DrFirst Inc.

Supporting healthcare systems, troubleshooting, and documentation in a client support role. | Experience in healthcare support engineering, SQL, and familiarity with healthcare data standards. | About DrFirst For 25 years, DrFirst has empowered providers and patients to achieve better health through intelligent medication management. We improve healthcare workflows and help patients start and stay on therapy with end-to-end solutions that enhance prescription access, affordability, and adherence. Our solutions help 100 million patients a year and are used by more than 420,000 prescribers, 71,000 pharmacies, 270 EHRs and health information systems, and over 2,000 hospitals in the U.S. This is a great opportunity to be a part of a successful Healthcare IT company experiencing significant growth. Here you will get to work with some of the smartest and most interesting people around, solving unique and complex challenges in healthcare on a scale matched by few companies. If you get excited about stretching yourself in new ways, developing yourself to your fullest potential, and care about working with smart colleagues, we want to talk to you! Position Overview The Senior Integration Engineer will lead the integration of medication data feeds from payer partners into DrFirst solutions. This role requires both technical excellence and strong relationship management skills, as you will own the ongoing business relationships with payer organizations while managing the continuous integration of their medication data. You will play a critical role in scaling direct payer integrations and prior authorization workflows while owning both the technical execution and business relationships with payer partners. This role blends hands-on integration engineering, project leadership, and cross-functional collaboration with product to establish scalable processes and SOPs as payer connectivity grows. You will serve as a technical and business-facing leader for payer integrations, helping transform complex payer workflows into reliable, repeatable, and scalable integration capabilities. As a senior member of the team, you will also serve as a technical resource and mentor for Integration Services Engineers, supporting medication management solution integrations into EMR/EHR platforms when needed. This role requires managing multiple concurrent integration projects, maintaining strong payer relationships through regular communication and updates, and ensuring seamless delivery as payers continuously add new plans, update formularies, and introduce new data elements. Who Will Love This Job A relationship builder who excels at managing technical and business partnerships with external organizations A project leadership professional who manages multiple payer integration projects simultaneously A technical mentor who enjoys sharing knowledge with team members A medication management specialist who understands pharmacy benefits and prior authorization workflows A healthcare technology innovator who builds bridges between disparate healthcare technologies A quality engineering leader who embeds testing, monitoring, and compliance into development A continuous improvement catalyst who iteratively enhances integration processes What you will work on Payer Integration Ownership Lead end-to-end integration of medication data feeds from national and regional payers Design, build, and support direct payer integrations with UnitedHealthcare, Aetna, Cigna, Humana, BCBS Act as technical subject matter expert for payer-specific integration requirements Business Relationship Management Serve as primary technical and business contact for payer partners Own business and technical relationships with payer partners Partner with payer stakeholders to align on requirements and timelines Prior Authorization Integration Expertise Build, maintain, and optimize prior authorization integrations Troubleshoot complex PA issues across payer systems Collaborate to improve authorization success rates Team Technical Leadership Act as escalation point and mentor for Integration Services Engineers Build team capabilities through knowledge sharing and documentation Product Partnership and SOP Development Partner with Product Management to define scalable payer integration capabilities Create and maintain Standard Operating Procedures for repeatable delivery Project Management & Integration Delivery Own end-to-end integration projects from discovery through go-live Manage timelines, dependencies, and stakeholder communication Qualifications Required: Bachelor's degree in Computer Science, Software Engineering, or related technical field 5+ years in healthcare integration engineering with focus on payer connectivity Deep understanding of healthcare data standards (HL7 FHIR, HL7 v2, X12 EDI) Proven ability to manage external business relationships Strong project management skills coordinating multiple concurrent projects Experience with Java, C#, Python, JavaScript/Node.js Background in CI/CD, automated testing, and cloud platforms (AWS) Understanding of HIPAA, HITECH, and healthcare regulatory requirements Preferred: Experience with payer organizations on technical integrations Knowledge of pharmacy benefit management (PBM) systems Background in mentoring less experienced engineers Experience with EMR/EHR integration patterns Experience with microservices and event-driven architectures Knowledge of healthcare interoperability initiatives (TEFCA, CMS) Physical Requirements 95% Desk work Less than 5% travel to industry events and annual team onsite #LI-GF1 #LI-Remote