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Epic Integration Engineer Jobs in California (NOW HIRING)

USM

Requirement EPIC/Epsi Consultant

Menlo Park, CA · On-site

Company Description USM Business Systems Inc. is a quickly developing worldwide System Integrator ... Engineering, Business Intelligence, Data Management, SOA, BPM, Data Warehousing, SharePoint ...

Deloitte

Epic Willow Senior Consultant

Monterey, CA · On-site

... edge engineering capabilities to build, deploy, and operate integrated/verticalized sector ... Additional Epic Certifications * ITIL process knowledge * Analytical/ Decision Making ...

Deloitte

Epic Denials Management Operator

San Francisco, CA · Remote

$21.25 - $28.25/hr

... edge engineering capabilities to build, deploy, and operate integrated/verticalized sector ... Experience using Epic Resolute Hospital Billing * Bachelor's degree in information technology ...

Deloitte

Epic Denials Management Operator

Inglewood, CA · Remote

$18.75 - $25/hr

... edge engineering capabilities to build, deploy, and operate integrated/verticalized sector ... Experience using Epic Resolute Hospital Billing * Bachelor's degree in information technology ...

Deloitte

Epic Willow Senior Consultant

Fresno, CA

... edge engineering capabilities to build, deploy, and operate integrated/verticalized sector ... Additional Epic Certifications * ITIL process knowledge * Analytical/ Decision Making ...

Deloitte

Epic Denials Management Operator

Costa Mesa, CA · Remote

$19.25 - $25.75/hr

... edge engineering capabilities to build, deploy, and operate integrated/verticalized sector ... Experience using Epic Resolute Hospital Billing * Bachelor's degree in information technology ...

Deloitte

Epic Denials Management Operator

San Diego, CA · Remote

$19 - $25.50/hr

... edge engineering capabilities to build, deploy, and operate integrated/verticalized sector ... Experience using Epic Resolute Hospital Billing * Bachelor's degree in information technology ...

Deloitte

Epic Denials Management Operator

Sacramento, CA · Remote

$19.25 - $25.50/hr

... edge engineering capabilities to build, deploy, and operate integrated/verticalized sector ... Experience using Epic Resolute Hospital Billing * Bachelor's degree in information technology ...

Deloitte

Epic Denials Management Operator

San Jose, CA · Remote

$21 - $28.25/hr

... edge engineering capabilities to build, deploy, and operate integrated/verticalized sector ... Experience using Epic Resolute Hospital Billing * Bachelor's degree in information technology ...

Deloitte

Epic Denials Management Operator

Fresno, CA · Remote

$17.75 - $23.75/hr

... edge engineering capabilities to build, deploy, and operate integrated/verticalized sector ... Experience using Epic Resolute Hospital Billing * Bachelor's degree in information technology ...

Deloitte

Epic Denials Management Operator

Monterey, CA · Remote

$20 - $26.50/hr

... edge engineering capabilities to build, deploy, and operate integrated/verticalized sector ... Experience using Epic Resolute Hospital Billing * Bachelor's degree in information technology ...

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All JobsEpic Integration Engineer JobsEpic Integration Engineer Jobs in California

Epic Integration Engineer information

See California salary details

$43.9K

$122.6K

$171.2K

How much do epic integration engineer jobs pay per year?

As of Aug 13, 2026, the average yearly pay for epic integration engineer in California is $122,648.00, according to ZipRecruiter salary data. Most workers in this role earn between $102,600.00 and $138,200.00 per year, depending on experience, location, and employer.

What is an Epic Integration Engineer?

An Epic Integration Engineer is responsible for designing, developing, and maintaining interfaces between Epic Systems and other healthcare applications. They work with HL7, FHIR, APIs, and other interoperability standards to ensure seamless data exchange. Their role involves troubleshooting integration issues, optimizing performance, and collaborating with clinical and IT teams to enhance healthcare workflows. Additionally, they ensure compliance with healthcare regulations and industry best practices.

What are the key skills and qualifications needed to thrive as an Epic Integration Engineer, and why are they important?

