Staff Integrations Engineer

• Own end-to-end delivery of customer integrations, including State HIE and ADT feeds—from scoping through production support
• Design and implement data pipelines for ingestion, transformation, and delivery
• Build roster management workflows (ingestion, reconciliation, lifecycle management)
• Architect reliable and scalable data transmission mechanisms (APIs, SFTP, event-driven systems)
• Establish automated QA and validation frameworks to ensure data integrity

• Partner with customers to design integration approaches and guide technical decisions
• Translate ambiguous requirements into clear, implementable solutions
• Advise on interoperability best practices and system architecture
• Align customer needs with platform capabilities

• Serve as an escalation point for complex integration and data pipeline issues
• Debug across the full stack, from transformation logic to downstream delivery
• Identify root causes and implement durable, code-driven fixes
• Reduce operational overhead by eliminating recurring issues through automation

• Develop monitoring and observability systems for integration health
• Create alerting, dashboards, and automated diagnostics
• Build internal tools to accelerate implementation, QA, and troubleshooting
• Continuously improve the scalability and reliability of integration systems

• Competitive compensation that reflects the value you bring to the team a combination of cash and equity
• Robust benefits that include health insurance, wellness benefits, 401k with a match, unlimited PTO
• Opportunity to work alongside a passionate team that is determined to help change the world (and have fun doing it)

Please Note: Research shows that candidates from underrepresented backgrounds often don’t apply unless they meet 100% of the job criteria. While we have worked to consolidate the minimum qualifications for each role, we aren’t looking for someone who checks each box on a page; we’re looking for active learners and people who care about disrupting the current healthcare system with their unique experiences.

We do not conduct interviews by text nor will we send you a job offer unless you've interviewed with multiple people, including the Director of People & Talent, over video interviews. Job scams do exist so please be careful with your personal information.

Zus is a shared health data platform designed to accelerate healthcare data interoperability by providing easy-to-use patient data via API, embedded components, and direct EHR integrations. Founded in 2021 by Jonathan Bush, co-founder and former CEO of athenahealth, Zus partners with HIEs and other data networks to aggregate patient clinical history and then translates that history into user-friendly information at the point of care. Zus's mission is to catalyze healthcare's greatest inventors by maximizing the value of patient insights - so that they can build up, not around.