Job Title: Integrations Engineer

Company Name: Avo

Job Url: https://job-boards.greenhouse.io/embed/job_app?for=avomdincdbaavo&jr_id=69bcc188e6a0d9792584cc51&token=4188130009&utm_source=jobright

Job Description: Integrations Engineer
US - NY Area or Remote
 

About Avo

Avo is a clinical AI platform trusted by clinicians at thousands of hospitals, practices, and clinics across the US. Our AI-powered tools serve as an intelligent co-pilot for clinicians, embedded directly within their clinical workflows to improve decision-making and reduce cognitive burden.

Our commercial and founding teams are primarily based in the United States, while our engineering organization spans US and Seoul-based pods. We are a fast-moving, high-impact team where your work directly shapes how clinicians deliver care.

The Opportunity

We are looking for a Software Developer to join Avo's integrations team. You will build and maintain the connections between Avo and the EHR systems used by our hospital and clinic partners. You will also get meaningful exposure to product development across Avo's broader platform, working alongside a team that spans clinical AI, decision support tooling, and EHR-embedded workflows.

Prior EHR integration experience is not required. We care far more about strong engineering fundamentals, curiosity about the healthcare space, and a willingness to learn a specialized domain.

What We Look For at Avo

Passion and drive to improve the lives of clinicians with the latest technology
Hustle and the desire to wear many hats in a fast-paced, cross-functional environment
Startup "get it done" attitude with independent drive and out-of-the-box thinking
Responsibilities

EHR Integration Development

Build and maintain integrations with Epic, Cerner, and other major EHR platforms using FHIR, HL7, and vendor-specific APIs — we will ramp you up on the specifics
Own integration work end-to-end: scoping, development, testing, deployment, and ongoing maintenance
Troubleshoot and resolve integration issues in production clinical environments where reliability is mission-critical
Work with hospital IT teams and EHR vendors to support new integration rollouts and navigate certification requirements
Platform Development

Contribute to product features across Avo's broader platform, including clinical AI tooling, decision support, and EHR-embedded workflows, as team needs evolve
Collaborate with product, design, and clinical stakeholders to translate healthcare workflow requirements into clean, reliable code
Participate in code reviews, providing and receiving constructive feedback
Quality & Compliance

Write unit and integration tests with a focus on reliability in high-stakes clinical environments
Proactively identify and resolve bugs, performance issues, and edge cases in integration data flows
Uphold our security and compliance standards — HIPAA, SOC2, and EHR vendor certification requirements (we will get you up to speed)
Collaboration & Communication

Contribute to technical discussions, RFC processes, and sprint planning
Communicate clearly and asynchronously with teammates, implementation partners, and EHR vendor contacts across time zones
Help document integration patterns and onboard other engineers to EHR tooling as the team grows
The Stack

Front-end: React, TypeScript, Vite, Tailwind, Jotai
Back-end: Python, Django, Celery, PostgreSQL, Redis
Integrations: FHIR R4, HL7 v2, Epic App Orchard, Cerner SMART on FHIR
Infrastructure: AWS (ECS/ECR), GitHub Actions, Terraform
AI: OpenAI/Azure LLMs, RAG pipelines
Requirements

Must-Haves

3+ years of professional software development experience
Proficiency in JavaScript/TypeScript (React) or Python (Django)
Solid understanding of REST APIs, data modeling, and systems that handle sensitive, high-reliability data
Strong written communication skills — we are a written-first culture
US work authorization required; visa sponsorship is not available for this role
Strongly Preferred

Experience in a high-growth startup or B2B SaaS environment
Familiarity with HIPAA compliance requirements in a software context
Familiarity with both our front-end (React/TypeScript) and back-end (Python/Django) stacks
Comfort with AI-assisted development workflows
Nice-to-Haves

Prior experience with EHR integrations (Epic, Cerner, or equivalent) using FHIR, HL7, or vendor-specific APIs
Experience with Epic App Orchard certification or Cerner SMART on FHIR workflows
Clinical background or experience working closely with clinical teams
Experience with AWS, Docker, or Terraform
Experience scaling AI/LLM features in production
Why Join Avo

Your integrations run inside hospitals — the work is real and the mission is meaningful
This is not a maintenance role — you will shape how Avo connects with the EHR ecosystem at scale
We move fast, trust our engineers, and avoid bureaucracy
Work alongside a talented, low-ego team that cares deeply about craft
Work from anywhere in the US with flexible hours
How We Take Care of Our Team

Flexible and generous PTO
Medical, Dental, and Vision coverage for you and your family
401K matching
Personal device allowance
Competitive compensation and equity grants