Head of Integration Engineering at Sully.ai (S21)
$210K - $260K
AutonomousOS for healthcare organizations
Mountain View, CA, US / Remote (Mountain View, CA, US; San Jose, CA, US; San Francisco, CA, US; Berkeley, CA, US; Stanford, CA, US; Pleasanton, CA, US; Livermore, CA, US; Santa Rosa, CA, US; Fremont, CA, US; San Mateo, CA, US; CA, US)
Full-time
US citizen/visa only
6+ years
About Sully.ai

Our mission is "One Human, One Doctor". We are creating superhuman doctors, because access to doctors is a basic human right.

Start with making doctors superhuman. Our vision is to eliminate doctor distractions and help them navigate the best treatments for their patients.

About the role

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:

Own the strategy, design, and execution of all platform integrations that connect Sully.ai’s AI medical employees with major EHRs, partner APIs, and healthcare data standards. Build and scale a high-performing team, work closely with Product, Clinical, Security, and Customer Success, and ensure integrations are robust, secure, HIPAA compliant, and loved by customers.

What You Must Bring:

  • 6+ years of software engineering, including 3+ years managing and scaling teams in high-growth early stage startups.
  • Deep integrations experience across industries with the ability to quickly master healthcare data standards and EHRs.
  • Strong system design skills: microservices, REST or gRPC, message buses like Kafka or RabbitMQ, and SQL or NoSQL design.
  • Hands-on coding in Python, Node.js, or TypeScript. Familiarity with React and TypeScript integration patterns is a plus.
  • CI/CD and cloud expertise: GitHub Actions or Jenkins, Docker and Kubernetes, AWS or GCP or Azure.
  • Security and compliance knowledge: HIPAA and SOC 2, security reviews, threat modeling.
  • Excellent communication with technical and non-technical stakeholders.
  • Experience at a Series A or B AI or healthcare startup.
  • Working knowledge of ML, AI, and LLMs.

First-Month Focus

  • Audit current integrations, reliability, and security posture. Define and publish SLAs and on-call runbooks.
  • Finalize a 12-month integration roadmap and target list across EHRs and partner APIs.
  • Ship an SDK and sample app MVP for partner onboarding. Kick off hiring for two key roles.

90 Day OKRs

  • Deliver one net-new EHR connector to production or pilot, and set a repeatable template to hit Q4 target of 5 integrations.
  • Establish gold-standard CI/CD and observability: p95 deploy time under 15 minutes, error budget policy in place, on-call rotation running.
  • Reduce integration incident rate and MTTR by 30 percent through automated monitoring, alerting, and self-healing.
  • Define and drive a unified integrations strategy across FHIR, HL7, DICOM, and custom partner APIs.
  • Lead design and hands-on development of core connectors for Epic, Cerner, Athenahealth, Meditech, and others.
  • Recruit, mentor, and grow an integrations and reliability engineering team. Partner cross-functionally to prioritize the roadmap and meet HIPAA and SOC 2 requirements.

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

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