Senior+ Software Engineer - Integrations Platform

Frontera

San Francisco, California, United States · Denver, Colorado, United StatesunknownPosted Oct 28, 2026

About the role

The Role

Healthcare data is fragmented by default. Every provider, payer, EHR, referral source, and clinical system speaks a slightly different language. For Frontera to scale, both as a care delivery organization and as a technology platform, that fragmentation has to disappear behind a reliable, extensible integration and data layer.

As a Senior+ Software Engineer on our Integrations Platform, you'll be the technical lead for that layer, owning it end-to-end.

This role sits within our ML & Data organization because we don't view integrations as implementation plumbing. The systems we connect determine what data Frontera can access, how cleanly we can understand it, and ultimately what our product and AI systems can do with it. Every integration expands the number of organizations Frontera can work with, and adds breadth, fidelity, and context to the clinical data underlying the platform. That is the same longitudinal dataset that comes from operating real care alongside our own platform, not abstract transaction data.

This is a hands-on role. You'll spend roughly 70% of your time building, deep in the code and shaping architecture decisions, and the remainder working across Product, Clinical Operations, ML/Data, and external partners to make sure we're solving the right problems. You'll be the engineering owner for integrations from day one. Managing people is not a requirement at the start, but as integration volume and complexity grow, there's a clear path to growing the team and stepping into formal lead responsibilities.

What You'll Do

Act as the tech lead for integrations, with end-to-end ownership of discovery, data mapping, implementation, reliability, observability, and long-term maintainability

Own the integration architecture: design how Frontera connects with external healthcare systems (EHRs, partners, and other data sources), establishing reusable patterns and tooling rather than one-off builds for each new organization

Identify which problems are worth solving, not just solve the ones you're assigned. You'll help define the right answer where the specification doesn't yet exist, working directly with external technical teams and internal stakeholders

Bring an AI-informed lens to the work itself: use agentic tooling to accelerate data mapping and schema discovery across new partner systems, rather than treating each integration as a fully manual build. Judgment on when to automate discovery versus handle a partner's edge cases by hand is part of the craft

Shape the unified data model underneath those integrations, in close partnership with ML/Data, Product, Engineering, and Clinical Operations

Set clear standards for data quality, error handling, monitoring, and operational ownership as integration volume grows

Help determine what should become platform capability versus what should be solved pragmatically for a specific partner or workflow

Raise the technical bar for the team by mentoring engineers, setting working norms, and contributing to hiring as the function scales

Why This Matters

Better integrations mean faster onboarding of new organizations, less operational friction for clinicians and teams, and a more complete view of the care journey. They also improve the quality and usefulness of the data Frontera can learn from, because we operate care directly and that data reflects real clinical workflows and outcomes. As that dataset grows, it becomes increasingly important to how we evaluate care models, build AI systems, improve workflows, and differentiate the platform. This role is one of the foundational technical layers behind that scale strategy.

Qualifications

6+ years of experience in backend-leaning software engineering, with strong experience building APIs, integration systems, or distributed backend services

Track record of owning technically complex projects end-to-end, with ownership that extends beyond your own lane

Experience building and scaling integration platforms, APIs, or data pipelines in production environments

Strong understanding of system design, distributed systems, and data flow between services

Experience working with third-party integrations (e.g., healthcare systems, EHRs, SaaS platforms, or partner APIs) is highly preferred

Comfortable operating in fast-paced, ambiguous, zero-to-one environments, moving between architecture, hands-on implementation, partner conversations, and product tradeoffs

Experience mentoring or leading engineers, formally or informally, is a plus; we're looking for someone who can grow into leading a team

Familiarity with agentic or AI-assisted tooling for tasks like schema mapping, data discovery, or accelerating integration work is a strong plus

Strong product mindset, focused on building practical, reliable solutions that deliver real user and business impact

Excellent communication skills and ability to drive alignment across technical and non-technical stakeholders

Interest in healthcare and/or experience working with regulated data (HIPAA, PHI) is a plus

At Frontera, we believe in building a workplace where everyone feels respected, supported, and safe—period. We’re proud to be an equal opportunity employer, and we’re committed to maintaining an environment where harassment, discrimination, and retaliation have no place.

Responsibilities

  • Own healthcare integrations end-to-end, from discovery and data mapping through implementation, reliability, observability, and maintenance
  • Design reusable integration architecture and tooling for connecting external healthcare systems and data sources
  • Shape the unified data model with ML/Data, Product, Engineering, and Clinical Operations
  • Set standards for data quality, error handling, monitoring, and operational ownership
  • Use AI-assisted tools to accelerate schema discovery and integration work
  • Mentor engineers, establish working norms, and contribute to hiring as the function grows

Qualifications

  • 6+ years of backend-leaning software engineering experience
  • Strong experience building APIs, integration systems, or distributed backend services
  • Experience owning technically complex projects end-to-end
  • Experience building and scaling production integration platforms, APIs, or data pipelines
  • Strong understanding of system design, distributed systems, and data flow between services
  • Comfort working in ambiguous, fast-paced environments across architecture, implementation, partner discussions, and product tradeoffs
  • Strong product mindset and communication skills across technical and non-technical stakeholders
  • Third-party integration experience is highly preferred

Benefits

  • Stock options
  • Health benefits
  • 401(k) plan
  • 4 weeks of PTO per year

Skills mentioned

Backend DevelopmentREST APIsAPI IntegrationSystem DesignDistributed SystemsData PipelinesETLDatabase DesignAI AgentsEvent-Driven Architecture