Benefits Competitive compensation, with a base salary of $130,000 - $150,000 (Exact compensation may vary based on skills and experience) Eligible for a Discretionary Performance-based bonus Medical, dental, and vision insurance 401K eligible after 3 months of employment, with 50% company match up to first 5% of salary contributed to the plan with a 3-year vesting schedule HSA for eligible employees enrolled in the HDHP, with a generous company contribution up to $500 for individual coverage and $1000 for family coverage per year 100% company paid short and long-term disability, AD&D, and group life insurance Accrued annual paid time off (PTO) of 18 days for the first 3 years of service, increasing thereafter and 7 paid holiday days Employee Assistance Program Continuing Education funds up to $1500 annually for eligible programs after 1 year of service Voluntary benefits including FSA, Hospital indemnity, Accident and Critical Illness insurances DrFirst is committed to being a Remote-First company, creating a dynamic and flexible workplace where everyone can thrive, no matter where they log in from. Check out our approach to remote work https://drfirst.com/company/about-us/careers/. Our recruitment process at DrFirst is straightforward and secure. You will only be contacted by our recruitment team through an official @drfirst.com email address. We will never ask you for payment or sensitive personal information, such as your social security number or banking details, at any stage of the hiring process. Additionally, we will not request that you purchase equipment or accept e-checks or checks for deposit. If you encounter any communications claiming to be from DrFirst that seem suspicious, please contact our recruitment team directly at recruiter@drfirst.com to verify the message's authenticity. Your security is important to us! Learn more about our benefits and professional development opportunities https://drfirst.com/company/about-us/careers/the-perks/.

Lead and develop AI/ML systems for healthcare, prototype with LLMs, and communicate technical concepts to stakeholders. | Over 10 years in software engineering and data science, with 5+ years leading teams, proven AI/ML product delivery, and experience with cloud and modern AI tools. | About DrFirst For 25 years, DrFirst has empowered providers and patients to achieve better health through intelligent medication management. We improve healthcare workflows and help patients start and stay on therapy with end-to-end solutions that enhance prescription access, affordability, and adherence. Our solutions help 100 million patients a year and are used by more than 420,000 prescribers, 71,000 pharmacies, 270 EHRs and health information systems, and over 2,000 hospitals in the U.S. This is a great opportunity to be a part of a successful Healthcare IT company experiencing significant growth. Here you'll get to work with some of the smartest and most interesting people around; solving unique and complex challenges in healthcare on a scale matched by a few companies. If you get excited about stretching yourself in new ways, developing yourself to your fullest potential, care about working with smart colleagues; we want to talk to you! Position Overview Is This You? You love building and scaling intelligent software! Technology still delights you, and the current wave of AI tools has you energized. You're happy to be programming again, experimenting with AI-assisted development, and seeing possibilities everywhere. You want to work somewhere where your beta launch means 10% of the US population and the freedom to move fast. You're looking for a place where you can be both strategic and hands-on. Where you can architect systems that process hundreds of millions of transactions. Where you can lead teams but also build demos that make executives lean forward in their chairs. You thrive when resources are constrained because it forces creative solutions. You'd rather multiply impact through smart architecture and reusable services than throw bodies at problems. You know through personal experience that well-led teams leveraging modern AI tools can compete with organizations 10x their size. If this sounds like you, keep reading. The Profile We Need We distilled this role into nine qualities. Here's what we're looking for: Technical Depth: You've built systems that process transactions at scale everyday. You know the difference between a demo and an ML/LLM that scales. Hands-on Coding: This is a player-coach role. You should spend 20-30% of your time prototyping with LLMs, writing Python, and demonstrating what's possible before your team scales it. Storytelling & Communication: You translate complex technical concepts into narratives that make executives believe. You can demo something impressive while staying grounded and credible. Emotional Intelligence: You read rooms, inspire teams, and navigate organizational dynamics. High EQ matters as much as high IQ here. Team Development: You'll inherit solid engineering teams and will have the opportunities to grow and mature them. Strategic Thinking: You spot opportunities others miss. You understand where AI creates genuine value versus where it's just noise. Network of Talent: This is critical. When headcount is limited and the market moves fast, you multiply impact through reusable services, smart architecture, AI-assisted development, and building a network of talented people who want to work with you. Executive Presence: You're comfortable presenting at healthcare conferences, meeting with pharma partners, and representing our