Software EngineerUS - NY Area or RemoteAbout AvoAvo is the leading AI platform for healthcare enterprises, helping clinicians make better decisions, move faster, and improving the quality of patient care. Serving as a central hub for care teams, Avo brings together patient data, clinical knowledge, and AI-powered workflows to support diagnosis, care planning, documentation, orders, and evidence-based decision-making at the point of care.Clinicians today navigate dozens of tabs, applications, datasets, hospital protocols, medical guidelines, and payer policies to deliver high-quality care. Avo changes that.We are product-obsessed, collaborative, and scrappy, united by a mission to improve healthcare delivery through AI. Our investors include Noro-Moseley Partners, AlleyCorp, Scrub Capital, and several leading hospitals and universities.The RoleWe are looking for an Software Engineer to join Avo's Engineering Team.
This role will be responsible for building and maintaining the connections between Avo and the EHR systems used by our hospital and clinic partners. You will own integration work end-to-end - scoping, building, testing, deploying, and keeping things running in production clinical environments where reliability is non-negotiable.This role sits on a small, distributed team with distributed engineers across our US and Asia Team. We work async-first. Clear written communication is as important here as clean code.
Prior EHR integration experience is not required. We care far more about strong engineering fundamentals, curiosity about the healthcare space, and a willingness to learn a specialized domain.What You'll DoEHR Integration DevelopmentBuild and maintain integrations with Epic, Cerner, and other major EHR platforms using FHIR, HL7, and vendor-specific APIs - we will ramp you up on the specificsOwn integration work end-to-end: scoping, development, testing, deployment, and ongoing maintenanceTroubleshoot and resolve integration issues in production clinical environments where reliability is mission-critical, read raw FHIR resources, trace HL7 message flows, and resolve data mapping issuesWork with hospital IT teams and EHR vendors to support new integration rollouts and navigate certification requirementsPlatform DevelopmentContribute to product features across Avo's broader platform, including clinical AI tooling, decision support, and EHR-embedded workflows, as team needs evolveCollaborate with product, design, and clinical stakeholders to translate healthcare workflow requirements into clean, reliable codeParticipate in code reviews, providing and receiving constructive feedbackQuality & ComplianceWrite unit and integration tests with a focus on reliability in high-stakes clinical environmentsProactively identify and resolve bugs, performance issues, and edge cases in integration data flowsUphold our security and compliance standards — HIPAA, SOC2, and EHR vendor certification requirements (we will get you up to speed)Collaboration & CommunicationContribute to technical discussions, RFC processes, and sprint planningCommunicate clearly and asynchronously with teammates, implementation partners, and EHR vendor contacts across time zonesHelp document integration patterns and onboard other engineers to EHR tooling as the team growsThe StackFront-end: React, TypeScript, Vite, Tailwind, JotaiBack-end: Python, Django, Celery, PostgreSQL, RedisIntegrations: FHIR R4, HL7 v2, Epic App Orchard, Cerner SMART on FHIRInfrastructure: AWS (ECS/ECR), GitHub Actions, TerraformAI: OpenAI/Azure LLMs, RAG pipelinesWhat You BringMust-Haves3-5+ years of professional software development experienceProficiency in JavaScript/TypeScript (React) or Python (Django)Solid understanding of REST APIs, data modeling, and systems that handle sensitive, high-reliability dataStrong written communication skills - we are a written-first culturePassion and drive to improve the lives of clinicians with the latest technologyHustle and the desire to wear many hats in a fast-paced, cross-functional environmentStartup "get it done" attitude with independent drive and out-of-the-box thinkingStrongly PreferredExperience in a high-growth startup or B2B SaaS environmentFamiliarity with HIPAA compliance requirements in a software contextFamiliarity with both our front-end (React/TypeScript) and back-end (Python/Django) stacksComfort with AI-assisted development workflowsNice-to-HavesPrior experience with EHR integrations (Epic, Cerner, or equivalent) using FHIR, HL7, or vendor-specific APIsExperience with Epic App Orchard certification or Cerner SMART on FHIR workflowsClinical background or experience working closely with clinical teamsExperience with AWS, Docker, or TerraformExperience scaling AI/LLM features in productionWhy Join AvoImpact: Avo's products run inside hospitals, helping clinicians make better calls at the point of care. The work is real, and the mission is meaningful.Ownership: You will own your accounts end-to-end and build the CS function from the ground up. Your fingerprints will be on every process.High Agency: We move fast, trust our people, and avoid bureaucracy.Great Team: Work alongside a talented, low-ego group of clinicians, engineers, and product folks who care deeply about craft.Remote-First: Work from anywhere in the US.
The company has offices in NYC, so if you're in the area we'd love the chance to work in-person together 2 days/week.How We Take Care of Our Team:Generous Time Off: Flexible and generous PTOComprehensive Health Plans: Medical, dental, and vision coverage for you and your family401K Matching: Contribution matching to help invest in your futurePersonal Device Allowance: Tax-free funds for personal device usageCompensation and Equity: $160,000 - $185,000 base salary and equityAvo is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.