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Human resources ⇄ Business productivity

Lever to NextGen Healthcare integration — real-time, two-way sync

Keep Lever and NextGen Healthcare in sync without custom scripts. Cut weeks of integration work, eliminate silent data drift, and give your team a single, reliable source of truth.

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Adopted by fast-scaling companies moving mission-critical data in real time

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Why teams connect Lever and NextGen Healthcare

Keep the people, teams, and status that NextGen Healthcare and Lever share aligned in real time, so a hire, role change, or departure recorded in one reaches the other within seconds.

Each tool in NextGen Healthcare keeps its own list of who can use it: users, members, or agents, along with the team they sit on and whether they are still active. Lever is the authoritative record of the same people as employees, with their department, manager, and employment status. When those two are connected only by manual account admin or a periodic export, the work tools drift: new hires wait days for access, team and manager changes never catch up, and people who have left keep standing accounts.

Stacksync syncs Lab Results, Insurance / Coverage, Charges & Billing, Patients in NextGen Healthcare with Postings, Requisitions, Offers, Users in Lever bi-directionally and in real time. A person added, moved, or offboarded in Lever creates or updates the matching user in NextGen Healthcare within seconds, with field-level mapping and conflict resolution in place of spreadsheets and one-off account changes. Where NextGen Healthcare captures details of its own, such as a corrected contact or a login identity, those can flow back to Lever in whichever direction you configure.

Because the sync is field-level, each system keeps its own extras; only the shared facts, who a person is, which team they belong to, and whether their access should be on, are held in agreement.

Common use cases

  • 01 Sync patient demographics into a CRM for engagement and intake workflows.
  • 02 Push appointment schedules to reminder and communication tools and write confirmations back.
  • 03 When an Opportunity is marked hired, write the candidate and its Offer into an HRIS or onboarding system to start employee provisioning.
  • 04 Consolidate Feedback, Interviews, and Notes into a warehouse for interviewer scorecard and time-to-fill reporting.

Common sync patterns

Where NextGen Healthcare routes or assigns work by person: assignments follow the org

When someone changes teams or managers in Lever, the queues, ownership, or approvals in NextGen Healthcare update to match, so work reaches whoever holds the role now.

Onboarding: access ready on day one

A new hire recorded in Lever creates the matching user in NextGen Healthcare with the right team and manager already set, so people can start working without waiting on a provisioning ticket.

Offboarding: no standing access after a departure

When someone is marked as leaving in Lever, the matching account in NextGen Healthcare is deactivated or flagged, so departures do not leave open access behind.

What you can sync between Lever and NextGen Healthcare

Representative objects on each side — any object or custom field can map to any target. Schemas are auto-detected; types are converted between the two systems.

Lever objects NextGen Healthcare objects How this pairing syncs
Interviews Scheduled interview panel events with times and interviewers; read for scheduling reporting and time-to-hire metrics, and creatable via the panels endpoint. Providers Clinician and location directories kept consistent across scheduling and web systems. Interviews is specific to Lever and Providers to NextGen Healthcare — each maps to any object or custom field on the other side.
Notes and Contacts Free-text Notes on Opportunities plus the underlying Contact (person) that dedupes multiple Opportunities; notes are posted via POST /opportunities/:id/notes and contact-level tags, sources, and links can be added back for attribution. Clinical Documents Notes and attachments exchanged with referral and document-management workflows. Notes and Contacts is specific to Lever and Clinical Documents to NextGen Healthcare — each maps to any object or custom field on the other side.
Opportunities The core pipeline record for a candidate applying to a role; replaced the deprecated Candidates endpoint. Created via POST /opportunities and updated (stage, archive, links, tags, sources, files) through the API, and synced two-way with a database or HRIS. Medications & Allergies Clinical list data read via standardized FHIR resources for care coordination. Opportunities is specific to Lever and Medications & Allergies to NextGen Healthcare — each maps to any object or custom field on the other side.
Postings Job posting records with categories, apply URLs, workplace type, and requisition codes. Can be created via POST /postings and read into a warehouse for open-role reporting. Lab Results Result data read for patient-facing portals and analytics. Postings is specific to Lever and Lab Results to NextGen Healthcare — each maps to any object or custom field on the other side.
Requisitions Headcount/requisition records with custom requisition fields, tied to Postings; read via GET /requisitions and synced to an HRIS to reconcile approved headcount against open roles. Insurance / Coverage Payer and eligibility data reconciled with billing and clearinghouse systems. Requisitions is specific to Lever and Insurance / Coverage to NextGen Healthcare — each maps to any object or custom field on the other side.
Offers Offer records attached to an Opportunity with status and offer-form fields; exposed read-only through GET /opportunities/:id/offers, so they sync outbound to an HRIS or onboarding system when a candidate reaches the offer stage. Charges & Billing Practice-management financial data synced for revenue-cycle analytics. Offers is specific to Lever and Charges & Billing to NextGen Healthcare — each maps to any object or custom field on the other side.

