Senior Integrations Engineer

About Us

At Sully.ai, We’re Building the Most Impactful Healthcare Company on Earth

We believe that access to a great doctor is a basic human right. Today, that’s not a reality. Delays, misdiagnoses, administrative chaos, and burnout plague the system.

Our Mission

• One Human, One Doctor. We build AI teammates that augment clinicians — scribes, nurses, receptionists, translators — all powered by our own world-class models and deployed in real-world care.
• Our Traction

• 450+ organizations signed 16 months
• AI agents cut admin by ~2.8 hours daily and reduce onboarding 85%.
• 5M+ Clinical Tasks completed to date, serving 36+ specialties.
• Raised $25M from YC, Eric Yuan, Amity, Semper Virens
• Patented AI architecture (MedCon-1) outperforms GPT-4.5, Gemini, Claude on clinical reasoning tasks

Sully requires A-players capable of 4 months = 1 year output.

What You'll Do

• Partner closely with co-founders to set integration strategy and make build vs. buy decisions.
• Work directly with customers to gather requirements, define workflows, and deliver production-ready solutions.
• Collaborate with AI/ML engineers to bridge integrations with applied GenAI systems, ensuring real-world deployment of intelligent automation.

What you Must Bring

• Deep expertise in Node.js, TypeScript, and Python.
• Proven experience integrating with multiple EHR systems across SMB and enterprise environments.
• Hands-on work with FHIR, HL7, REST APIs, SOAP APIs, and hybrid/on-prem systems.
• Experience building with RPA frameworks (Selenium or similar).
• Background in customer-facing engineering roles, gathering requirements and translating them into technical deliverables.

First-Month Focus

• Audit current integrations, reliability, and security posture.
• Finalize a 12-month integration roadmap and target list across EHRs and partner APIs.
• Ship an SDK and sample app MVP for partner onboarding.

Success OKRs (90 Days)

• Migrate 3 legacy integrations to the EHR Proxy.
• Reach 100% automated test coverage for all integrations behind the EHR proxies.
• Ensure reusability across all integration projects to deduce engineering rework by 50%.

• If you’ve ever said, “I want to do work that actually matters”, this is it. Let’s build something life-changing, together.
• Who Thrives Here

• Entrepreneurial to your core: You think in outcomes, thrive in chaos, and take ownership without limits
• Mission-obsessed: You’re here to save lives, not just ship features — patients and doctors are your why.
• Impact-driven & fast-moving: You sprint toward hard problems and ship with sharp judgment.
• Elite teammate: You raise the bar through high standards, direct feedback, and craft excellence.

• Why Join Sully.ai? 🔥 Revolutionizing the antiquated $800B+ Healthcare market
• 🧠 50%+ of us are ex-founders. We hire A-players, not passengers
• ⚡️ Speed matters - we operate with urgency, autonomy, and ownership
• 🧪 You’ll work on real, first-of-their-kind problems at the edge of AI and medicine
• ❤️ Your work helps doctors reclaim their time - and patients get better, faster care