Senior Software Engineer, Integrations

At UpDoc, we are building the first clinically validated, physician-supervised AI agent that manages chronic diseases. We are an early-stage startup founded by Stanford physicians.

We are seeking a talented and motivated frontend engineer to join our team and play a key role in helping build our patient mobile app and physician facing front ends.

This is a fully remote position.

You are an experienced software engineer who enjoys solving complex integration problems at the boundaries between systems. You are comfortable taking an integration from initial technical discovery through architecture, implementation, testing, deployment, and ongoing production support.

You have a strong backend engineering foundation, are highly proficient in modern Python, and understand how to build reliable APIs and services. You know that successful integrations require more than connecting two endpoints—you think carefully about authentication, data mapping, retries, idempotency, failure modes, monitoring, security, and data integrity.

• Design, build, and maintain critical integrations between UpDoc and health systems, EHRs, healthcare technology platforms, and other external systems and services.

• Own integration projects end to end, from technical discovery and architecture through development, testing, deployment, monitoring, troubleshooting, and ongoing maintenance.

• Partner directly with health system IT and technical teams, EHR vendors, implementation partners, and other external technology providers to understand requirements and successfully deploy integrations.

• Design and implement reliable internal and external APIs and backend services using modern, type-hinted Python, FastAPI, and Pydantic.

• Work with healthcare interoperability standards and technologies such as FHIR, HL7, SMART on FHIR, and vendor-specific APIs as integration requirements evolve.

• Design secure and reliable data flows between UpDoc and external systems, with particular attention to data integrity, privacy, authentication, authorization, and clinical reliability.

• Translate data and workflows between systems with different schemas, APIs, capabilities, and technical constraints.

• Build integrations that gracefully handle real-world failure scenarios, including network interruptions, duplicate events, retries, timeouts, rate limits, incomplete or inconsistent source data, and downstream system failures.

• Diagnose complex production integration issues using API payloads, healthcare data resources, application logs, network requests, system traces, and other debugging tools.

• Establish monitoring, observability, alerting, and operational practices that make integration failures easy to identify, diagnose, and resolve.

• Develop comprehensive automated tests for integrations, including unit, integration, contract, and end-to-end testing.

• Build reusable integration components, tooling, documentation, and architectural patterns that make future health system deployments faster and more reliable.

• Collaborate closely with Engineering, Product, Clinical, Security, and other internal teams to ensure integrations support UpDoc's product and clinical workflows.

• Participate in architecture discussions, code reviews, technical planning, deployment, and production troubleshooting.

• Document integration architecture, data flows, technical decisions, operational procedures, and external dependencies.

• Contribute to UpDoc's HIPAA, SOC 2, privacy, security, and healthcare compliance requirements as they relate to integrations and healthcare data.

• 5+ years of professional software engineering experience, with significant experience in backend development, systems integration, or API engineering.

• Strong professional experience with modern, type-hinted Python.

• Demonstrated experience designing, building, and supporting production integrations with third-party systems and APIs.

• Experience developing production APIs and backend services using FastAPI, Pydantic, or comparable technologies.

• Strong understanding of REST APIs, HTTP, authentication and authorization, webhooks, networking, databases, and distributed systems.

• Experience working with external APIs where you do not control the upstream or downstream system and must account for their technical constraints and failure modes.

• Experience designing reliable data flows and handling challenges such as retries, idempotency, asynchronous processing, data mapping, rate limits, and partial failures.

• Strong production debugging and troubleshooting skills, including the ability to investigate problems across multiple systems.

• Experience designing automated tests for APIs and integrations.

• Experience with cloud infrastructure, preferably Azure, and containerized applications.

• Familiarity with CI/CD, observability, monitoring, and modern DevOps practices.

• Strong written and verbal communication skills and the ability to work effectively with both internal and external technical stakeholders.

• Ability to independently own technically complex projects from discovery through production.

• Comfort operating in a fast-moving, early-stage startup environment where integration patterns and processes are still being established.

• An interest in improving healthcare through safe, reliable, and thoughtfully designed technology.

• Experience building integrations with health systems, provider organizations, or healthcare technology companies.

• Experience integrating with Epic or other major EHR platforms.

• Hands-on experience with FHIR, HL7 v2, SMART on FHIR, or other healthcare interoperability standards.

• Experience working directly with health system IT, interoperability, interface, or implementation teams.

• Experience integrating clinical data, patient data, scheduling, messaging, orders, results, or other healthcare workflows.

• Experience designing secure systems that handle protected health information (PHI).

• Familiarity with HIPAA, SOC 2, and security requirements for healthcare software.

• Experience with event-driven architectures, message queues, webhooks, or asynchronous integration patterns.

• Experience with integration monitoring, contract testing, or tools for managing complex API dependencies.

• Experience building integrations in regulated or safety-critical environments where data accuracy and system reliability are particularly important.

• Experience in an early-stage startup where you have helped establish integration architecture, tooling, or engineering practices from the ground up.