":{"experience_years_min":7,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Digital Health"],"lifecycle":[{"event":"open","at":"2026-09-11T02:42:00Z"}],"liveness":{"score":10,"band":"cold","label":"Long shot","p_open":1,"p_active":0.342,"p_room":0.28,"age_days":142,"expected_fill_days":21,"reasons":["conf:9","win:tail","crowd:"],"computed_at":"2026-09-24T05:45:00Z"},"pay":{"stated_usd_annual":200000,"is_top_pay":true},"html_url":"https://alion.io/job/zushealth-staff-integrations-engineer","json_url":"https://alion.io/job/zushealth-staff-integrations-engineer.json","meta":{"generated_at":"2026-09-24T22:38:32Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","usage":{"tier":"crawler","counted_by":"address","units_charged":1,"used_today":855,"day_limit":5000,"remaining_today":4145,"minute_limit":60,"resets_at":"2026-09-25T00:00:00Z"}}}