Integration Engineer

Knowtex
San Francisco, CA
Hybrid

Who this role is best for

Geared toward healthcare software engineers comfortable with building EMR/EHR integrations, this role is ideal for someone with backend experience in Python or Node.js and a preference for hybrid work in San Francisco.

Best fit for

  • Candidates with healthcare domain experience and a track record in EMR/EHR integrations
    — “Experience integrating with EMR/EHR systems”
  • Individuals who have worked with structured healthcare data and built data pipelines
    — “Develop scalable, secure, and reliable healthcare data pipelines”
  • Professionals familiar with REST APIs and distributed systems, with AWS expertise
    — “Strong backend development experience with Python, Node.js, or similar technologies”

Things to consider

  • The role requires in-office presence three days per week in San Francisco
    — “Hybrid In-person (Monday, Tuesday, Wednesday in office in SF)”
  • Candidates should be prepared to work directly in production healthcare environments
    — “Direct visibility into production healthcare environments”

How to stand out

  • Highlight your experience with both API-based and legacy system integrations
    — “Designing, implementing, and maintaining integrations with EMR/EHR platforms across API-based and legacy systems”
  • Emphasize your background in creating idempotent and fault-tolerant workflows
    — “Experience designing idempotent, fault-tolerant integration workflows”
  • Demonstrate your ability to validate and normalize data across diverse healthcare systems
    — “Build data validation, transformation, and normalization layers across heterogeneous healthcare systems”
Pace · Fast PacedCollaboration · HighAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • design, build, and maintain integrations with EMR/EHR platforms
  • reduce reliance on external vendors
  • build scalable, secure, and reliable healthcare data pipelines
Typical background
5+ years of software engineering experienceexperience integrating with third-party APIs

Skills & requirements

Required

Software EngineeringIntegration With Emr/ehr PlatformsApi-based SystemsAWS ServicesREST ApisDistributed Systems

Preferred

Emr/ehr SystemsHealthcare Interoperability StandardsHipaa-compliant Environments

Stack & domain

Software EngineeringIntegrating With Third-party ApisBackend DevelopmentAWS ServicesREST ApisAuthentication FlowsDistributed SystemsHealthcare DataEmr/ehr SystemsHipaa-compliant EnvironmentsFHIRHL7Idempotent WorkflowsFault-tolerant IntegrationCollaborationProblem-solvingCommunicationHealthcareAIVoice AI

About the role

Original posting from Knowtex via Ashby

ABOUT KNOWTEX

Knowtex is building the future of voice AI operating systems for clinicians, transforming how healthcare documentation happens at the point of care. Founded by Stanford AI scientists with deep clinical experience, we are experiencing rapid growth across both commercial health systems and federal healthcare, with our ambient documentation platform scaling to thousands of clinicians across hundreds of specialties.

We are at an inflection point where advances in AI can fundamentally change how clinicians interact with technology, giving them more time to focus on what matters most: their patients.

POSITION OVERVIEW

Knowtex is seeking an Integration Engineer to own and scale our healthcare system integrations.

This role will focus on internalizing critical EMR integrations, reducing reliance on external vendors, and building scalable, secure, and reliable system-to-system interoperability across commercial and federal customers.

You will be responsible for designing, implementing, and maintaining integrations with EMR/EHR platforms, working across modern API-based systems as well as legacy workflows.

This is a high-impact role with direct visibility into production healthcare environments and strategic importance as integrations become a core competency at Knowtex.

KEY RESPONSIBILITIES

  • Design, build, and maintain integrations with EMR/EHR platforms across API-based and legacy systems
  • Internalize and replace third-party integration dependencies where appropriate
  • Develop scalable, secure, and reliable healthcare data pipelines
  • Build data validation, transformation, and normalization layers across heterogeneous healthcare systems
  • Monitor integration health, troubleshoot production issues, and implement observability best practices
  • Collaborate with product, clinical, and AI teams to translate workflow requirements into technical integration designs
  • Contribute to long-term integration architecture strategy as Knowtex expands across specialties and health systems

REQUIRED QUALIFICATIONS

  • 5+ years of software engineering experience, ideally in healthcare
  • Experience integrating with third-party APIs and external systems
  • Strong backend development experience with Python, Node.js, or similar technologies
  • Experience working with AWS services
  • Solid understanding of REST APIs, authentication flows, and distributed systems
  • Experience working with structured healthcare data

PREFERRED QUALIFICATIONS

  • Experience integrating with EMR/EHR systems
  • Familiarity with healthcare interoperability standards such as FHIR and HL7
  • Experience designing idempotent, fault-tolerant integration workflows
  • Familiarity with HIPAA-compliant environments

TECHNICAL ENVIRONMENT

  • AWS
  • Python and Node.js / TypeScript
  • React frontend for internal tools and integration dashboards
  • Event-driven and asynchronous processing architectures

COMPENSATION & BENEFITS

  • Competitive salary
  • Meaningful equity compensation
  • Unlimited PTO
  • Premium health, dental, and vision coverage
  • 401(k) plan
  • Work model: Hybrid In-person (Monday, Tuesday, Wednesday in office in SF)

Source: Knowtex careers (Ashby)

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