---
title: 'Senior Integration Engineer at Duet'
canonical: 'https://feeny.ai/job/senior-integration-engineer-duet-new-york-h015hv88n5cf'
type: 'job'
last_seen: '2026-09-08'
---

# Senior Integration Engineer at Duet

- **Company:** Duet
- **Location:** New York, NY
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-07-23
- **Last confirmed live:** 2026-09-08
- **Apply:** https://jobs.ashbyhq.com/duet/5e28c657-76b1-435f-a109-4fcaa401003b

## Job description

## SENIOR INTEGRATION ENGINEER AT DUET

## ABOUT DUET

Duet is proving that nurse-practitioner-led care isn't just more accessible, it's better. We help NPs build and scale independent practices in communities too often overlooked by the health system: rural towns, immigrant populations, LGBTQ+ patients, and more. Backed by AI-driven tools that give independent NPs the backing of a much bigger system, our network of 100+ practices covering 400,000 annual visits has driven a 30% increase in preventative visits and a 35% drop in hospitalizations, the clearest sign yet that localized NP-led care means better outcomes.

We're a well-funded, early-stage company led by seasoned entrepreneurs and nurse practitioners, and backed by investors including Lerer Hippeau and Kairos.

## WHY DUET, WHY NOW

Independent primary care is disappearing, swallowed by hospital systems and private equity roll-ups, often pulling out of the communities that need it most. But 31 states now support autonomous NP practice, and the results back up what we've long believed. We built the first value-based care contracts for NPs with major payors, taking on real financial risk for outcomes. In our anchor market in New Hampshire, our network outperformed the state on total cost of care by 19%, proof that a solo NP in an underserved area can outperform a system ten times their size and get rewarded for it.

## ABOUT THE ROLE

As our Senior Integration Engineer, you'll own the pipelines that power Duet's platform. Our integrations touch EHRs across the ambulatory space—Athenahealth, eClinicalWorks, Elation—as well as clearinghouses and data warehouses, and they need to be reliable, observable, and extensible as we scale.

This is a highly technical IC role that sits at the intersection of integration engineering and product. You'll build new connections from scratch, harden the reliability of existing ones, and work closely with product and engineering to ensure the data flowing through our platform is timely, accurate, and usable. You'll share on-call responsibilities for integration reliability with the broader team.

You're not just a connector of systems—you're a builder who understands how data quality and pipeline reliability translate directly into practice outcomes and revenue.

## WHAT YOU'LL DO

Build new EHR and clearinghouse integrations. Design and implement integrations with ambulatory EHRs (Athenahealth, eClinicalWorks, Elation) and clearinghouses, using FHIR, HL7v2, and EDI standards. Understand the quirks of each vendor and build integrations that handle real-world messiness gracefully.

Own integration reliability. Harden existing connections with observability, alerting, and automated failure recovery. Participate in shared on-call for integration incidents and build the tooling that makes incident response faster and root-cause analysis clearer.

Build the data pipelines that power our platform. Design and maintain the pipelines that ingest, transform, and deliver clinical, scheduling, billing, and claims data from source systems into our platform and data warehouse. Think carefully about latency, correctness, and schema evolution.

Partner with product on data-driven features. Work closely with the product and engineering team to understand what data is needed to power customer-facing features, and ensure the right data arrives in the right shape at the right time. Push back when upstream data quality makes a feature untrustworthy.

Set the standards for how we do integration. As our first dedicated integration engineer, you'll define how we approach connection design, error handling, retries, and monitoring. Document your decisions and build systems that future engineers can extend without fear.

## WHAT WE'RE LOOKING FOR

- 5+ years of experience as an integration engineer, software engineer, or related discipline.
- Strong Python programming skills; comfort reading and writing production-grade backend code.
- Experience building and operating production data pipelines, including monitoring, alerting, and incident response.
- A builder's orientation—you've worked in small teams where you had to figure things out from scratch, own decisions end-to-end, and move without a lot of process.
- Strong communication skills; you can explain a complex integration failure to a non-technical operator as clearly as you can to an engineer.

## NICE TO HAVE

- Strong command of healthcare interoperability standards: FHIR, HL7v2, and X12 EDI.
- Clearinghouse or EDI experience (X12 835/837 claim submission and remittance workflows).
- Experience with cloud data warehouses (BigQuery, Snowflake, or similar).
- Cloud infrastructure experience (AWS or GCP).
- Prior experience at a healthcare tech, RCM, or practice management company.
- Familiarity with SMART on FHIR or OAuth-based EHR app frameworks.

## COMPENSATION

$160,000–$195,000 depending on experience. We also offer equity, competitive benefits, and a hybrid work environment in New York City.

