[Hiring] Software Engineer - Integrations Team @Avo

Role Description

We 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.

Responsibilities

• EHR Integration Development
  • Build and maintain integrations with Epic, Cerner, and other major EHR platforms using FHIR, HL7, and vendor-specific APIs.
  • Own integration work end-to-end: scoping, development, testing, deployment, and ongoing maintenance.
  • Troubleshoot and resolve integration issues in production clinical environments where reliability is mission-critical.
  • Work with hospital IT teams and EHR vendors to support new integration rollouts and navigate certification requirements.
• Platform Development
  • Contribute to product features across Avo's broader platform, including clinical AI tooling, decision support, and EHR-embedded workflows.
  • Collaborate with product, design, and clinical stakeholders to translate healthcare workflow requirements into clean, reliable code.
  • Participate in code reviews, providing and receiving constructive feedback.
• Quality & Compliance
  • Write unit and integration tests with a focus on reliability in high-stakes clinical environments.
  • Proactively identify and resolve bugs, performance issues, and edge cases in integration data flows.
  • Uphold our security and compliance standards — HIPAA, SOC2, and EHR vendor certification requirements.
• Collaboration & Communication
  • Contribute to technical discussions, RFC processes, and sprint planning.
  • Communicate clearly and asynchronously with teammates, implementation partners, and EHR vendor contacts across time zones.
  • Help document integration patterns and onboard other engineers to EHR tooling as the team grows.

Qualifications

• 3+ years of professional software development experience.
• Proficiency in JavaScript/TypeScript (React) or Python (Django).
• Solid understanding of REST APIs, data modeling, and systems that handle sensitive, high-reliability data.
• Strong written communication skills — we are a written-first culture.
• US work authorization required; visa sponsorship is not available for this role.

Requirements

• Strongly Preferred
  • Experience in a high-growth startup or B2B SaaS environment.
  • Familiarity with HIPAA compliance requirements in a software context.
  • Familiarity with both our front-end (React/TypeScript) and back-end (Python/Django) stacks.
  • Comfort with AI-assisted development workflows.
• Nice-to-Haves
  • Prior experience with EHR integrations (Epic, Cerner, or equivalent) using FHIR, HL7, or vendor-specific APIs.
  • Experience with Epic App Orchard certification or Cerner SMART on FHIR workflows.
  • Clinical background or experience working closely with clinical teams.
  • Experience with AWS, Docker, or Terraform.
  • Experience scaling AI/LLM features in production.

Benefits

• Flexible and generous PTO.
• Medical, Dental, and Vision coverage for you and your family.
• 401K matching.
• Personal device allowance.
• Competitive compensation and equity grants.