IT Senior Manager, Integration, Data & AI Platforms
Element Science
Summary
Element Science is seeking a hands-on Senior Manager, Integration, Data & AI Platforms to own the connective layer of our enterprise technology: the integrations that move orders, patient, clinical, billing, and financial data between our systems; the data platform that turns that data into reporting and insight; and the AI agents and internal applications that extend the capacity of our clinical, patient-services, revenue-cycle, and finance teams.
Job description
Summary of Role
Element Science is seeking a hands-on Senior Manager, Integration, Data & AI Platforms to own the connective layer of our enterprise technology: the integrations that move orders, patient, clinical, billing, and financial data between our systems; the data platform that turns that data into reporting and insight; and the AI agents and internal applications that extend the capacity of our clinical, patient-services, revenue-cycle, and finance teams.
Responsibilities
- Own the enterprise integration architecture and delivery roadmap on Dell Boomi, including the phased integrations between Salesforce and our billing, clinical, ERP, payer, and contact-center systems.
- Lead hospital EMR connectivity: design the EMR integration platform and deliver onboarding waves with our commercial and clinical partners, using HL7 v2 and FHIR standards and appropriate interface partners.
- Build and maintain a documented interface catalog with data-flow, ownership, PHI classification, error handling, monitoring, and SLA definitions for every production interface.
- Establish integration standards, versioning, environments, change control, testing, logging, alerting, and runbooks that satisfy HIPAA, SOC 2, and, where interfaces touch validated systems, 21 CFR Part 11 change-control expectations.
- Design and deliver the enterprise data platform on Google Cloud (BigQuery with a modern transformation and BI layer), starting with revenue-cycle and commercial operations reporting and expanding across the business.
- Define and implement data governance for a regulated healthcare environment: data classification (PHI / PCI / GxP), access controls, lineage, retention, data-quality monitoring, and audit evidence.
- Lead master data management for patients, prescribers, accounts, payers, and products, working with Business Systems and functional owners to establish sources of truth and stewardship.
- Partner with Finance, Commercial, Revenue Cycle, and Operations to deliver trusted dashboards and self-service reporting, and to retire manual spreadsheet-based reporting.
- Own the platform and practices for the AI agents and internal applications we build on Google Cloud, with a disciplined local → staging → production development flow.
- Deliver and operate production AI agents in partnership with business owners, beginning with order quality checks and patient and clinic communications, and extending to voice workflows and revenue-cycle automation, framed around team capacity, turnaround time, and cost-to-collect.
- Stay curious and hands-on as the AI landscape moves: evaluate emerging models, agent frameworks, and tooling; run small experiments before committing; and be willing to change the stack as we learn what works in our environment.
- Implement the practices that make AI safe to run in a regulated company: evaluation, human-in-the-loop review, version control for prompts and models, observability, PHI boundaries, and clear documentation of what each agent may and may not do.
- Contribute to the company's AI governance program and training efforts, including vendor and model assessments and the technical standards that keep protected data inside BAA-covered services.
- Own the IT-managed Google Cloud environment for this domain (IAM, networking, secrets, cost management, backup and recovery, infrastructure-as-code) in partnership with IT Operations & Security.
- Build for auditability from day one: maintain the design documentation, change records, access reviews, and monitoring evidence needed for HIPAA, SOC 2 Type II, PCI-scoped payment integrations, and Part 11 where applicable.
- Participate in vendor selection and diligence for integration, data, and AI tooling, and manage the day-to-day relationships with those vendors and implementation partners.
- Direct and quality-review the work of contractors and implementation partners; hire, develop, and lead a small IT team in this domain as the roadmap scales.
- Translate business problems into a prioritized, sequenced roadmap; present plans, trade-offs, and progress to IT leadership and cross-functional stakeholders in clear, non-technical terms.
- Act as the technical counterpart and backup to the Head of IT & Security for this domain, including architecture decisions, roadmap ownership, and executive-level communication.
