We are hiring a Senior Integration Engineer to design, build, and own complex integration systems powering real-time AI healthcare products. This is a mission-critical role where reliability directly impacts clinical workflows across hospitals, clinics, and EHR systems. You will architect and operate the core integration layer — the “nervous system” that connects healthcare providers to the Telepatia platform. The role requires deep backend engineering expertise, strong ownership, and comfort navigating ambiguity while operating production systems that matter.
About client:
Our client builds real-time AI products for healthcare — including medical transcription, clinical record generation, and EMR integrations — across Brazil and Colombia. The integrations layer is foundational to the platform, ensuring seamless, reliable connectivity between hospitals, clinics, and EHR systems. It is backed by investors and operates with a strong engineering-first mindset, emphasizing reliability, ownership, and thoughtful system design.
Role Details
Location: Remote in Brazil
Employment Type: Full-time
Seniority Level: Senior
Work Authorization: Candidates must have existing authorization to work in Brazil.
Visa Sponsorship: Not available
Relocation: Not offered
Role Overview
You will:
- Design, build, and own complex integration systems where reliability directly impacts clinical workflows.
- Shape how the team thinks and builds — not just execute tasks.
- Architect and maintain the core integration layer connecting hospitals, clinics, and EHR systems to the Telepatia platform.
- Map complex and sometimes undocumented systems, building a clear mental model from first principles.
- Operate with high agency — navigating ambiguity, overcoming obstacles, documenting decisions, and keeping the team aligned.
- Own production systems by writing runbooks, following up on incidents, and standing behind your work.
- Mentor team members through meaningful code reviews and clear technical reasoning.
- Engage deeply with open source — reading source code to debug issues, contributing patches, and building responsibly on top of OSS tools.
Key Responsibilities
- Design and implement highly reliable integration systems for healthcare AI products
- Build scalable REST and GraphQL APIs
- Architect backend systems using Node.js, TypeScript, and Python
- Implement asynchronous workflows, queues, and resilient error-handling patterns
- Maintain observability and monitoring for mission-critical integrations
- Work with PostgreSQL and MongoDB
- Navigate ambiguity and communicate directly and clearly
- Take full ownership of production environments and integration reliability
Required Skills
- 5+ years of hands-on backend engineering experience
- Strong expertise in Node.js, TypeScript, and Python
- Strong backend fundamentals: asynchronous patterns, queues, error handling, observability
- Experience with PostgreSQL and MongoDB
- Experience designing and maintaining REST APIs and GraphQL APIs
- Comfort operating production systems independently
- Strong communication skills and ownership mindset
- Intellectual curiosity about the Node.js and Python ecosystems
Impact of the Role
- This is not just a backend position. You will:
- Own the backbone infrastructure connecting clinical environments to AI systems
- Directly influence clinical workflows
- Operate systems where reliability is mission-critical
- Help define engineering standards for the integration layer
- Serve as a senior technical reference point within the team