Top 276 R4 Jobs | SimplyHired

Integrations Engineer
Avo —New York, NY
- $160,000 - $185,000 a year
- Remote
- Azure
- HIPAA
- No experience needed
- Health insurance
- Dental insurance
Quick Apply
Clinical Business Systems Analyst
MediQuant LLC —Remote
- Weekends as needed
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
Quick Apply
FHIR Technical SME - Remote
Software Technology Inc —Remote
- Remote
- Oracle
- Java
- Mentoring
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CNC-Cell Leader
A.R. Mazzotta —Middletown, CT
- $30 - $40 an hour
- Full-time
- Ability to walk for extended periods
- Mid-level
- 3 years
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Sales & Back Up F&I Manager
Martin Automotive Group —El Monte, CA
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Dealership
- Paid holidays
- Health insurance
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2d
Architect (R4)
Eli Lilly —Indianapolis, IN
- $154,149.00 - $177,271.35 a year
- Full-time
- Computer Science
- Mid-level
- Analysis skills
- Health insurance
- Dental insurance
VP, EMR Data Strategy and Alliances
Radiology Partners —Remote
- $250,000 - $280,000 a year
- Full-time
- Up to 50% travel
- HIPAA
- 11+ years
- Paid holidays
- Health insurance
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R4 - Culpeper Team Lead
Rappahannock Goodwill Industries —Culpeper, VA
- $16.34 an hour
- Overtime
- Merchandising
- Mid-level
- High school diploma or GED
Quick Apply
R4: Construction Laborer- Project Based- South Bay and Peninsula
Essel —San Jose, CA
- $45,000 - $52,000 a year
- Overtime
- Construction site
- Entry level
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Lead Product Manager
Galileo —Oakland, CA
- $200,000 - $230,000 a year
- Remote
- 8 years
- Product management
- Senior level
- Health savings account
- AD&D insurance
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R4: Project Manager / Project Engineer
Essel —San Jose, CA
- $130,000 - $150,000 a year
- Contract
- Construction site
- Mid-level
- 3 years
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R4: Construction - Experienced Skilled Trades
Essel —San Jose, CA
- $72,000 - $93,000 a year
- Contract
- Construction site
- 5 years
- Supervising experience
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Automation Engineer (R1 – R4)
Eli Lilly —Indianapolis, IN
- $85,467 - $100,399 a year
- Full-time
- Mid-level
- Continuous improvement
- Travel
- Health insurance
- Dental insurance
Healthcare Interoperability SME (FHIR / EHR Integrations) - REMOTE
Software Technology Inc —Remote
- Remote
- Computer Science
- 5 years
- Bachelor's degree
Quick Apply
Driver’s License Examiner (part-time)
The State of Oklahoma —Oklahoma City, OK
- $19.06 an hour
- Overtime
- Computer literacy
- Ability to lift 50 pounds
- Driver's License
Full Stack Developer
Quantiphi —Remote
- Full-time
- Remote
- Azure
- 5 years
- System design
R4: Foreman / Superintendent
Essel —San Jose, CA
- $120,000 - $140,000 a year
- Contract
- Management
- Construction site
- 3 years
Quick Apply
Para Professional - Webster - T3, R4 - 2026-2027
St. Joseph School District —Saint Joseph, MO
- Classroom
- Teaching Certification
- High school diploma or GED
Engineer II, FHIR
Bellese —Remote
- $108,700 - $125,300 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Java
- Health savings account
- AD&D insurance
Retail Associate
Cherry Republic —Charlevoix, MI
- $16 an hour
- Seasonal
- Maintenance
- Cleaning
- Computer skills
Quick Apply

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Integrations Engineer

Avo -
New York, NY

Quick Apply

Job Details

$160,000 - $185,000 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Flexible schedule

Qualifications

Data model design
Software engineering
Data modeling
RESTful API
Cross-functional communication

Full Job Description

About Avo

Avo is the leading AI platform for healthcare enterprises, helping clinicians make better decisions, move faster, and improving the quality of patient care. Serving as a central hub for care teams, Avo brings together patient data, clinical knowledge, and AI-powered workflows to support diagnosis, care planning, documentation, orders, and evidence-based decision-making at the point of care.Clinicians today navigate dozens of tabs, applications, datasets, hospital protocols, medical guidelines, and payer policies to deliver high-quality care. Avo changes that.

We are product-obsessed, collaborative, and scrappy, united by a mission to improve healthcare delivery through AI. Our investors include Noro-Moseley Partners, AlleyCorp, Scrub Capital, and several leading hospitals and universities.

