Senior Integrations Engineer

About Us
, 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.

• 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 (Med Con-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.

• 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.

• Deep expertise in Node.js, Type Script, 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.

• 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.

• 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%.

• 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.

🔥 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.