Sierra
Healthcare Integrations Architect
$150K–$290K
San Francisco, CA +1 · On-site · Full-time · Posted Sep 11, 2026
- Location
- San Francisco, CA
New York, NY - Experience
- 5+ years in healthcare interoperability or EHR implementation.
About the job
Design and deliver healthcare EHR integrations, guiding customers from workflow discovery and implementation planning through validation and go-live.
What you'll do
- Translate healthcare workflows and customer requirements into integration designs, EHR configuration recommendations, and implementation plans.
- Troubleshoot EHR-specific integration issues and guide customer teams through setup, testing, and go-live.
- Assess integration feasibility with internal teams and help shape the healthcare integration roadmap and implementation resources.
What they ask for
- 5+ years of experience in healthcare interoperability or EHR implementation, with direct responsibility for designing or delivering integrations.
- Deep expertise in at least one major EHR ecosystem and practical knowledge of patient-access workflows.
- Technical fluency in healthcare integrations, including API documentation and hands-on experience with approaches such as FHIR, HL7v2, vendor APIs, or file-based exchange.
- Experience taking third-party integrations through deployment, including authentication, permissions, environment setup, validation, and go-live dependencies.
Nice to have
- Epic certifications or comparable expertise in another EHR ecosystem; experience across multiple EHR vendors or health systems.
- Experience with SQL, scripts, or code; healthcare AI agents; software development; TypeScript, Go, or Python.
Pay
$150K – $290K (base salary)
Tools
Epic, athenahealth, Oracle Health, eClinicalWorks, MEDITECH, FHIR, HL7v2, TypeScript
AI focus
The role may contribute expertise to teams building AI agents for healthcare and supports Sierra’s healthcare AI agent integrations.
Model-written summary · the original posting is authoritative