To thrive as an Epic Integration Engineer, you need strong experience with healthcare IT systems, HL7/FHIR interfaces, and Epic modules, often supported by a relevant degree and Epic certifications. Familiarity with interface engines (like Cloverleaf or Mirth), scripting languages, and Epic-specific tools (such as Bridges) is highly valuable. Excellent problem-solving, communication, and collaboration skills are crucial for working across diverse teams and troubleshooting complex integration issues. These competencies ensure seamless data exchange, compliance with healthcare standards, and successful EHR implementation projects.

What are some typical challenges faced by an Epic Integration Engineer when working on new healthcare interface projects?

Epic Integration Engineers often encounter challenges such as mapping data between disparate systems, ensuring compliance with healthcare standards, and troubleshooting real-time connectivity issues. They may also need to coordinate with cross-functional teams—including clinical staff, third-party vendors, and IT departments—to design, test, and deploy new interfaces that support patient care workflows. Adaptability and attention to detail are essential for resolving integration conflicts and meeting strict project deadlines. While these challenges can be complex, they offer opportunities to build expertise and make a significant impact on healthcare delivery.

What are the most commonly searched types of Epic Integration Engineer jobs in California? The most popular types of Epic Integration Engineer jobs in California are:
What are popular job titles related to Epic Integration Engineer jobs in California? For Epic Integration Engineer jobs in California, the most frequently searched job titles are:
What job categories do people searching Epic Integration Engineer jobs in California look for? The top searched job categories for Epic Integration Engineer jobs in California are:
Epic Integration Engineer jobs near you
Infographic showing various Epic Integration Engineer job openings in California as of August 2026, with employment types broken down into 88% Full Time, 5% Part Time, 2% Temporary, and 5% Contract. Highlights an 86% Physical, 5% Hybrid, and 9% Remote job distribution, with an average salary of $122,648 per year, or $59 per hour.

Software Engineer - Healthcare Integrations

Sierra

San Francisco, CA • On-site

$180K - $390K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Job description

