Senior Full Stack Engineer, Integrations VistA

Stack

Responsibilities

• ▹Build robust healthcare integrations without compromising security, privacy, or quality, using REST-like APIs and standards such as FHIR
• ▹Design, build, and support integrations and infrastructure to scale the business
• ▹Collaborate closely with health system customers to deploy, troubleshoot, and support integrations
• ▹Enhance existing systems with new functionality and improve performance, stability, and security
• ▹Advocate for high standards, improve the codebase, document work, and limit technical debt growth
• ▹Build deep user empathy and maintain a user-centric mindset
• ▹Communicate regularly with cross-functional teams including design, product, machine learning, and infrastructure

Requirements

• ▹5+ years of experience launching business-critical integrations with large enterprises
• ▹2+ years of VistA integration experience
• ▹Experience with mPage Workflow components, Dynamic Documentation, and CCL
• ▹Experience with REST-like APIs (FHIR), OAuth2.0, and mTLS
• ▹Excitement about the tech stack, including NodeJS/TypeScript and Google Cloud Platform
• ▹Passion for working in healthcare integrations
• ▹Ability to act with autonomy and self-direction while working well in a team
• ▹Willingness to pitch in wherever needed as a fast-moving startup
• ▹Comfortable working across domains and languages with curiosity to learn
• ▹Strong communication with internal and external stakeholders

Nice to have

• ▹2+ years of experience with healthcare data integrations
• ▹Experience delivering integrations with EHRs like Oracle Health/VistA and others
• ▹Familiarity with FHIR, HL7, X12

Soft skills

What we offer

• ▹14 paid holidays and flexible PTO
• ▹Comprehensive medical, dental, and vision coverage for you and your family
• ▹Generous HSA contribution
• ▹Paid parental leave and family forming benefits
• ▹401(k) matching
• ▹Tax-free personal device allowance
• ▹Pre-tax FSA and commuter benefits
• ▹Monthly Lifestyle Wallet
• ▹Mental health support
• ▹Paid sabbatical leave after 5 years
• ▹Competitive compensation and equity

About the company

Abridge was founded in 2018 to power deeper understanding in healthcare. Its AI-powered platform transforms patient-clinician conversations into structured clinical notes in real time, with deep EMR integrations. The company has offices in San Francisco, New York, and Pittsburgh.