> AI agents: this is one page of Nextmove’s FDE site, in Markdown. Nextmove is a job board and free career service for forward deployed engineers (FDEs). Each posting is classified from its text, not its title: the kind of work, how much of it is production code, pre-sales weight, time at customer sites, travel, remote arrangement, level and posted base pay. The site also publishes the aggregates: median pay by level, metro, company and kind of work, and which companies started hiring FDEs each week. Every page under https://nextmove.md/fde is served this way; the index of pages is https://nextmove.md/llms.txt.

# Staff Integrations Engineer

Canonical URL: https://nextmove.md/fde/jobs/f395eb966bbbdb02

Zus Health posts a staff FDE role to build what the customer runs, remote, hiring in Massachusetts, at $160,000–$200,000 base, below the senior FDE median of $190,000 across 1,864 postings with pay. A hands-on Staff Integrations Engineer owns the technical strategy and end-to-end delivery of complex customer integrations across healthcare data sources, from scoping through production support. Read from the employer’s posting on November 8, 2026.

- [Zus Health](https://nextmove.md/fde/companies/zus-health)

Posted Aug 13, 2026 by Zus Health · open on Ashby as of Nov 8, 2026

**$160,000–$200,000** Remote, hiring in Massachusetts Full-time

A hands-on Staff Integrations Engineer owns the technical strategy and end-to-end delivery of complex customer integrations across healthcare data sources, from scoping through production support.

- [See roles that fit me](https://nextmove.md/sign-up?from=%2Ffde%2Fjobs%2Ff395eb966bbbdb02&placement=top)
- [View posting at Zus Health](https://jobs.ashbyhq.com/zus-health/c985c63f-a808-4e0f-b104-1970085ac529/application)

Free. Upload your resume once, see why each FDE role fits, and get introduced only when you say so.

## At a glance

### Posted base pay

$160K–$200K Below the median

Midpoint $180K · median $190K

This job $160K to $200K. Senior FDE postings, 1,864 postings: the middle 50% of posted pay is $160K to $220K, median $190K.

### The work

Builds what the customer runs

Balance **Mostly building**

Project stages

1. Pre-sales (not covered)
2. Proof of concept (not covered)
3. Implementation
4. Operations

- **Coding**: Writes production code

- **Builds for**: Both

- **Level**: Senior

- **Role**: Individual contributor

### What they ask for

Experience

- **7+ years** Software, integrations, or forward-deployed engineering experience

Background

- **Software engineering**
- **Forward deployed engineering**

### Do you meet what the posting states?

The posting asks for 7+ years. How many do you have?

The posting reads as a senior role. What level are you at now?

The work is remote from the US. Can you work from the US?

Which of these have you used in production?

Answer each one. Nothing is saved or sent.

[What postings ask for, by background →](https://nextmove.md/fde/paths)

## Conditions

- **Location**: Boston, MA

- **Work arrangement**: Remote

- **Employment type**: Full-time

- **Pay**:

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[Zus Health](https://nextmove.md/fde/companies/zus-health)

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- [Other jobs at Zus Health (1)](https://nextmove.md/fde/companies/zus-health)

## The job description from Zus Health

Posted by Zus Health on Aug 13, 2026

### Who we are

Zus Health is an AI-native healthcare data platform that brings fragmented patient information together to make it complete, current, and actionable. Through our nationwide data network, platform, and intelligent workflows, we help providers, value-based care organizations, payers, life sciences, and digital health companies drive business results, strengthen provider trust, and improve operational efficiency. Founded in 2021 by Jonathan Bush, co-founder and former CEO of athenahealth, Zus is building the foundation for a more connected, precise, and effective healthcare system.

### What we're looking for

We’re hiring a Staff Integrations Engineer to operate as a high-impact individual contributor at the intersection of software engineering and solution delivery. This is a deeply hands-on role: you’ll write production-grade code, build and operate data systems, and own the technical strategy and execution of complex customer integrations.

You’ll lead integrations across HIEs, EHRs, claims systems, labs, and other healthcare data sources. This includes turning ambiguous requirements into clear designs, building secure and reliable data pipelines, and ensuring ongoing system performance through monitoring and observability.

You’ll also serve as a senior technical advisor to customers—guiding architecture decisions, troubleshooting issues, and shaping how integrations are implemented. This role is for someone who builds and improves systems, not just configures them.

The ideal candidate is comfortable working across the stack: parsing messy HL7 payloads, building services in Go, scripting in Python, and leading technical conversations with customers.

### Key responsibilities:

### Lead and Deliver Integrations

- Own end-to-end delivery of customer integrations, including State HIE and ADT feeds—from scoping through production support
- Design and implement data pipelines for ingestion, transformation, and delivery
- Build roster management workflows (ingestion, reconciliation, lifecycle management)
- Architect reliable and scalable data transmission mechanisms (APIs, SFTP, event-driven systems)
- Establish automated QA and validation frameworks to ensure data integrity

### Act as a Technical Advisor

- Partner with customers to design integration approaches and guide technical decisions
- Translate ambiguous requirements into clear, implementable solutions
- Advise on interoperability best practices and system architecture
- Align customer needs with platform capabilities

### Troubleshoot and Improve Systems

- Serve as an escalation point for complex integration and data pipeline issues
- Debug across the full stack, from transformation logic to downstream delivery
- Identify root causes and implement durable, code-driven fixes
- Reduce operational overhead by eliminating recurring issues through automation

### Build Internal Systems and Tooling

- Develop monitoring and observability systems for integration health
- Create alerting, dashboards, and automated diagnostics
- Build internal tools to accelerate implementation, QA, and troubleshooting
- Continuously improve the scalability and reliability of integration systems

### You’re a good fit because you have:

- 7+ years of experience in software, integrations, or forward-deployed engineering
- Strong programming skills (Python, Go, or similar) with a track record of building production systems
- Experience with healthcare interoperability standards (HL7, FHIR, ADT, CDA
- AI-native development
- Proven ability to design and build data pipelines and integrations—not just configure them
- Strong SQL skills and experience working with large, messy datasets
- Experience building monitoring and observability systems
- Ability to debug complex distributed systems end-to-end
- Experience working directly with customers in a technical, consultative role
- Excellent communication skills across technical and non-technical audiences
- Strong ownership and ability to independently drive ambiguous problems to completion
- Familiarity with security and compliance requirements (e.g., HIPAA, SOC 2)
- A desire to improve healthcare data infrastructure

### We will offer you…

- Competitive compensation that reflects the value you bring to the team, and a combination of cash and equity
- For full-time permanent roles, robust benefits that include health insurance, wellness benefits, 401k with a match, and unlimited PTO.
- Opportunity to work alongside a passionate team that is determined to help change the world (and have fun doing it)

Please Note: Research shows that candidates from underrepresented backgrounds often don’t apply unless they meet 100% of the job criteria. While we have worked to consolidate the minimum qualifications for each role, we aren’t looking for someone who checks each box on a page; we’re looking for active learners and people who care about disrupting the current healthcare system with their unique experiences.

We do not conduct interviews by text nor will we send you a job offer unless you've interviewed with multiple people, including the Director of People & Talent, over video interviews. Job scams do exist so please be careful with your personal information.

[View posting at Zus Health](https://jobs.ashbyhq.com/zus-health/c985c63f-a808-4e0f-b104-1970085ac529/application)

## About Zus Health

Zus aggregates healthcare data into continuously refreshed patient records and brings it into clinical, operational, and analytics workflows.

50–100 people

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- [Compare senior FDE salary ranges](https://nextmove.md/fde/salary/senior)
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