Integration Engineer
About KnowtexKnowtex 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 OverviewKnowtex 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 ResponsibilitiesDesign, build, and maintain integrations with EMR/EHR platforms across API-based and legacy systemsInternalize and replace third-party integration dependencies where appropriateDevelop scalable, secure, and reliable healthcare data pipelinesBuild data validation, transformation, and normalization layers across heterogeneous healthcare systemsMonitor integration health, troubleshoot production issues, and implement observability best practicesCollaborate with product, clinical, and AI teams to translate workflow requirements into technical integration designsContribute to long-term integration architecture strategy as Knowtex expands across specialties and health systemsRequired Qualifications5+ years of software engineering experience, ideally in healthcareExperience integrating with third-party APIs and external systemsStrong backend development experience with Python, Node.js, or similar technologiesExperience working with AWS servicesSolid understanding of REST APIs, authentication flows, and distributed systemsExperience working with structured healthcare dataPreferred QualificationsExperience integrating with EMR/EHR systemsFamiliarity with healthcare interoperability standards such as FHIR and HL7Experience designing idempotent, fault-tolerant integration workflowsFamiliarity with HIPAA-compliant environmentsTechnical EnvironmentAWSPython and Node.js / TypeScriptReact frontend for internal tools and integration dashboardsEvent-driven and asynchronous processing architecturesCompensation & BenefitsCompetitive salaryMeaningful equity compensationUnlimited PTOPremium health, dental, and vision coverage401(k) planWork model: Hybrid In-person (Monday, Tuesday, Wednesday in office in SF)