Implementation Engineer

Department: Engineering

Location: EDT / EST (US East Coast only)

Compensation: $110K – $140K • Offers Equity

Employment Type: FullTime

Healthcare is in crisis and the people behind the results deserve better. With more and more data coming from wearables, lab tests, and patient–doctor interactions, we’re entering an era where data is abundant.

Junction is building the infrastructure layer for diagnostic healthcare, making patient data accessible, actionable, and automated across labs and devices. Our mission is simple but ambitious: use health data to unlock unprecedented insight into human health and disease.

If you're passionate about how technology can supercharge healthcare, you’ll fit right in.

Backed by Creandum, Point Nine, 20VC, YC, and leading angels, we’re working to solve one of the biggest challenges of our time: making healthcare personalized, proactive, and affordable. We’re already connecting millions and scaling fast.

Short on time? TL;DR

• Ownership: Lab integrations are how customers start using Junction. We need one clear owner so onboarding stays fast and reliable as volume grows.

• Salary: $110,000 - $140,000 + equity

  *The salary range shown is intentionally broad to reflect the range of skills and levels that we are open to for this role.

• You: A hands-on implementation, solutions or forward-deployed engineer who can onboard lab integrations independently and at a fast-pace, and provide exceptional customer service to partners

• Location: Fully remote (EST timezone only)

Why we need you

Junction processes millions of lab test orders a year, and are growing our customer base and lab network.

Each onboarding is complex, and requires a deep technical understanding of the product, project management skills, and the ability to collaborate with a number of internal stakeholders and provide excellent customer service to the partners involved.

Right now, this work falls between several functions, none of whom are specialists in this. To be the best, Junction needs own owner to manage implementation, maintenance, partner co-ordination and debugging. And lay the foundations to scale this to match our rapid pace of growth

What you’ll be doing day to day

• Own lab integrations end-to-end: across the full lifecycle — onboarding, maintenance, relationship management, and offboarding. You’ll handle partner comms, keep internal teams updated, write code when needed, and troubleshoot issues from logs.

• Be the primary technical point of contact for lab partners during implementations.

• Coordinate timelines, requirements, and dependencies across engineering, ops, and customer success — and keep everyone aligned on what’s happening and what’s next.

• Spot risks + blockers early and drive them to resolution.

• Troubleshoot real issues: logs, broken workflows, and integration edge cases.

• Manage ongoing changes: test menu updates, compendia updates, and lab-specific requirements that evolve over time.

• Improve how we do integrations: document what matters, surface recurring issues, and help fix root causes so the next integration is faster and smoother.

Requirements

You have:

• 3+ years doing technical implementations / integrations where you actually got things live with external partners

• Hands-on integration experience with HL7 and/or APIs, including mapping/config, testing, and moving to production.

• Experience working in healthcare / diagnostics / labs or similar integration complexity + low tolerance for errors.

You can:

• Troubleshoot using logs and evidence and identify what’s broken (and what isn’t) before pulling in engineers.

• Run partner-facing technical comms: keep momentum, ask for what you need, and give clear updates without escalating everything.

• Manage multiple implementations at once and keep timelines, dependencies, and decisions straight.

What this role isn’t

• Product discovery: you won’t own roadmap or product direction

• Device integrations

• Pre-sales or post-sales: this isn’t demos, decks, or closing work

• A greenfield “design a new platform” role

• You want simple integrations: this is not that. Labs are messy and full of edge cases — the harder the integration, the more you should like it.

• A different task each day: the core of this role is implementing integrations and improving the process to make them faster, cleaner and more reliable each time’

How you'll be compensated

• Salary: $110K - $140k + equity

• Your salary is dependant on your location and experience level, generated by our salary calculator. Read more in our handbook here.

• Generous early stage options (extended exercise post 2 years employment)

• Regular in person offsites, last were in Morocco and Tenerife

• Bi-weekly team happy hours & events remotely

• Monthly learning budget of $300 for personal development/productivity

• Flexible, remote-first working - including $1K for home office equipment

• 25 days off a year + national holidays

• Healthcare cover depending on location

Oh and before we forget:

• Backend Stack: Python (FastAPI), Go, PostgreSQL, Google Cloud Platform (Cloud Run, GKE, Cloud BigTable, etc), Temporal Cloud

• Frontend Stack: TypeScript, Next.js

• API docs are here: https://docs.junction.com/

• Company handbook is here with engineering values + principles

Important details before applying:

• We only hire folks physically based in GMT and EST timezones - more information here.

• We do not sponsor visas right now given our stage