Who we are

Zus Health is a platform company on a mission to steward the migration of healthcare from silos and monopolies to more effective, precise care that is based on a complete, real time understanding of patients. As we move from a small number of imprecise drugs and a small number of generic “everything care” health systems to a large number of highly targeted, digital-first care delivery organizations, we must also accommodate a migration to targeted software workflows. Zus has built the picks and shovels for the migration. A national API first MPI and common patient record, the fastest and most complete data network in the nation, and a growing library of data automations and transformations that increase the profitability of provider patient centered care. Founded in 2021 by Jonathan Bush, co-founder and former CEO of athenahealth, Zus partners with healthcare's greatest inventors -- payers and providers of all kinds -- by maximizing the value of true patient insight.

What we're looking for

We’re hiring a Staff Integrations Engineer to operate as a high-impact individual contributor at the intersection of software engineering and solution delivery. This is a deeply hands-on role: you’ll write production-grade code, build and operate data systems, and own the technical strategy and execution of complex customer integrations.

You’ll lead integrations across HIEs, EHRs, claims systems, labs, and other healthcare data sources. This includes turning ambiguous requirements into clear designs, building secure and reliable data pipelines, and ensuring ongoing system performance through monitoring and observability.

You’ll also serve as a senior technical advisor to customers—guiding architecture decisions, troubleshooting issues, and shaping how integrations are implemented. This role is for someone who builds and improves systems, not just configures them.

The ideal candidate is comfortable working across the stack: parsing messy HL7 payloads, building services in Go, scripting in Python, and leading technical conversations with customers.

Key responsibilities:

Lead and Deliver Integrations

• Own end-to-end delivery of customer integrations, including State HIE and ADT feeds—from scoping through production support

• Design and implement data pipelines for ingestion, transformation, and delivery

• Build roster management workflows (ingestion, reconciliation, lifecycle management)

• Architect reliable and scalable data transmission mechanisms (APIs, SFTP, event-driven systems)