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Solutions Architect Applied Ai

💼 Full-time🗓 2026-07-31

Core

Design and implement technical integrations between AI agents and legacy health systems to enable clinical workflows and patient data exchange.

Role type

Senior Solutions Architect (Healthcare IT & AI Integration)

Builds

Bidirectional EHR integrations, FHIR/HL7 APIs, and data pipelines for clinical AI agents

Domain

Healthcare IT, AI Infrastructure, Interoperability Standards

Deliverable

production ML models | product features

Required skills

EHR integration (Epic, athenahealth), FHIR, HL7v2, Python, OAuth/SMART on FHIR, HIPAA compliance, distributed system debugging

Preferred skills

Healthcare data platforms (Databricks, Snowflake), real-time streaming, CDS Hooks, integration observability

Technologies

Python, FHIR, HL7, Epic, athenahealth, Oracle Health, Canvas, Healthie, OAuth, SMART on FHIR, SAML

Responsibilities

Design and implement EHR integrations for bidirectional data exchange; Build FHIR-based APIs and HL7 interfaces; Navigate health system IT environments for authentication and data access; Build reliable data fetching pipelines for patient context; Design integration architectures handling PHI securely; Collaborate with health system IT teams to scope and validate integrations

Seniority

Senior, hands-on IC

Rewrite
## About Amigo Amigo partners with healthcare organizations to deploy robust AI infrastructure that directly serves patients and providers. Our agents handle clinical workflows and patient engagement across the entire journey: pre-visit intake, care navigation, post-visit care plans, patient monitoring, and more. We're fresh off our Series A backed by Tier 1 investors like Madrona, General Catalyst, and Optum Ventures. Our work is validated with leading academic medical institutions. Our agents have reached 3M+ patient encounters and are on track to 10x this year. ## About this role As a Solution Architect at Amigo, you'll own the technical integration layer between our AI agents and legacy health systems. You'll design and implement connections to EHRs like Epic, athenahealth, Oracle Health, Canvas, and Healthie, enabling agents to read patient data, write clinical notes, and execute actions within existing workflows. This role bridges deep healthcare IT expertise with production engineering. You'll work directly with health system IT teams to navigate authentication, data formats, and compliance requirements while building integrations that our agents depend on for clinical operations. ## What you'll do - Design and implement EHR integrations (Epic, athenahealth, Oracle Health, Canvas, Healthie) for bidirectional data exchange - Build FHIR-based APIs and HL7 interfaces that enable agents to access patient records and write clinical documentation - Navigate health system IT environments: authentication (OAuth, SMART on FHIR), network configurations, and data access policies - Build reliable data fetching pipelines that agents use to retrieve patient context during clinical workflows - Design integration architectures that handle PHI securely and maintain audit trails - Work directly with health system IT teams to scope, implement, and validate integrations - Build monitoring and alerting for integration health, data freshness, and error rates - Document integration patterns and create repeatable playbooks for new EHR deployments - Collaborate with agent engineers to ensure integrations support clinical workflow requirements - Contribute to compliance documentation for HIPAA, SOC 2, and HITRUST certifications ## What we're looking for - 7+ years of experience with healthcare IT systems and EHR integrations in production environments - Deep knowledge of FHIR, HL7v2, and healthcare interoperability standards gained through hands-on implementation - Experience with Epic, athenahealth, or similar EHR platforms from an integration perspective—ideally at a company where EHR integration was core to the product's value proposition - Strong Python skills including proper use of typing, and experience building highly reliable systems that interact with external APIs (schema design, retry strategies, error propagation) - Understanding of healthcare authentication patterns (OAuth 2.0, SMART on FHIR, SAML) - Experience working directly with health system IT teams on technical implementations - Knowledge of HIPAA compliance requirements and PHI handling - Both execution-oriented and defensive-minded: you ship integrations while anticipating failure modes - Strong debugging skills for distributed systems spanning multiple organizations - Clear communication across engineering, clinical, and customer IT stakeholders ## Nice to have - Experience with healthcare data platforms (Databricks, Snowflake) for analytics integrations - Background with real-time streaming systems for clinical event processing - Knowledge of CDS Hooks or clinical decision support integration patterns - Experience with healthcare APIs beyond EHRs (labs, pharmacy, imaging) - Familiarity with healthcare compliance certifications (HITRUST, SOC 2 for healthcare) - Experience building integration monitoring and observability systems ## Benefits (available to Full-Time Employees) ### Health & Wellness - Comprehensive health, dental, and vision insurance - Daily catered lunch and dinner - Mental health support and wellness coaching - Flexible wellness stipend for fitness, therapy, or personal growth ### Growth & Development - Annual learning budget for courses, books, or conferences - Conference attendance budget for professional development - Annual team offsite - Academic collaboration opportunities - Unlimited PTO ## Our Core Values ### Patients Win, We Win If patients aren't getting better care, we haven't earned the right to scale. Every internal decision gets pressure-tested: does this make patients' lives better? If we can't draw the line, we question why we're doing it. ### High Standards, High Care We hold a high bar for the team because patients are counting on us to get this right. But high standards only work with genuine investment in each other. You can take risks, admit mistakes, and challenge ideas—not despite our standards, but because of them. ### Thoughtful Urgency We move fast by default, but speed without judgment is recklessness. The discipline is knowing which decisions are reversible vs. not. In healthcare AI, the companies that win will be fast everywhere they can be and careful everywhere they must be. We build the muscle to do both. ### Intensely Measured We instrument patient outcomes, provider ROI, system performance, and clinical accuracy. But data without action is surveillance. Every metric should have an owner, a threshold, and a response plan. If we're measuring something but never acting on it, we stop measuring it. ## Who Builds With Us - Low ego: Politics and territory don't interest you. The best ideas win, regardless of who has them. - Direct: You say the hard thing, challenge ideas openly, and commit fully once decided. - High agency: You thrive on trust rather than instruction. When you see something is broken, you fix it. You don't file tickets and wait for someone else. - Bar of excellence: You hold yourself to a bar most people wouldn't, and you want teammates who do the same. - Skeptical: You push back on rules that don't make sense and question assumptions that haven't earned their place.
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