Peter Csiba has spent twenty years building infrastructure that can't afford to be wrong. Web search at Google. Platform engineering at Robinhood, handling roughly a billion dollars a day in transactions. Now he's Engineering Manager at Assort Health, leading the team responsible for EHR interoperability at a company that just hit unicorn status, a $120M Series C from Menlo Ventures, $222M raised total, revenue up 20x in fifteen months.
Mario talks to Peter about what actually breaks when you try to write data back into Epic without disrupting a health system's workflow, why he moved too fast with EHR partners early on and had to rebuild that trust, and what the Robinhood outage of January 2021 taught him about engineering for systems where the cost of being wrong is high. Peter also gets into the "write-only code era," the tension between flashy AI-generated demos and real engineering rigor, and why he thinks getting your first EHR integration right is a people problem before it's a technical one.
For any CTO or VP of Engineering thinking about their first healthcare data integration, or any engineer wondering what actually predicts a good hire in a fast-scaling startup, this one's dense with specifics.
- What Makes Great Engineers
- EHR Interoperability with Epic
- Scaling Integrations Seed to Unicorn
- AI Code Output vs Healthcare Rigor
- Lessons from Robinhood Outages
- Risk vs Compliance Balance
- Outages and Shipping Speed
- EHR Interop Edge Cases
- API Limits and Monetization
- Voice AI Startup Lessons
- Founder Stress and Volatility
- First EHR Integration Advice
- Finance vs Healthcare Mindset
Watch the episode on YouTube: https://www.youtube.com/@SynaxiaGroup
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Get in touch: https://www.linkedin.com/in/mario-michaels/
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Follow the Podcast: https://www.linkedin.com/company/transformational-blueprints-podcast/
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Follow Synaxia Group: https://www.linkedin.com/company/synaxia-group/
