Software Engineer, Integrations

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Harbor Health is on a mission to disrupt the outdated US healthcare system.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 healthca