About us
At Sierra, we're creating a platform to help businesses build better, more human customer experiences with AI. We are primarily an in-person company based in San Francisco, with growing offices in Atlanta, New York, London, Paris, Madrid, Munich, Singapore, Tokyo, and Sydney.
We are guided by a set of values that are at the core of our actions and define our culture: Trust, Customer Obsession, Craftsmanship, Intensity, and Family. These values are the foundation of our work, and we are committed to upholding them in everything we do.
Our co-founders are Bret Taylor and Clay Bavor. Bret currently serves as Board Chair of OpenAI. Previously, he was co-CEO of Salesforce (which had acquired the company he founded, Quip) and CTO of Facebook. Bret was also one of Google's earliest product managers and co-creator of Google Maps. Before founding Sierra, Clay spent 18 years at Google, where he most recently led Google Labs. Earlier, he started and led Google's AR/VR effort, Project Starline, and Google Lens. Before that, Clay led the product and design teams for Google Workspace.
About the Healthcare team
  • Our healthcare agents already reach over 50% of U.S. families. We partner with leading health plans, providers, and healthcare platforms to deliver AI agents that handle some of the most sensitive and high stakes conversations in any industry. From helping members understand their benefits to resolving billing questions with empathy, our healthcare agents are transforming how patients and policyholders interact with the healthcare system.
  • Our healthcare customers include major health insurance networks, nonprofit providers, multi-site primary and urgent care practices, healthcare diagnostics companies, and healthcare financial platforms.
  • Join us to transform the patient experience across the healthcare system-and help build technology that makes care more accessible, more human and more affordable for everyone.
What you'll do
  • As a Software Engineer working on Healthcare Interoperability at Sierra, you will design and build the core healthcare integration primitives that enable Sierra agents to safely connect with EHRs and other healthcare systems of record.
  • Own production integrations with systems such as Epic, athenahealth, Oracle Health, eClinicalWorks, MEDITECH, and other healthcare platforms, including FHIR, HL7, APIs, flat files, and customer-specific integration patterns.
  • Build reusable platform capabilities for healthcare data access, write-back workflows, authentication, authorization, auditability, observability, testing, and deployment across customers.
  • Partner closely with Agent Engineers to help them design and ship healthcare workflows such as appointment scheduling, patient intake, care navigation, CRM updates, clinical task routing, and other read/write agent actions.
  • Serve as a technical SME with customers' EHR, IT, security, and operations teams, translating complex interoperability requirements into clear implementation plans and durable Sierra platform capabilities.
  • Help define Sierra's standards for safe healthcare agent actions, including validation, idempotency, permissions, human-in-the-loop review, escalation, and PHI/data privacy safeguards.
What you'll bring
  • 8+ years of hands-on software engineering experience, including experience operating at or above the level of Senior Software Engineer.
  • Deep experience shipping production healthcare integrations under HIPAA, security, privacy, and compliance constraints.
  • Strong technical fluency with healthcare interoperability standards and patterns, including FHIR, HL7, OAuth/SMART-style authorization, patient identity, data mapping, audit logs, and EHR-specific APIs.
  • Experience building integrations with one or more major EHRs or healthcare platforms, such as Epic, athenahealth, Oracle Health, eClinicalWorks, MEDITECH, or similar systems.
  • Strong product and platform judgment: you know what should become a reusable primitive, what should remain customer-specific, and how to design abstractions that survive real-world healthcare complexity.
  • Comfort working directly with customers, including EHR analysts, security teams, technical executives, and operations leaders, while staying deeply hands-on in the code.
  • Degree in Computer Science or related field, or equivalent professional experience.
Even better...
  • Experience building and scaling end-to-end production systems.
  • Experience building or deploying AI/LLM systems in production.
  • Have been a founder or founding engineer-you know what it means to balance craft, ownership, and speed.
  • Familiarity with tools that power today's AI agents: eval frameworks, agent tooling, RAG pipelines, and prompt engineering.
  • Prior experience with React, TypeScript, and/or Go.
  • Previous roles where you interfaced with customers or led technical projects with external stakeholders.
Our values
  • Trust: We build trust with our customers with our accountability, empathy, quality, and responsiveness. We build trust in AI by making it more accessible, safe, and useful. We build trust with each other by showing up for each other professionally and personally, creating an environment that enables all of us to do our best work.
  • Customer Obsession: We deeply understand our customers' business goals and relentlessly focus on driving outcomes, not just technical milestones. Everyone at the company knows and spends time with our customers. When our customer is having an issue, we drop everything and fix it.
  • Craftsmanship: We get the details right, from the words on the page to the system architecture. We have good taste. When we notice something isn't right, we take the time to fix it. We are proud of the products we produce. We continuously self-reflect to continuously self-improve.
  • Intensity: We know we don't have the luxury of patience. We play to win. We care about our product being the best, and when it isn't, we fix it. When we fail, we talk about it openly and without blame so we succeed the next time.
  • Family: We know that balance and intensity are compatible, and we model it in our actions and processes. We are the best technology company for parents. We support and respect each other and celebrate each other's personal and professional achievements.
What we offer
We want our benefits to reflect our values and offer the following to full-time employees:
  • Flexible (unlimited) paid time off
  • Medical, dental, and vision benefits for you and your family
  • Life insurance and disability benefits
  • Retirement plan dependent on country of employment
  • Parental leave
  • Fertility and family building benefits through Carrot
  • Lunch, as well as delicious snacks and coffee to keep you energized
  • Discretionary benefit stipend giving people the ability to spend where it matters most
  • Free alphorn lessons

These benefits are further detailed in Sierra's policies, may vary by region, and are subject to change at any time, consistent with the terms of any applicable compensation or benefits plans. Eligible full-time employees can participate in Sierra's equity plans subject to the terms of the applicable plans and policies.
Be you, with us
We're working to bring the transformative power of AI to every organization in the world. To do so, it is important to us that the diversity of our employees represents the diversity of our customers. We believe that our work and culture are better when we encourage, support, and respect different skills and experiences represented within our team. We encourage you to apply even if your experience doesn't precisely match the job description. We strive to evaluate all applicants consistently without regard to race, color, religion, gender, national origin, age, disability, veteran status, pregnancy, gender expression or identity, sexual orientation, citizenship, or any other legally protected class.

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