Senior Integrations Engineer

Own the stability and scale of strategic enterprise accounts like Beth Israel Lahey Health and Franciscan, building account health dashboards and defining realistic SLAs for incident response under a sub-2-hour target. Identify recurring failure patterns to drive architectural improvements that fix root causes rather than applying surface-level patches. Build systems that integrate natively into clinical workflows by absorbing payer constraints, compliance requirements, and health-system-specific rules so clinicians never see complexity. Ship agentic workflow functionality including AI-assisted extraction and reconciliation with human review and auditability. Write clean, testable, observable code for workflows that clinicians and downstream systems depend on, while operating independently during US Eastern business hours to support real-time coverage.