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Hippocratic AI builds safety-focused generative AI agents for healthcare, including voice agents, care navigation, and patient engagement tools that work alongside clinicians. The platform integrates deeply with health system technology, primarily Epic, Cerner (Oracle Health), and Athenahealth, enabling agents to schedule, document, and coordinate care like staff members would.
As Director of Integration Engineering, you will lead the team responsible for building and operating technical connections between Hippocratic AI and every EHR and health system environment the company works with. You own the production integration and development shop end-to-end, including architecture, delivery, on-call reliability, and engineering practices that keep partner go-lives on schedule and interfaces running cleanly in production.
You will work closely with Product, Engineering, Partnerships, and partner-side IT and interface teams to scope new integrations, maintain existing ones, and build a team and process that scales as Hippocratic AI adds health system partners. You manage engineers across the US and India and serve as the executive point of accountability for integration delivery and production stability.
Key responsibilities include: owning the production integration shop covering Epic (Interconnect, Bridges, App Orchard/Vendor Services APIs), Cerner (Oracle Health), and athenahealth, plus HL7 v2 interface feeds and flat file exchanges; setting technical direction and delivery standards; leading and growing a distributed engineering team; establishing engineering practices for code review, branching strategy, release cadence, and incident response using GitHub and Jira; maintaining deep technical fluency in Epic, Cerner, and athenahealth integration technologies; directing architecture decisions for HL7 v2 messaging, flat file interfaces, and modern API-based integrations (FHIR/REST); guiding the team's use of integration engines like InterSystems IRIS and Redox; ensuring every production interface has monitoring, alerting, and clear escalation paths; maintaining a current map of every live integration and its dependencies; and tracking platform changes from Epic, Cerner, and athenahealth.
The role is based in Menlo Park and requires five days per week in the office. Given the team's footprint across the US and India, flexibility for early or late meetings to overlap with the India-based team is expected, along with periodic travel to partner health systems and occasional overnight or out-of-state trips to support go-lives and escalations.
REQUIREMENTS:
Must-Have:
- Bachelor's degree in Computer Science, Engineering, Health Informatics, or related field, or equivalent practical experience
- 8+ years in healthcare integration engineering with hands-on experience integrating against Epic (required); Cerner (Oracle Health) and/or athenahealth experience strongly preferred
- 3+ years managing a production integration and/or software development team, including on-call ownership for live interfaces
- Deep, working knowledge of HL7 v2 messaging, flat file interface design, and modern API-based integration patterns (REST, FHIR), along with working knowledge of X12 transactions across EHR ecosystems
- Proven experience running engineering delivery with GitHub (source control, code review, branching strategy) and Jira (sprint planning, issue tracking, release management)
- Experience managing engineers across distributed, multi-time-zone teams, including the US and India
- Track record of taking health system integrations live on schedule and keeping them stable in production, including incident response and root-cause resolution
- Working knowledge of Python-based development and at least one integration engine (InterSystems IRIS), sufficient to review architecture and unblock the team on technical decisions
- Comfort working directly with internal teams as well as partner IT, interface, and clinical informatics teams during scoping, build, and go-live
Nice-to-Have:
- Direct experience with Epic's Show Room, App Orchard/Vendor Services API catalog
- Experience with Cerner Millennium interfaces or athenahealth's API/partner integration program specifically
- Background standing up or scaling an integration engineering function inside a high-growth health tech or digital health company
- Familiarity with scheduling APIs, patient engagement platforms, or voice/AI agent architectures in a clinical setting
- Experience with infrastructure and vendor relationships supporting integrations (e.g., telephony, cloud infrastructure, data exchange platforms)
- Experience with CI/CD, containerization (Docker), or cloud-based deployment pipelines for integration workloads
- Background in AI/ML data pipelines or healthcare analytics
- Advanced degree in a technical or health informatics field
