Software Engineer - Integrations Team
About AvoAvo is a clinical AI platform trusted by clinicians at thousands of hospitals, practices, and clinics across the US. Our AI-powered tools serve as an intelligent co-pilot for clinicians, embedded directly within their clinical workflows to improve decision-making and reduce cognitive burden.Our commercial and founding teams are primarily based in the United States, while our engineering organization spans US and Seoul-based pods. We are a fast-moving, high-impact team where your work directly shapes how clinicians deliver care.The OpportunityWe are looking for a Software Developer to join Avo's integrations team. You will build and maintain the connections between Avo and the EHR systems used by our hospital and clinic partners. You will also get meaningful exposure to product development across Avo's broader platform, working alongside a team that spans clinical AI, decision support tooling, and EHR-embedded workflows.Prior EHR integration experience is not required. We care far more about strong engineering fundamentals, curiosity about the healthcare space, and a willingness to learn a specialized domain.What We Look For At AvoPassion and drive to improve the lives of clinicians with the latest technologyHustle and the desire to wear many hats in a fast-paced, cross-functional environmentStartup "get it done" attitude with independent drive and out-of-the-box thinkingResponsibilitiesEHR Integration DevelopmentBuild and maintain integrations with Epic, Cerner, and other major EHR platforms using FHIR, HL7, and vendor-specific APIs — we will ramp you up on the specificsOwn integration work end-to-end: scoping, development, testing, deployment, and ongoing maintenanceTroubleshoot and resolve integration issues in production clinical environments where reliability is mission-criticalWork with hospital IT teams and EHR vendors to support new integration rollouts and navigate certification requirementsPlatform DevelopmentContribute to product features across Avo's broader platform, including clinical AI tooling, decision support, and EHR-embedded workflows, as team needs evolveCollaborate with product, design, and clinical stakeholders to translate healthcare workflow requirements into clean, reliable codeParticipate in code reviews, providing and receiving constructive feedbackQuality & ComplianceWrite unit and integration tests with a focus on reliability in high-stakes clinical environmentsProactively identify and resolve bugs, performance issues, and edge cases in integration data flowsUphold our security and compliance standards — HIPAA, SOC2, and EHR vendor certification requirements (we will get you up to speed)Collaboration & CommunicationContribute to technical discussions, RFC processes, and sprint planningCommunicate clearly and asynchronously with teammates, implementation partners, and EHR vendor contacts across time zonesHelp document integration patterns and onboard other engineers to EHR tooling as the team growsThe StackFront-end: React, TypeScript, Vite, Tailwind, JotaiBack-end: Python, Django, Celery, PostgreSQL, RedisIntegrations: FHIR R4, HL7 v2, Epic App Orchard, Cerner SMART on FHIRInfrastructure: AWS (ECS/ECR), GitHub Actions, TerraformAI: OpenAI/Azure LLMs, RAG pipelinesRequirementsMust-Haves3+ years of professional software development experienceProficiency in JavaScript/TypeScript (React) or Python (Django)Solid understanding of REST APIs, data modeling, and systems that handle sensitive, high-reliability dataStrong written communication skills — we are a written-first cultureUS work authorization required; visa sponsorship is not available for this roleStrongly PreferredExperience in a high-growth startup or B2B SaaS environmentFamiliarity with HIPAA compliance requirements in a software contextFamiliarity with both our front-end (React/TypeScript) and back-end (Python/Django) stacksComfort with AI-assisted development workflowsNice-to-HavesPrior experience with EHR integrations (Epic, Cerner, or equivalent) using FHIR, HL7, or vendor-specific APIsExperience with Epic App Orchard certification or Cerner SMART on FHIR workflowsClinical background or experience working closely with clinical teamsExperience with AWS, Docker, or TerraformExperience scaling AI/LLM features in productionWhy Join AvoYour integrations run inside hospitals — the work is real and the mission is meaningfulThis is not a maintenance role — you will shape how Avo connects with the EHR ecosystem at scaleWe move fast, trust our engineers, and avoid bureaucracyWork alongside a talented, low-ego team that cares deeply about craftWork from anywhere in the US with flexible hoursHow We Take Care Of Our TeamFlexible and generous PTOMedical, Dental, and Vision coverage for you and your family401K matchingPersonal device allowanceCompetitive compensation and equity grants