The Role

We are looking for an Integrations Engineer to join Avo's Engineering Team. This role will be responsible for building and maintaining the connections between Avo and the EHR systems used by our hospital and clinic partners. You will own integration work end-to-end - scoping, building, testing, deploying, and keeping things running in production clinical environments where reliability is non-negotiable.

This role sits on a small, distributed team with distributed engineers across our US and Asia Team. We work async-first. Clear written communication is as important here as clean code. Prior EHR integration experience is not required. We care far more about strong engineering fundamentals, curiosity about the healthcare space, and a willingness to learn a specialized domain.

What You'll Do

EHR Integration Development

Build and maintain integrations with Epic, Cerner, and other major EHR platforms using FHIR, HL7, and vendor-specific APIs - we will ramp you up on the specifics
Own integration work end-to-end: scoping, development, testing, deployment, and ongoing maintenance
Troubleshoot and resolve integration issues in production clinical environments where reliability is mission-critical, read raw FHIR resources, trace HL7 message flows, and resolve data mapping issues
Work with hospital IT teams and EHR vendors to support new integration rollouts and navigate certification requirements

Platform Development

Contribute to product features across Avo's broader platform, including clinical AI tooling, decision support, and EHR-embedded workflows, as team needs evolve
Collaborate with product, design, and clinical stakeholders to translate healthcare workflow requirements into clean, reliable code
Participate in code reviews, providing and receiving constructive feedback

Quality & Compliance

Write unit and integration tests with a focus on reliability in high-stakes clinical environments
Proactively identify and resolve bugs, performance issues, and edge cases in integration data flows
Uphold our security and compliance standards — HIPAA, SOC2, and EHR vendor certification requirements (we will get you up to speed)

Collaboration & Communication

Contribute to technical discussions, RFC processes, and sprint planning
Communicate clearly and asynchronously with teammates, implementation partners, and EHR vendor contacts across time zones
Help document integration patterns and onboard other engineers to EHR tooling as the team grows

The Stack

Front-end: React, TypeScript, Vite, Tailwind, Jotai
Back-end: Python, Django, Celery, PostgreSQL, Redis
Integrations: FHIR R4, HL7 v2, Epic App Orchard, Cerner SMART on FHIR
Infrastructure: AWS (ECS/ECR), GitHub Actions, Terraform
AI: OpenAI/Azure LLMs, RAG pipelines

What You Bring

Must-Haves

3-5+ years of professional software development experience
Proficiency in JavaScript/TypeScript (React) or Python (Django)
Solid understanding of REST APIs, data modeling, and systems that handle sensitive, high-reliability data
Strong written communication skills - we are a written-first culture
Passion and drive to improve the lives of clinicians with the latest technology
Hustle and the desire to wear many hats in a fast-paced, cross-functional environment
Startup "get it done" attitude with independent drive and out-of-the-box thinking

Strongly Preferred

Experience in a high-growth startup or B2B SaaS environment
Familiarity with HIPAA compliance requirements in a software context
Familiarity with both our front-end (React/TypeScript) and back-end (Python/Django) stacks
Comfort with AI-assisted development workflows

Nice-to-Haves

Prior experience with EHR integrations (Epic, Cerner, or equivalent) using FHIR, HL7, or vendor-specific APIs
Experience with Epic App Orchard certification or Cerner SMART on FHIR workflows
Clinical background or experience working closely with clinical teams
Experience with AWS, Docker, or Terraform
Experience scaling AI/LLM features in production

Why Join Avo

Impact: Avo's products run inside hospitals, helping clinicians make better calls at the point of care. The work is real, and the mission is meaningful.

Ownership: You will own your accounts end-to-end and build the CS function from the ground up. Your fingerprints will be on every process.

High Agency: We move fast, trust our people, and avoid bureaucracy.

Great Team: Work alongside a talented, low-ego group of clinicians, engineers, and product folks who care deeply about craft.

Remote-First: Work from anywhere in the US with flexible hours.

How We Take Care of Our Team

Generous Time Off: Flexible and generous PTO
Comprehensive Health Plans: Medical, dental, and vision coverage for you and your family
401K Matching: Contribution matching to help invest in your future
Personal Device Allowance: Tax-free funds for personal device usage
Compensation and Equity: $160,000 - $185,000 base salary and equity

Quick Apply

Refine Your Search

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Integrations Engineer

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Lead Product Manager

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Healthcare Interoperability SME (FHIR / EHR Integrations) - REMOTE

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Full Stack Developer

R4: Foreman / Superintendent

Para Professional - Webster - T3, R4 - 2026-2027

Engineer II, FHIR

Retail Associate

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