About Amigo

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 own outcomes, not just delivery. For our customers, we're responsible for agent performance: clinical safety, continuous improvement, measurable patient outcomes. Agents operate autonomously within bounded clinical domains, with clear scope and handoff protocols. That scope expands as we validate performance across populations.

We're backed by Tier 1 investors like General Catalyst, GSV Ventures, SVA, and CohoVC. 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 role

As 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.

What you'll do

• 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

What we're looking for

• 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

Nice to have

• 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

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

Growth & Development

• Annual learning budget for courses, books, or conferences

• Conference attendance budget for professional development

• Annual team offsite

• Academic collaboration opportunities

• Unlimited PTO

Our Core Values

1. 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.

2. 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.

3. 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.

4. 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.

Who Builds With Us

• 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.