If you're excited about this role, we encourage you to apply even if you don't meet every requirement listed. We care more about your ability to build and operate complex systems in ambiguous environments than any single line on your resume.

## About Duet

## Company Overview
- **One-liner**: Duet is a network and platform that helps Nurse Practitioner-led primary care practices capture full value through smarter billing, accurate coding, patient engagement, and contracting support.
- **Entity Type**: Private (unfunded / bootstrapped)
- **Headquarters**: Phoenix, Arizona, United States (with presence in the Philippines)
- **Founded**: 2023
- **Founders**: Jonathan Goldberg (Founder & CEO)

## Core Business
- **Primary industry/industries**: Healthcare IT, Healthcare Services (primary care enablement)
- **Target customers**: B2B – Nurse Practitioner (NP) owned primary care practices, from solo founders to teams of 20+ NPs
- **Mission or purpose statement**: “Empower Nurse Practitioners as practice owners and reshape primary care for all.” [joinduet.com/about](https://joinduet.com/about)

## Products & Services
- **Billing**: Optimizes reimbursement, reduces denials, and strengthens revenue performance by staying ahead of payer rule changes. [joinduet.com](https://joinduet.com)
- **Coding**: Provides continuous review and daily insights to ensure accurate, compliant coding. [joinduet.com](https://joinduet.com)
- **Patient Engagement**: Automates recall to keep calendars full and collects 5-star reviews from every visit. [joinduet.com](https://joinduet.com)
- **Contracting**: Negotiates exclusive contracts that recognize the quality and impact of NP-led care. [joinduet.com](https://joinduet.com)
- **Launching (Start Strong)**: All-in-one support from credentialing through opening doors for new practices. [joinduet.com](https://joinduet.com)
- **Scaling**: Untangles complexity to help established practices grow without burnout. [joinduet.com](https://joinduet.com)

## Market Standing
- **Valuation/Market Cap**: Not publicly available (unfunded, bootstrapped)
- **Key Metric**: Total headcount of ~22 employees (as of mid-2025), with +97% YoY growth [linkedin.com/company/joinduet](https://www.linkedin.com/company/joinduet)
- **Notable Investors/Partners**: Not disclosed; no funding rounds reported. Partners likely include payors and health systems (implied by “partner with payors and health systems” [tracxn.com](https://tracxn.com/d/companies/join-duet/__sy8S-u8hj4o5qvhnEMSWmNpZUAiNnC3bFxZIGFBTwdE))
- **Growth Signals**: Headcount grew 97% YoY; monthly traffic growth of +619% to website (though small base); 6 active job postings as of mid-2025; expanding from US to Philippines operations [linkedin.com/company/joinduet](https://www.linkedin.com/company/joinduet)

## Competitive Advantages
- **NP-specific focus**: All tools and services are built specifically for NP-led practices, unlike general medical billing companies.
- **Real human support**: “Powered by real humans, not just AI” – combines technology with dedicated advisors who have experience as NP practice owners [joinduet.com](https://joinduet.com)
- **Network effect**: The first network for NP owners, creating community and scale that individual practices can’t achieve alone.

## Strategic Focus
- Current priorities include expanding the network of NP-led practices, deepening value-based care (VBC) capabilities (e.g., hiring Director, VBC Strategy & Operations), and strengthening payor partnerships [jobs.ashbyhq.com/duet](https://jobs.ashbyhq.com/duet)
- Long-term goal: Radically expand primary care access and revitalize communities through NP ownership [linkedin.com/company/joinduet](https://www.linkedin.com/company/joinduet)

## Why Work Here
- **Culture**: High employee satisfaction – 5.0/5.0 overall rating on LinkedIn (4 reviews), with perfect scores for Work-Life, Culture, and Career growth [linkedin.com/company/joinduet](https://www.linkedin.com/company/joinduet)
- **Mission-driven**: Opportunity to directly impact healthcare access and empower NP practice owners.
- **Growth trajectory**: Rapid headcount growth (97% YoY) and early-stage environment offer significant ownership and impact.
- **Remote/hybrid policy**: Not explicitly stated, but the team is distributed across US and Philippines, suggesting flexible/remote work.
- **Notable perks**: Not detailed, but small company culture with flat structure and direct access to leadership (CEO Jonathan Goldberg, COO Charles Donner, etc.).

## Sources
1. [joinduet.com](https://joinduet.com)
2. [joinduet.com/about](https://joinduet.com/about)
3. [linkedin.com/company/joinduet](https://www.linkedin.com/company/joinduet)
4. [tracxn.com/d/companies/join-duet](https://tracxn.com/d/companies/join-duet/__sy8S-u8hj4o5qvhnEMSWmNpZUAiNnC3bFxZIGFBTwdE)
5. [jobs.ashbyhq.com/duet](https://jobs.ashbyhq.com/duet)

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