Integration Engineer, Healthcare AI Systems | São Paulo

* Remote \| São Paulo * $100,000 – $180,000 * AI \| HealthTech \| System Integrations **Snapshot** Join a fast\-scaling **healthcare AI company** building real\-time systems for **medical transcription, clinical records, and EMR integrations** across Latin America. This role sits at the core of the platform — the **integration layer connecting hospitals, clinics, and EHR systems** , where **reliability directly impacts clinical workflows** . This is not just backend engineering — this is **building the nervous system of healthcare AI systems** . **What You'll Do** * Design and own complex integration systems (EHR / EMR / APIs) * Map and understand undocumented or legacy systems * Build reliable backend systems with: + Async patterns + Queues + Observability * Own production: + Runbooks + Incident handling + System reliability * Mentor engineers through code reviews and technical guidance * Engage with open\-source ecosystems (debugging, contributing, extending) **Tech Stack** * Node.js, TypeScript, Python * PostgreSQL, MongoDB * REST APIs, GraphQL **What We're Looking For** * 5\+ years of backend engineering experience * Strong expertise in: + Node.js \+ TypeScript + Python * Deep understanding of: + Async systems + Queues + Error handling + Observability * Experience building integration\-heavy systems * Comfortable working in ambiguity with high ownership Bonus: * Healthcare / EMR / EHR integrations * REST \+ GraphQL API design * Open\-source contributions * Startup experience **Compensation \& Benefits** * $100,000 – $180,000 (USD) * High\-impact role in a fast\-growing healthtech company * Strong engineering culture with real ownership **Location \& Eligibility** Remote (Brazil — São Paulo\-based preferred) * Must be based in Brazil * Must have valid work authorization (no visa sponsorship) **Ideal Candidate Profile** * Has built complex integrations in real\-world systems (health, fintech, etc.) * Thinks in systems, reliability, and edge cases * Comfortable navigating uncertainty and undocumented environments * Strong ownership mindset — builds, ships, and maintains Why This Role * Work on mission\-critical systems used in real clinical environments * Build complex integrations across fragmented healthcare systems * High ownership: shape architecture, not just execute tasks * Direct impact on patient workflows and medical operations * Join a high\-agency, fast\-moving engineering culture ***If you want to build systems where reliability isn't optional — and where your work directly impacts real clinical environments — this is where you make that impact. Apply now...***