Healthcare Integrations Architect

About us

Sierra is the leading platform for customer-facing AI agents, working with many of the world's biggest brands — including The GAP, Rocket Mortgage, SoFi, Sutter Health, and SoftBank — to transform how they serve customers and grow their businesses. We are primarily an in-person company based in San Francisco, with growing offices across North America, Europe, and Asia.

Our co-founders are Bret Taylor and Clay Bavor. Bret currently serves as Board Chair of OpenAI. Previously, he was co-CEO of Salesforce (which had acquired the company he founded, Quip) and CTO of Facebook. Bret was also one of Google's earliest product managers and co-creator of Google Maps. Before founding Sierra, Clay spent 18 years at Google, where he most recently led Google Labs. Earlier, he started and led Google’s AR/VR effort, Project Starline, and Google Lens. Before that, Clay led the product and design teams for Google Workspace.

About the Healthcare team

• Our healthcare agents already reach over 50% of U.S. families. We partner with leading health plans, providers, and healthcare platforms to deliver AI agents that handle some of the most sensitive and high stakes conversations in any industry. From helping members understand their benefits to resolving billing questions with empathy, our healthcare agents are transforming how patients and policyholders interact with the healthcare system.
• Our healthcare customers include major health insurance networks, nonprofit providers, multi-site primary and urgent care practices, healthcare diagnostics companies, and healthcare financial platforms.
• Join us to transform the patient experience across the healthcare system—and help build technology that makes care more accessible, more human and more affordable for everyone.

What you'll do

• Design integrations grounded in real healthcare workflows. Translate customer requirements into clear recommendations on interfaces, data flows, and EHR configuration. Identify assumptions, tradeoffs, and limitations so engineering teams have an actionable implementation plan.
• Resolve customer-specific EHR complexity. Understand how each organization configures and operates its EHR, including scheduling rules, patient identity, permissions, and workflow dependencies. Work with customer analysts, vendor teams, and Sierra engineers to investigate unexpected behavior and resolve integration blockers.
• Guide integration readiness through go-live. Define customer setup requirements, dependencies, and validation criteria. Guide EHR and IT teams through application registration, access provisioning, environment setup, and workflow testing, partnering with engineers to verify that integrations behave as intended.
• Bring EHR expertise to customer discovery. Partner with Sales, Sales Engineering, and Agent Development to assess feasibility, explain integration requirements, and scope achievable projects. Make clear what Sierra supports today and what requires additional configuration or development.
• Shape Sierra’s healthcare integration roadmap. Evaluate vendor capabilities, integration programs, and emerging customer needs. Recommend where to invest, distinguishing reusable platform capabilities from customer-specific configuration and implementation work.
• Make each implementation easier than the last. Turn deployment experience into reference designs, implementation guides, and internal training. Help teams apply proven approaches and recognize when a customer’s requirements call for a different design.

What you'll bring

• 5+ years of experience in healthcare interoperability or EHR implementation, with direct responsibility for designing or delivering integrations at an EHR vendor, health system, healthcare technology company, or implementation consultancy.
• Deep expertise in at least one major EHR ecosystem, such as Epic, athenahealth, Oracle Health, eClinicalWorks, MEDITECH, or similar systems. You understand its integration options, configuration model, and implementation processes, and can investigate unfamiliar capabilities independently.
• Practical knowledge of patient-access workflows, such as scheduling, registration, or referral management. You can explain how operational rules and customer configuration affect what an integration can do.
• Technical fluency in healthcare integrations. You can read API documentation, interpret requests and responses, and troubleshoot data and configuration issues. You have hands-on experience with relevant approaches such as FHIR, HL7v2, vendor APIs, or file-based exchange, and can explain when to use them.
• A track record of taking third-party integrations through deployment. You have worked through application registration, authentication and permissions, test and production environments, workflow validation, and go-live dependencies.
• Clear communication and independent judgment. You can lead discovery with EHR analysts and operational teams, turn incomplete information into an implementation plan, and explain recommendations to software engineers and business stakeholders. You know when to validate an assumption before committing to an approach.

• Epic certifications in areas such as Bridges, Cadence, Prelude, or Interconnect, or comparable expertise in another EHR ecosystem.
• Experience across multiple EHR vendors or health systems, particularly integrating third-party products into patient-access or contact-center workflows.
• Experience using SQL, scripts, or code to investigate integration issues, or working with teams building AI agents for healthcare.
• Hands-on software development experience, including building or extending integrations with EHRs or other healthcare systems.
• Comfortable contributing directly to integration code, including implementing API calls, troubleshooting failures, and writing tests. Experience with TypeScript, Go, or Python is a plus.

What we offer

We want our benefits to reflect our values and offer the following to full-time employees:

These benefits are further detailed in Sierra's policies, may vary by region, and are subject to change at any time, consistent with the terms of any applicable compensation or benefits plans. Eligible full-time employees can participate in Sierra's equity plans subject to the terms of the applicable plans and policies.

Be you, with us

We encourage you to apply even if your experience doesn't precisely match the job description. We strive to evaluate all applicants consistently without regard to race, color, religion, gender, national origin, age, disability, veteran status, pregnancy, gender expression or identity, sexual orientation, citizenship, or any other legally protected class.