Senior Integration Engineer

SENIOR INTEGRATION ENGINEER OVERVIEW Duet empowers Nurse Practitioners to run and grow independent primary care clinics—closing gaps in access while keeping care local and clinician-owned. We're a well-funded seed-stage company backed by Kairos HQ, Lerer Hippeau, and others. Duet is building a vertically integrated enablement platform for NP-led practices: software that reduces administrative overhead, improves cash flow, and gives clinicians the leverage to operate sustainable businesses without corporate consolidation. Everything we build runs on data that moves reliably between EHRs, practice management systems, clearinghouses, and our platform. That infrastructure is the foundation for everything else—and we're looking for someone to own it. ABOUT THE ROLE As our Senior Integration Engineer, you'll own the pipelines that power Duet's platform. Our integrations touch EHRs across the ambulatory space—Athenahealth, eClinicalWorks, Elation—as well as clearinghouses and data warehouses, and they need to be reliable, observable, and extensible as we scale. This is a highly technical IC role that sits at the intersection of integration engineering and product. You'll build new connections from scratch, harden the reliability of existing ones, and work closely with product and engineering to ensure the data flowing through our platform is timely, accurate, and usable. You'll share on-call responsibilities for integration reliability with the broader team. You're not just a connector of systems—you're a builder who understands how data quality and pipeline reliability translate directly into practice outcomes and revenue. WHAT YOU'LL DO Build new EHR and clearinghouse integrations. Design and implement integrations with ambulatory EHRs (Athenahealth, eClinicalWorks, Elation) and clearinghouses, using FHIR, HL7v2, and EDI standards. Understand the quirks of each vendor and build integrations that handle real-world messiness gracefully. Own integration reliability. Harden