technical vision externally. Healthcare Domain: Nice to have but not required. We'll teach you healthcare if you bring the AI expertise and learning agility. What you will work on What You'll Actually Do Build cool stuff used by 100Ks of doctors daily: Create reusable AI services that streamline healthcare, adding agents where they make sense. Translate weekly advancements in AI: To improve and expand our own medical AI assistant while pioneering the industry next evidence based medical solutions. Evolve Med History: Architect the next generation of medication history capabilities on top of our every expanding data assets. Establish AI development practices: Make AI-augmented development the standard, not the exception. Work with your co-leaders to constantly refine how our products are made. Evangelize internally: Make believers out of skeptics through working demos and tangible results. Sell practical AI transformation to stakeholders. Lead your team: You'll have full hiring authority with an expanding team of engineers, data scientists, and BI developers. Why This Role is Important For the past decade, we've been defining what pragmatic AI in healthcare workflows actually means. Not hype, not research papers, but systems that work reliably for clinicians who are already overwhelmed. You'd be continuing that legacy at a moment when the tools have fundamentally changed. We're a company of technology entrepreneurs who work hard to make healthcare suck a little less. That's not marketing speak. Our people genuinely love helping others with applied technology. We process 300 million prescriptions annually because we built platforms that actually work, and we have medication history data that creates real competitive advantage. You'll have a thought partner who can prototype alongside you and understands the technical depth of what you're building. You'll have real autonomy: full hiring authority, technical decisions within proven guardrails, direct influence over product roadmaps, budget input, and partnership discussions with billion dollar companies. This is a chance to define how a company touching 25% of US prescriptions operates for the next decade. Not just build products, but establish AI capabilities that become the foundation for how we help clinicians do their jobs better. Qualifications Technical Requirements ML/LLM production experience: You've shipped ML systems at scale. You understand prompt engineering, RAG architectures, embedding models, speech to text and text to speech, and model evaluation. Hybrid solutions of local and cloud LLM. Event-driven architectures: Real-time processing and making decisions in milliseconds is second nature to you. Cloud infrastructure: Deep AWS experiencerequired, GCP a plus. You know both cloud primitives and managed AI services. Modern AI tools: You actively use AI-assisted development tools. You understand how they change what small teams can accomplish. Technical stack: We work with open source, Java, Python, Kafka, Postgres, AWS and GCP. You work within these guardrails. Basic Qualifications 10+ years in software engineering and data science, with 5+ years leading teams. Proven track record taking AI/ML products from concept to production with measurable business impact. Track record hiring, developing, and retaining high-performing technical teams. Demonstrated ability to communicate complex technical topics to non-technical executives. Physical Requirements 85% desk and phone work 15% travel across office locations, customer visits, external visits as needed #LI-GF1 #LI-Remote Benefits Competitive compensation, with a base salary of $200,000 - $280,000 (Exact compensation may vary based on skills and experience) Eligible for Company Performance-based Bonus Program, based on individual and company performance Medical, dental, and vision insurance 401K eligible after 3 months of employment, with 50% company match up to first 5% of salary contributed to the plan with a 3-year vesting schedule HSA for eligible employees enrolled in the HDHP, with a generous company contribution up to $500 for individual coverage and $1000 for family coverage per year 100% company paid short and long-term disability, AD&D, and group life insurance Accrued annual paid time off (PTO) of 18 days for the first 3 years of service, increasing thereafter and 7 paid holiday days Employee Assistance Program Continuing Education funds up to $1500 annually for eligible programs after 1 year of service Voluntary benefits including FSA, Hospital indemnity, Accident and Critical Illness insurances DrFirst is committed to being a Remote-First company, creating a dynamic and flexible workplace where everyone can thrive, no matter where they log in from. Check out our approach to remote work https://drfirst.com/company/about-us/careers/. Our recruitment process at DrFirst is straightforward and secure. You will only be contacted by our recruitment team through an official @drfirst.com email address. We will never ask you for payment or sensitive personal information, such as your social security number or banking details, at any stage of the hiring process. Additionally, we will not request that you purchase equipment or accept e-checks or checks for deposit. If you encounter any communications claiming to be from DrFirst that seem suspicious, please contact our recruitment team directly at recruiter@drfirst.com to verify the message's authenticity. Your security is important to us! Learn more about our benefits and professional development opportunities https://drfirst.com/company/about-us/careers/the-perks/.