Senior Integrations Engineer

About Us
At Sully.ai, We’re Building the Most Impactful Healthcare Company on Earth

We believe that access to a great doctor is a basic human right. Today, that’s not a reality. Delays, misdiagnoses, administrative chaos, and burnout plague the system.

Our Mission: One Human, One Doctor. We build AI teammates that augment clinicians — scribes, nurses, receptionists, translators — all powered by our own world-class models and deployed in real-world care.

Our Traction

• 450+ organizations signed 16 months

• AI agents cut admin by ~2.8 hours daily and reduce onboarding 85%.

• 5M+ Clinical Tasks completed to date, serving 36+ specialties.

• Raised $25M from YC, Eric Yuan, Amity, Semper Virens

• Patented AI architecture (MedCon-1) outperforms GPT-4.5, Gemini, Claude on clinical reasoning tasks

Sully requires A-players capable of 4 months = 1 year output.

About the Role

As our Integrations Engineer, you’ll help drive the technical design and execution of how Sully.ai connects with the healthcare ecosystem. You’ll be responsible for creating scalable, secure, and reliable integrations with a wide variety of EHR systems, from SMB tools to enterprise-grade platforms.

Key Responsibilities

• Drive integrations development across FHIR, HL7, APIs, and RPA-based solutions.

• Implement core infrastructure for connecting to EHRs (Epic, Cerner, Athena, DrChrono, eCW, Healthie, Practice Fusion, etc.).

• Partner closely with co-founders to set integration strategy and make build vs. buy decisions.

• Work directly with customers to gather requirements, define workflows, and deliver production-ready solutions.

• Collaborate with AI/ML engineers to bridge integrations with applied GenAI systems, ensuring real-world deployment of intelligent automation.
  

Hard Requirements

• Deep expertise in Node.js, TypeScript, and Python.

• Proven experience integrating with multiple EHR systems across SMB and enterprise environments.

• Hands-on work with FHIR, HL7, REST APIs, SOAP APIs, and hybrid/on-prem systems.

• Experience building with RPA frameworks (Selenium or similar).

• Background in customer-facing engineering roles, gathering requirements and translating them into technical deliverables.
  

Nice-to-Have

• Previously founder/co-founder of a SaaS or AI company

• Experience at a Series A or B AI or healthcare startup.

• Familiarity with LLM-powered workflows, RAG, or agentic platforms.

• Open-source contributions in healthcare integrations or standards.

• Background in SRE or DevOps.
  

First-Month Focus

• Audit current integrations, reliability, and security posture.

• Finalize a 12-month integration roadmap and target list across EHRs and partner APIs.

• Ship an SDK and sample app MVP for partner onboarding.
  

Success OKRs (90 Days)

• Migrate 3 legacy integrations to the EHR Proxy.

• Reach 100% automated test coverage for all integrations behind the EHR proxies.

• Ensure reusability across all integration projects to deduce engineering rework by 50%.
  

Culture Fit

• Persistent, driven problem solver

• Willing to push back on leadership to defend quality and timelines

• Thrives in high-ambiguity, fast-paced startup environments

Who Thrives Here

• Entrepreneurial to your core: You think in outcomes, thrive in chaos, and take ownership without limits

• Mission-obsessed: You’re here to save lives, not just ship features — patients and doctors are your why.

• Impact-driven & fast-moving: You sprint toward hard problems and ship with sharp judgment.

• Elite teammate: You raise the bar through high standards, direct feedback, and craft excellence.

Why Join Sully.ai?
🔥 Revolutionizing the antiquated $800B+ Healthcare market

🧠 50%+ of us are ex-founders. We hire A-players, not passengers

⚡️ Speed matters - we operate with urgency, autonomy, and ownership

🧪 You’ll work on real, first-of-their-kind problems at the edge of AI and medicine

❤️ Your work helps doctors reclaim their time - and patients get better, faster care

Sully.ai is an equal opportunity employer. In addition to EEO being the law, it is a policy that is fully consistent with our principles. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status such as race, religion, color, national origin, sex, sexual orientation, gender identity, genetic information, pregnancy or age. Sully.ai prohibits any form of workplace harassment.