Clinical Integration Lead (EHR/Workflow), Post-Award Role
Location: Remote / US-based (US Citizen or Permanent Resident)
Type: Full-Time or 0.5+ FTE (Post-Award, starting ~Q3 2026)
Compensation (conditional on award):
- $200,000–250,000/year (FTE) or $150–200/hr (consultant)
⏳ TIMING: This is a post-award role. We are currently applying for ARPA-H ADVOCATE funding (decision expected Q2 2026). We're building our pipeline now for rapid hiring if awarded.
Interested? Express interest now; we'll reach out when funding is confirmed.
The Opportunity
Regain Health is applying for the ARPA-H ADVOCATE Program, a $50M+ federal initiative to create the first FDA-authorized autonomous AI for cardiovascular care.
We're not proposing to build. We're demonstrating working software:
| System | What It Does | Status |
|---|---|---|
| Deutsch (TA1 CVD Agent) | Autonomous cardiovascular care via three-agent clinical reasoning, protocol-bound GDMT optimization | 100% core complete, 4,000+ patients in production |
| Popper (TA2 Supervisory Agent) | Deterministic safety supervision: 7-gate pipeline gating every clinical output in 47ms | 100% core deployed |
| Hermes Protocol | Open-source TA1↔TA2 communication standard (Apache 2.0) | Released Feb 5, 2026 |
The Integration Challenge: Deutsch is production-ready but deployed outside the US hospital EHR ecosystem. You'll build the FHIR/HL7 bridge that connects our CVD Agent to two Epic-based clinical sites for the first US validation of autonomous clinical AI.
Your Role
As our Clinical Integration Lead (0.5–1.0 FTE post-award), you will own the data pipeline between Deutsch and partner health system EHRs across a two-site, 39-month clinical program.
Phase 1A (12 months): Foundation
- Architect the FHIR pipeline connecting Deutsch to Epic at UI Health (Chicago) and UCHealth/CU Anschutz (Colorado)
- Configure Epic sandbox environments: UI Health budget includes $130K for Epic sandbox, FHIR/HL7 configuration, and IT support
- Define clinical workflows: map how the AI interacts with human staff (e.g., when the AI detects decompensation, does it page the on-call resident or flag the chart?)
- Support pilot enrollment: 50 patients at UI Health, 25+ at UCHealth
- Solve "last mile" problems: HL7 v2 legacy feeds, ADT messages, proprietary EHR APIs
Phase 1B (12 months): Scale
- Multi-site coordination across 3 clinical sites
- Expand enrollment: 500 patients at UI Health, 150+ at UCHealth
- Production hardening: low-latency data pipelines (<100ms processing for real-time safety supervision)
- Work directly with partner health system IT teams for expanded integration
Phase 2 (15 months): Scalability
- I-I-CAPTAIN network deployment: UCHealth's 5-system hospital network for scalability studies
- Support FDA submission data requirements (ensure data capture meets De Novo evidence standards)
- Post-market integration patterns: design for sustainable operation beyond the study
Clinical Sites
| Site | Location | Patient Population | EHR | Your Integration Scope |
|---|---|---|---|---|
| UI Health | Chicago, IL | Safety-net, 70% minority | Epic | Primary site: sandbox, FHIR/HL7, pilot |
| UCHealth/CU Anschutz | Aurora, CO | Rural + Medicaid | Epic | Second site: I-I-CAPTAIN network scaling |
Requirements
Must-Have
- 5+ years healthcare integration experience
- Epic integration experience (App Orchard, SMART on FHIR launch)
- FHIR R4 expertise
- US Citizen or Permanent Resident
Strongly Preferred
- HL7 v2 experience (ADT, ORM, ORU messages)
- Integration engine experience (Mirth, Redox, Rhapsody)
- Understanding of clinical workflows (CPOE, MAR, discharge planning)
- Health system IT deployment experience
- USCDI (US Core Data for Interoperability) implementation experience
- Familiarity with TEFCA / national HIE networks
Nice-to-Have
- HIPAA security or compliance background
- Prior digital health startup experience
- Wearable/remote monitoring data integration (CGM, ECG, BP devices)
- Experience with low-latency data pipelines (<100ms processing)
- Prior ARPA-H, NIH, or federal health grant experience
Why This Role Matters
| Benefit | Details |
|---|---|
| Historic Impact | Build the first EHR integration for autonomous clinical AI. Not decision support: actual autonomous care |
| Production Software | Connect a working system (4,000+ patients) to US hospitals, not a research prototype |
| Two-Site Validation | Solve integration for both safety-net (UI Health) and rural (UCHealth) populations |
| Compensation | $200–250K/year (FTE) or $150–200/hr (consultant) on a $15M+ federal award |
| Growth Path | Scale from 2 sites to the I-I-CAPTAIN 5-hospital network in Phase 2 |
Next Steps
This is a post-award role. We're building our pipeline now for rapid hiring if ARPA-H selects us (decision expected Q2 2026).
To express interest, email anton@regain.ai with:
- Brief summary of your EHR integration experience
- Which EHR platforms you've worked with (Epic, Cerner, etc.)
- Your availability and preferred engagement model (FTE vs consultant)
We'll follow up when funding is confirmed.
Ready to Apply?
Send your resume directly to Anton Kim, Regain's founder and CEO.