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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:

  1. Brief summary of your EHR integration experience
  2. Which EHR platforms you've worked with (Epic, Cerner, etc.)
  3. Your availability and preferred engagement model (FTE vs consultant)

We'll follow up when funding is confirmed.