Senior Full Stack Engineer, Integrations VistA

ABOUT ABRIDGE Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI-powered platform was purpose-built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most—their patients. Our enterprise-grade technology transforms patient-clinician conversations into structured clinical notes in real-time, with deep EMR integrations. Powered by Linked Evidence and our purpose-built, auditable AI, we are the only company that maps AI-generated summaries to ground truth, helping providers quickly trust and verify the output. As pioneers in generative AI for healthcare, we are setting the industry standards for the responsible deployment of AI across health systems. We are a growing team of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care make more sense. We have offices located in the Mission District in San Francisco, the SoHo neighborhood of New York, and East Liberty in Pittsburgh. THE ROLE We’re looking for Senior Integrations Engineers to join our growing team! This role is instrumental in supporting our expansion in our hyper growth phase. You’ll play a key role in designing, building, and scaling our integrations powering our product. You’ll work alongside our engineers, implementation specialists, support, and product managers to build real-time and batch data integrations with our partners and clients. WHAT YOU’LL DO - Build robust healthcare integrations without compromising security, privacy, or quality. These integrations will leverage technology standards using REST-like APIs, healthcare standards such as FHIR, and other third-party APIs. - Scale up our business by designing, building, and supporting our integrations and infrastructure - Collaborate closely with our health system customers to deploy, troubleshoot, and support integrations. Be comfortable engaging with external partners and stakeholders. - Enhance existing systems to add new functionality, and to improve performance, stability, quality, and security - Advocate for high standards; make quality-of-life improvements to the codebase; add documentation and share knowledge; and help limit the growth of technical debt - Build deep user empathy and maintain a user-centric mindset - Communicate regularly and effectively within and on behalf of our cross-functional product delivery teams. You’ll work with other disciplines, including design, product, machine learning, and infrastructure, and will have opportunities to learn from and contribute to projects across the company What You’ll Bring - 5+ years of experience launching business-critical integrations with large enterprises - 2+ years of VistA Integration experience - Experience with mPage Workflow components, Dynamic Documentation, and CCL - Experience working with technologies REST-like APIs (FHIR), OAuth2.0, mTLS - Excitement about working on our tech stack, which include NodeJS/TypeScript and Google Cloud Platform - Passionate about working in healthcare integrations - Ability to act with autonomy & self-direction while working well in a team environment - Willingness to pitch in wherever needed - as a fast-moving startup we need to do good work, quickly - Comfortable with working across domains and languages with a curiosity to experiment & learn new things - Strong communication with internal and external stakeholders NICE TO HAVE - 2+ years of experience working with healthcare data integrations - Experienced in delivering integrations with EHRs like Oracle Health/VistA and others - Familiarity with one or more of the following technologies: FHIR, HL7, X12 WHY WORK AT ABRIDGE? At Abridge, we’re transforming healthcare delivery experiences with generative AI, enabling clinicians and patients to connect in deeper, more meaningful ways. Our mission is clear: to power deeper understanding in healthcare. We’re driving real,