Jobs / United States / Sierra Technologies Ltd
Healthcare Integrations Architect
Sierra Technologies Ltd · 🇺🇸 San Francisco, CA; New York, NY
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- No salary bar for this routeH-1B has no fixed salary bar: the employer must pay at least the prevailing wage for the role and area. Cap-subject employers enter a lottery weighted by wage level. Source: https://www.federalregister.gov/documents/2025/12/29/2025-23853/weighted-selection-process-for-registrants-and-petitioners-seeking-to-file-cap-subject-h-1b, rules effective 2026-02-27.
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Sponsor Radar — Sierra Technologies Ltd
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About the role
ABOUT US Sierra is the leading platform for customer-facing AI agents, working with many of the world's biggest brands — including The GAP, Rocket Mortgage, SoFi, Sutter Health, and SoftBank — to transform how they serve customers and grow their businesses. We are primarily an in-person company based in San Francisco, with growing offices across North America, Europe, and Asia. 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 a commitment to balancing Family along the way. 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 https://www.linkedin.com/in/brettaylor/ and Clay Bavor https://www.linkedin.com/in/claybavor/. 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 - Design integrations grounded in real healthcare workflows. Translate customer requirements into clear recommendations on interfaces, data flows, and EHR configuration. Identify assumptions, tradeoffs, and limitations so engineering teams have an actionable implementation plan. - Resolve customer-specific EHR complexity. Understand how each organization configures and operates its EHR, including scheduling rules, patient identity, permissions, and workflow dependencies. Work with customer analysts, vendor teams, and Sierra engineers to investigate unexpected behavior and resolve integration blockers. - Guide integration readiness through go-live. Define customer setup requirements, dependencies, and validation criteria. Guide EHR and IT teams through application registration, access provisioning, environment setup, and workflow testing, partnering with engineers to verify that integrations behave as intended. - Bring EHR expertise to customer discovery. Partner with Sales, Sales Engineering, and Agent Development to assess feasibility, explain integration requirements, and scope achievable projects. Make clear what Sierra supports today and what requires additional configuration or development. - Shape Sierra’s healthcare integration roadmap. Evaluate vendor capabilities, integration programs, and emerging customer needs. Recommend where to invest, distinguishing reusable platform capabilities from customer-specific configuration and implementation work. - Make each implementation easier than the last. Turn deployment experience into reference designs, implementation