About Harbor Health Harbor Health is on a mission to disrupt the outdated US healthcare system. Leveraging a revolutionary payvidor model, we are creating an entirely new approach to care—one that delivers improved quality, reduced cost, greater access, and an exceptional experience. Our vision is supported by intelligent, anticipatory clinical systems and aligned benefits that place the member at the center. If you're inspired by the opportunity to rebuild healthcare from the ground up with cutting-edge technology and a member-focused mindset, we want to hear from you! The Role Harbor Health is seeking an Integration Engineer to design and deliver healthcare integration solutions that directly impact patient access and clinical operations. This is a hands-on engineering role focused on connecting patient intake workflows, contact center platforms, AI-enabled services, and electronic health record systems into cohesive, scalable solutions. You will operate in a dynamic, problem-solving environment where requirements evolve, integrations span multiple systems, and your engineering decisions have a direct effect on how patients experience care. This role blends deep technical ownership with close cross-functional collaboration — working alongside product, clinical, and operational teams to modernize healthcare workflows while maintaining the highest standards of reliability, security, and compliance. Key Responsibilities - Design and build integrations connecting patient intake, referral workflows, and clinical platforms with AthenaHealth via RESTful and FHIR-based APIs - Ensure data integrity, HIPAA compliance, and auditability across all EHR integration touchpoints - Build and maintain production-grade integrations between Twilio Flex and core systems (EHR, CRM, AI services) - Develop custom Twilio Flex plugins and serverless functions for patient-facing call and messaging workflows - Optimize call routing, inbound/outbound flows, and real-time data exchange in collaboration with clinical operations - Integrate AI-driven voice agents, automation tools, and emerging healthcare services into the core platform stack - Design event-driven and real-time data pipelines to keep patient and operational data synchronized across systems - Build and maintain analytics integrations and reporting pipelines to surface operational insights for clinical and administrative teams - Triage and resolve integration issues, manage platform configurations, and support IT escalations across healthcare technology tools - Leverage AI-augmented engineering practices to accelerate CI/CD pipelines, QA automation, and UAT workflows - Independently own technical workstreams and drive integration solutions forward with minimal direction - Partner with security, compliance, and cross-functional teams to meet healthcare regulatory requirements - Champion integration quality, documentation, and engineering best practices Required Skills & Experience - 3+ years of engineering experience with a strong focus on system integrations - Proven experience designing and working with APIs and disparate systems in production environments - Demonstrated ownership of end-to-end vendor integrations using APIs, webhooks, and streaming architectures in production environments. - 2+ years of experience working with scripting and programming in languages like Python, Typescript or similar. - Working knowledge of cloud platforms such as AWS or similar - Ability to independently own technical workstreams and drive solutions forward in ambiguous environments - Strong communication skills and comfort collaborating with cross-functional, remote teams Nice to Have - Experience with CRM platforms such as Salesforce Health Cloud or similar - Experience building and supporting integrations with communication platforms across channels like voice & messaging. - Familiarity with voice AI platforms and clinical workflow automation tools - Hands-on experience with AthenaHealth APIs and EHR integration patterns (HL7 v2, FHIR R4, ADT) - Background working in community health, primary care, or value-based care settings - Comfort balancing speed, pragmatism, and long-term maintainability in fast-moving environments - Exposure to patient intake systems, referral workflows, or care coordination platforms - Solid understanding of HIPAA, healthcare data privacy, and security compliance expectations Technologies You'll Work With - EHR: AthenaHealth (REST / FHIR R4 / HL7 v2 / SMART on FHIR) - Contact Center: Twilio Flex, Twilio Serverless, Zoom Phones - AI Services: Voice agents, LLM APIs, clinical automation tools - Languages: JavaScript / TypeScript, Python (or equivalent) - Cloud: AWS, CI/CD pipelines, containerized deployments Why Harbor Health - Transformational Impact: Be at the forefront of reimagining healthcare operations and payment models. - Collaborative Culture: Join a team that values innovation, integrity, and collective success. - Competitive Compensation & Benefits: We reward top talent with robust pay, benefits, and growth opportunities. - Remote Flexibility: Work from anywhere while staying closely connected to a mission-driven team. - Inclusive Environment: We celebrate diverse perspectives and are committed to creating an equitable workplace. Harbor Health is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive environment for all clinicians and teammates and actively encourage applications from people of all backgrounds.