Engineering Lead - Integrations Platform

The Role

We are seeking a passionate and experienced Engineering Lead to join our growing team and play a pivotal role in building our Integrations Platform. You will own the systems that connect our platform with external partners, data sources, and internal services - enabling seamless, secure, and scalable data exchange.

You will lead the design and development of integration architecture, including robust APIs, data pipelines, and partner integrations, while helping guide technical direction in collaboration with senior engineers and cross-functional stakeholders.

This is a backend-leaning, highly hands-on technical leadership role. Today, you'll spend the vast majority of your time building — deep in the code, shaping architecture decisions, and unblocking execution.

As the team grows, this role is expected to evolve into a player-coach position, with your first direct report joining in the near term. We're looking for someone who wants to keep their hands on the keyboard now while building the muscle to lead.

What You'll Do

• Integrations & Platform Ownership:
  Lead the design and development of our integrations platform, including APIs, data pipelines, and third-party system integrations (e.g., EHRs, partner systems, internal services).
• Technical Leadership:
  Drive the architecture and implementation of scalable, secure, and reliable integration systems. Establish best practices for API design, data modeling, and system interoperability.
• Cross-Functional Collaboration:
  Partner closely with product, design, operations, and external stakeholders to translate integration requirements into technical solutions. Collaborate across US and India-based engineering teams to ensure alignment and execution.
• System Reliability & Performance:
  Own the performance, monitoring, and reliability of integration systems. Proactively identify and resolve bottlenecks, data inconsistencies, and failure points.
• User & Partner Experience:
  Improve the experience for both internal teams and external partners by building intuitive, well-documented, and reliable integration workflows and tooling.
• Architecture & Development:
  Write clean, maintainable, and efficient code while setting standards for the team. Contribute directly to critical parts of the system.
• Mentorship & Team Development:
  Support and mentor engineers through technical guidance, collaboration, and code reviews while helping foster a high-performing engineering culture. There is potential for this role to evolve into formal engineering management responsibilities over time as the team grows.
• Continuous Improvement:
  Stay current with best practices in distributed systems, APIs, and data integration. Continuously improve system scalability, security, and maintainability.

Qualifications

• 6+ years of experience in full-stack or backend-leaning engineering, with strong experience building APIs, integration systems, or distributed backend services
• Experience providing technical leadership, mentoring engineers, or leading complex backend initiatives across cross-functional teams
• Experience building and scaling integration platforms, APIs, or data pipelines in production environments
• Strong understanding of system design, distributed systems, and data flow between services
• Experience working with third-party integrations (e.g., healthcare systems, EHRs, SaaS platforms, or partner APIs) is highly preferred
• Comfortable operating in fast-paced, ambiguous, zero-to-one environments
• Strong product mindset - focused on building practical, reliable solutions that deliver real user and business impact
• Excellent communication skills and ability to drive alignment across technical and non-technical stakeholders
• Experience working with globally distributed teams is a plus
• Interest in healthcare and/or experience working with regulated data (HIPAA, PHI) is a plus
• Familiarity with AI/ML systems and their integration into product workflows is a plus
• Interest in mentoring and growing into broader technical or organizational leadership over time

We are open to candidates across multiple levels for this role. Final level and compensation will be determined through the interview process based on experience, technical depth, and scope.

Expected Salary Range in Denver: $160,00 to $220,000
Expected Salary Range in San Francisco: $175,000 to $240,000