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Duet
New York City, New York, United States
Source: Duet careers · View original posting
From Duet's posting. “We” and “our” refer to the employer.
Senior Integration Engineer at 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.
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.
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.
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