Healthcare Integrations Architect

About Us

Sierra is the leading platform for customer-facing AI agents, working with many of the world's biggest brands — including The GAP, Rocket Mortgage, SoFi, Sutter Health, and SoftBank — to transform how they serve customers and grow their businesses. We are primarily an in-person company based in San Francisco, with growing offices across North America, Europe, and Asia.

About the Healthcare Team

• Our healthcare agents already reach over 50% of U.S. families, partnering with leading health plans, providers, and healthcare platforms.
• Our healthcare customers include major health insurance networks, nonprofit providers, multi-site primary and urgent care practices, healthcare diagnostics companies, and healthcare financial platforms.
• Join us to transform the patient experience across the healthcare system and build technology that makes care more accessible, human, and affordable.

What You'll Do

• Design integrations grounded in real healthcare workflows: Translate customer requirements into clear recommendations on interfaces, data flows, and EHR configuration. Identify assumptions, tradeoffs, and limitations for engineering implementation plans.
• Resolve customer-specific EHR complexity: Understand how each organization configures and operates its EHR (scheduling rules, patient identity, permissions, workflow dependencies). Work with customer analysts, vendor teams, and Sierra engineers to resolve integration blockers.
• Guide integration readiness through go-live: Define setup requirements, dependencies, and validation criteria. Guide EHR and IT teams through application registration, access provisioning, environment setup, and workflow testing.
• Bring EHR expertise to customer discovery: Partner with Sales, Sales Engineering, and Agent Development to assess feasibility, explain integration requirements, and scope achievable projects.
• Shape Sierra’s healthcare integration roadmap: Evaluate vendor capabilities, integration programs, and emerging customer needs to distinguish reusable platform capabilities from custom implementations.
• Make each implementation easier than the last: Turn deployment experience into reference designs, implementation guides, and internal training.

What You'll Bring

• 5+ years of experience in healthcare interoperability or EHR implementation, with direct responsibility for designing or delivering integrations at an EHR vendor, health system, healthcare technology company, or implementation consultancy.
• Deep expertise in at least one major EHR ecosystem (such as Epic, athenahealth, Oracle Health, eClinicalWorks, MEDITECH, or similar).
• Practical knowledge of patient-access workflows (scheduling, registration, or referral management).
• Technical fluency in healthcare integrations (reading API documentation, interpreting requests/responses, troubleshooting issues, and experience with FHIR, HL7v2, vendor APIs, or file-based exchange).
• Proven track record of taking third-party integrations through deployment, including application registration, authentication/permissions, environments, workflow validation, and go-live.
• Clear communication and independent judgment.

Even Better...

• Epic certifications in areas such as Bridges, Cadence, Prelude, or Interconnect, or comparable expertise in another EHR ecosystem.
• Experience across multiple EHR vendors or health systems, particularly integrating third-party products into patient-access or contact-center workflows.
• Experience using SQL, scripts, or code to investigate integration issues, or working with teams building AI agents for healthcare.
• Hands-on software development experience, including building or extending integrations with EHRs or other healthcare systems.
• Comfortable contributing directly to integration code, implementing API calls, troubleshooting failures, and writing tests. Experience with TypeScript, Go, or Python is a plus.