Senior Integrations Engineer (Contract to Hire)

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.

This role is structured as a Contract-to-Hire position with a 60-day trial period. Sully.ai maintains an exceptionally high performance bar, and this structure ensures mutual alignment before transitioning to full-time.

What You'll Do:

• 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.

What you Must Bring:

• 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.

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%.

If you’ve ever said, “I want to do work that actually matters”, this is it. Let’s build something life-changing, together.

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.