Amigo partners with healthcare organizations to deploy robust AI infrastructure that directly serves patients and providers. Our agents handle clinical workflows and patient engagement across the entire journey: pre-visit intake, care navigation, post-visit care plans, patient monitoring, and more.
We're fresh off our Series A backed by Tier 1 investors like Madrona, General Catalyst, and Optum Ventures. Our work is validated with leading academic medical institutions. Our agents have reached 3M+ patient encounters and are on track to 10x this year.
About this roleAs a Solution Architect at Amigo, you'll own the technical integration layer between our AI agents and legacy health systems. You'll design and implement connections to EHRs like Epic, athenahealth, Oracle Health, Canvas, and Healthie, enabling agents to read patient data, write clinical notes, and execute actions within existing workflows.
This role bridges deep healthcare IT expertise with production engineering. You'll work directly with health system IT teams to navigate authentication, data formats, and compliance requirements while building integrations that our agents depend on for clinical operations.
Design and implement EHR integrations (Epic, athenahealth, Oracle Health, Canvas, Healthie) for bidirectional data exchange
Build FHIR-based APIs and HL7 interfaces that enable agents to access patient records and write clinical documentation
Navigate health system IT environments: authentication (OAuth, SMART on FHIR), network configurations, and data access policies
Build reliable data fetching pipelines that agents use to retrieve patient context during clinical workflows
Design integration architectures that handle PHI securely and maintain audit trails
Work directly with health system IT teams to scope, implement, and validate integrations
Build monitoring and alerting for integration health, data freshness, and error rates
Document integration patterns and create repeatable playbooks for new EHR deployments
Collaborate with agent engineers to ensure integrations support clinical workflow requirements
Contribute to compliance documentation for HIPAA, SOC 2, and HITRUST certifications
7+ years of experience with healthcare IT systems and EHR integrations in production environments
Deep knowledge of FHIR, HL7v2, and healthcare interoperability standards gained through hands-on implementation
Experience with Epic, athenahealth, or similar EHR platforms from an integration perspective—ideally at a company where EHR integration was core to the product's value proposition
Strong Python skills including proper use of typing, and experience building highly reliable systems that interact with external APIs (schema design, retry strategies, error propagation)
Understanding of healthcare authentication patterns (OAuth 2.0, SMART on FHIR, SAML)
Experience working directly with health system IT teams on technical implementations
Knowledge of HIPAA compliance requirements and PHI handling
Both execution-oriented and defensive-minded: you ship integrations while anticipating failure modes
Strong debugging skills for distributed systems spanning multiple organizations
Clear communication across engineering, clinical, and customer IT stakeholders
Experience with healthcare data platforms (Databricks, Snowflake) for analytics integrations
Background with real-time streaming systems for clinical event processing
Knowledge of CDS Hooks or clinical decision support integration patterns
Experience with healthcare APIs beyond EHRs (labs, pharmacy, imaging)
Familiarity with healthcare compliance certifications (HITRUST, SOC 2 for healthcare)
Experience building integration monitoring and observability systems
Benefits (available to Full-Time Employees)Health & Wellness
Comprehensive health, dental, and vision insurance
Daily catered lunch and dinner
Mental health support and wellness coaching
Flexible wellness stipend for fitness, therapy, or personal growth
Annual learning budget for courses, books, or conferences
Conference attendance budget for professional development
Annual team offsite
Academic collaboration opportunities
Unlimited PTO
Patients Win, We Win
If patients aren't getting better care, we haven't earned the right to scale. Every internal decision gets pressure-tested: does this make patients' lives better? If we can't draw the line, we question why we're doing it.
High Standards, High Care
We hold a high bar for the team because patients are counting on us to get this right. But high standards only work with genuine investment in each other. You can take risks, admit mistakes, and challenge ideas—not despite our standards, but because of them.
Thoughtful Urgency
We move fast by default, but speed without judgment is recklessness. The discipline is knowing which decisions are reversible vs. not. In healthcare AI, the companies that win will be fast everywhere they can be and careful everywhere they must be. We build the muscle to do both.
Intensely Measured
We instrument patient outcomes, provider ROI, system performance, and clinical accuracy. But data without action is surveillance. Every metric should have an owner, a threshold, and a response plan. If we're measuring something but never acting on it, we stop measuring it.
Low ego: Politics and territory don't interest you. The best ideas win, regardless of who has them.
Direct: You say the hard thing, challenge ideas openly, and commit fully once decided.
High agency: You thrive on trust rather than instruction. When you see something is broken, you fix it. You don’t file tickets and wait for someone else.
Bar of excellence: You hold yourself to a bar most people wouldn't, and you want teammates who do the same.
Skeptical: You push back on rules that don’t make sense and question assumptions that haven’t earned their place.
Skills Required
- 7+ years of experience with healthcare IT systems and EHR integrations
- Deep knowledge of FHIR and HL7v2
- Experience with Epic, athenahealth, or similar EHR platforms
- Strong Python skills including proper use of typing
- Understanding of healthcare authentication patterns
- Knowledge of HIPAA compliance requirements
What We Do
Amigo AI builds trust and safety infrastructure for clinical agents—ensuring AI systems in healthcare provide quantified confidence when mistakes aren't an option. Our platform combines advanced simulation, verification, and recursive optimization to enable healthcare organizations to deploy AI with statistical guarantees about its behavior. We solve the fundamental challenge of reliable AI in critical domains through deterministic verification for clinical protocols and continuous drift detection for real-world performance. Our systems provide complete transparency—every AI decision is traceable and auditable, with quantified confidence intervals rather than black box predictions. Founded by technologists from Google, Meta AI, Databricks, Coda, and Plaid, we've built systems that let organizations make informed risk decisions about AI deployment in healthcare. Our interdisciplinary approach draws from computer science, economics, physics, and mathematics to tackle human-centric optimization problems where people and populations are at the center of every solution. We're actively working with healthcare organizations across digital health, cancer care, cardiac care, and personalized medicine to deploy AI systems that continuously learn and adapt from real-world feedback while maintaining verified safety boundaries. Our technology amplifies human expertise rather than replacing it, empowering domain experts to achieve outcomes neither could accomplish alone.
Why Work With Us
We build AI healthcare systems where 99% isn't good enough. Rapid growth—promotions in 3 months. Freedom to work your way: art museums or late nights. Tackle recursive optimization problems that ship to production. Your work directly impacts critical healthcare decisions. Diverse team from Google, Meta AI, Databricks solving problems that matter.
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