What Success Looks Like
- Within 90 days: you own the interface catalog and the in-flight Salesforce ↔ billing integration, with monitoring and change control in place for production interfaces.
- Within 6 months: the next integration phase is delivered, the analytics platform is live for revenue-cycle and commercial reporting, and the first production AI agent is operating under documented governance.
- Within 12 months: the EMR integration platform is in production with the first hospital onboarding wave underway, ERP integrations are delivered, and this domain passes internal SOC 2 readiness review with no significant findings.
Requirements
- Bachelor's degree in Computer Science, Engineering, Information Systems, or a related field, or equivalent practical experience.
- 8+ years in enterprise integration, data, or application development within an IT organization, including 2+ years leading technical staff, contractors, or a technical program end-to-end.
- Hands-on expertise with an enterprise iPaaS — Dell Boomi strongly preferred; MuleSoft, Workato, or Informatica considered — including production deployment, error handling, and monitoring.
- Strong Python and SQL; experience building and operating production services on a major cloud platform (Google Cloud preferred; AWS or Azure with willingness to work in GCP).
- Practical experience building LLM-based applications or agents for production use — orchestration, retrieval, tool use, evaluation, and observability — not just prototypes, paired with genuine curiosity about a field that changes monthly.
- Experience designing data warehouses and analytics platforms (BigQuery, Snowflake, or Redshift; modern transformation and BI tooling).
- Experience handling protected health information or other highly regulated data, with working knowledge of HIPAA technical safeguards and audit evidence expectations.
- Demonstrated ability to work as a player-coach in a small company: comfortable building things yourself, directing others, and communicating with non-technical business leaders.
- Preferred: Healthcare interoperability experience: HL7 v2, FHIR, EMR integration (Epic, Cerner / Oracle Health), and interface engines or integration partners such as Redox or Health Gorilla.
- Preferred: Familiarity with the Salesforce data model and APIs (Health Cloud / Service Cloud), DME or medical billing systems, revenue-cycle workflows, and payer connectivity (Availity or similar).
- Preferred: Experience integrating ERP systems (NetSuite preferred) and contact-center platforms (Amazon Connect preferred).
- Preferred: Exposure to FDA 21 CFR Part 11 and computer system validation, SOC 2 Type II, or PCI-DSS in a small or mid-size company.
- Preferred: Python web frameworks and modern front-end experience; infrastructure-as-code; CI/CD.
- Preferred: Experience in medical device, digital health, or life sciences companies during commercial scale-up.
Benefits
- Stock Options
- Medical, Dental & Vision
- Basic Life Insurance
- 401(k) Retirement Plan
- Competitive PTO
- Paid Holidays
- FSA
- HSA
- Employee Assistance Program
Company overview
Element Science is a San Francisco-based medical device and digital health company founded in 2011 by Dr. Uday Kumar, a cardiac electrophysiologist and founder of iRhythm Technologies. The company specializes in developing innovative wearable solutions at the intersection of clinical-grade wearables, machine learning algorithms, and lifesaving therapies to address leading causes of death and hospitalization in patients with heart disease. Element Science's flagship product is the Jewel® Patch Wearable Cardioverter Defibrillator (Patch-WCD), an unobtrusive, low-profile personal defibrillator designed to detect and treat life-threatening arrhythmias in patients at temporary risk of Sudden Cardiac Death. The company's next-generation digital wearable platform combines human-centric engineering, sophisticated machine learning, and rigorous medical device standards to reduce death and hospitalization from cardiovascular conditions. Backed by prominent investors including Third Rock Ventures, Google Ventures, Deerfield Healthcare, and Qiming Venture Partners, Element Science has raised significant funding, including a $145.6 million Series C round in 2020. The company received FDA approval for its revolutionary Jewel Patch-WCD in 2025, marking a significant milestone in cardiac care innovation.