Head of Integration Engineering

About the Role

Own the strategy, design, and execution of all platform integrations that connect Sully.ai’s AI medical employees with major EHRs, partner APIs, and healthcare data standards. Build and scale a high-performing team, work closely with Product, Clinical, Security, and Customer Success, and ensure integrations are robust, secure, HIPAA compliant, and loved by customers.

About Us

👏 Team from OpenAI, DeepMind, NASA, GoogleX, Tesla, and 2 physicians: 6 exits, 2 IPOs.
🔥 Our model outperforms Claude, Gemini, and GPT-4.5 on clinical benchmarks.
📈 400+ healthcare orgs signed in 16 months.
⚡️ $25M raised from YC, Amity Ventures, Sequoia scouts, and more.
🌎 $1T+ market opportunity. We’re going after all of it.

Key Responsibilities

• Define and drive a unified integrations strategy across FHIR, HL7, DICOM, and custom partner APIs.

• Lead design and hands-on development of core connectors for Epic, Cerner, Athenahealth, Meditech, and others.

• Establish CI/CD, observability, SLAs, monitoring, alerting, and self-healing for mission-critical services.

• Build SDKs, developer docs, and sample apps. Own technical onboarding for new partners.

• Recruit, mentor, and grow an integrations and reliability engineering team. Partner cross-functionally to prioritize the roadmap and meet HIPAA and SOC 2 requirements.

Hard Requirements

• 6+ years of software engineering, including 3+ years managing and scaling teams in high-growth early stage startups.

• Deep integrations experience across industries with the ability to quickly master healthcare data standards and EHRs.

• Strong system design skills: microservices, REST or gRPC, message buses like Kafka or RabbitMQ, and SQL or NoSQL design.

• Hands-on coding in Python, Node.js, or TypeScript. Familiarity with React and TypeScript integration patterns is a plus.

• CI/CD and cloud expertise: GitHub Actions or Jenkins, Docker and Kubernetes, AWS or GCP or Azure.

• Security and compliance knowledge: HIPAA and SOC 2, security reviews, threat modeling.

• Excellent communication with technical and non-technical stakeholders.

• Working knowledge of ML, AI, and LLMs.

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. Define and publish SLAs and on-call runbooks.

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

• Ship an SDK and sample app MVP for partner onboarding. Kick off hiring for two key roles.

Success OKRs (90 Days)

• Deliver one net-new EHR connector to production or pilot, and set a repeatable template to hit Q4 target of 5 integrations.

• Establish gold-standard CI/CD and observability: p95 deploy time under 15 minutes, error budget policy in place, on-call rotation running.

• Reduce integration incident rate and MTTR by 30 percent through automated monitoring, alerting, and self-healing.

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

Why Join Sully.ai?

🔥 Shape the Future of Healthcare: Build category-defining partnerships that enable doctors to focus on saving lives.
📈 Early-Stage Impact: Join early and play a critical role in shaping our partnership roadmap and overall company growth.
🌎 Remote-First Culture: Work with a talented, mission-driven team in a flexible, remote environment.
💰 Competitive Compensation: Enjoy a competitive salary, equity, and the opportunity to make a real difference.
🏆 Solve Scalability Challenges: Tackle complex challenges in a rapidly growing company, driving impactful change in healthcare.

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.