How changes propagate between Lever and NextGen Healthcare

Each direction of the sync is driven by what the source system can signal and what the destination accepts — detection, delivery, and expected latency below.

Lever NextGen Healthcare Sub-second propagation

DetectionLever notifies Stacksync of record changes through webhook events. Webhooks for candidate and application lifecycle events (applicationCreated, candidateStageChange, candidateArchiveStateChange, candidateHired,.

DeliveryEach detected change is written to NextGen Healthcare through its API, with automatic retries and rate-limit backoff.

NextGen Healthcare Lever Interval-based propagation

DetectionStacksync polls NextGen Healthcare for changes on an incremental schedule, reading only records changed since the previous pass. Polling, typically filtering on last-updated timestamps.

DeliveryEach detected change is written to Lever through its API, with automatic retries and rate-limit backoff.

Rate-limit considerations

  • Lever: 10 requests/second per API key with a token-bucket burst to ~20/s; POSTs that create candidates/applications are throttled to roughly 2/second. Sustained overage returns 429 with Retry-After. List endpoints are cursor-paginated at up to 100 records per page.
  • NextGen Healthcare: Subject to the platform's API rate limits and healthcare data-access agreements.
What ships with Lever ⇄ NextGen Healthcare

Connect Lever and NextGen Healthcare for flexible, real-time data sync.

Real-time sync, workflow automation, event queues, EDI, and monitoring, for every Lever–NextGen Healthcare connection.

Real-time

Two-way sync

Changes in Lever or NextGen Healthcare instantly reflect in both systems. No stale data, no manual imports.

No-code + pro-code

Workflow automation

Trigger automated workflows whenever Lever or NextGen Healthcare data changes, update records, fire webhooks, or kick off sequences without brittle API scripts.

At scale

Event queues

Handle millions of events per minute without losing a single Lever or NextGen Healthcare record.

Observability

Monitoring

Track your Lever ⇄ NextGen Healthcare sync health, view errors, and replay failed events in one click.

Trading partners

EDI

Transform legacy EDI complexity into simple database interactions between Lever and NextGen Healthcare.

How the Lever and NextGen Healthcare connectors work

Lever

Integration surface
REST Data API (api.lever.co/v1)
Authentication
API key over HTTP Basic auth (key as username, blank password) for internal integrations, or OAuth 2.0 with 1-hour access tokens for partner integrations (auth.lever.co)
Change detection
Webhooks for candidate and application lifecycle events (applicationCreated, candidateStageChange, candidateArchiveStateChange, candidateHired, interview created/updated/deleted), plus incremental polling via created_at and updated_at range filters on Opportunities
Capabilities
read · write · webhooks
Rate limits
10 requests/second per API key with a token-bucket burst to ~20/s; POSTs that create candidates/applications are throttled to roughly 2/second. Sustained overage returns 429 with Retry-After. List endpoints are cursor-paginated at up to 100 records per page.
Lever setup guide

NextGen Healthcare

Integration surface
REST API, including FHIR-based endpoints published through NextGen's developer API program
Authentication
OAuth 2.0
Change detection
Polling, typically filtering on last-updated timestamps; no general-purpose webhook surface
Capabilities
read · write
Rate limits
Subject to the platform's API rate limits and healthcare data-access agreements.
How it works

How to connect Lever to NextGen Healthcare — three steps, no code

Configure and sync within minutes, no code. Whether you sync 50k or 100M+ records, Stacksync handles the queues, infra, and plumbing. Integrations are non-invasive and need zero setup on your systems.

  1. 01

    Connect your apps

    Authenticate Lever and NextGen Healthcare with each platform's native method — OAuth, API keys, or service accounts — plus secure options like SSH tunneling, IP whitelisting, and VPC peering.

    • OAuth 2.0
    • SSH tunnel
    • VPC peering
    Lever connected
    NextGen Healthcare connected
    OAuth 2.0
    SSH tunnel
    SSL certificate
    VPC peering
  2. 02

    Choose tables

    Pick the Lever and NextGen Healthcare objects to sync — Stacksync auto-detects both schemas, including custom fields where the platform exposes them. Sync to existing tables, or let Stacksync create new ones with ideal data types.

    • Standard objects
    • Custom objects
    • Auto-schema
    objects · Lever ⇄ NextGen Healthcare
    Customers 12,480
    Sales Orders 8,213
    Invoices 5,902
    Items 1,344
  3. 03

    Map fields

    Fields map automatically even when names and types differ. Stacksync handles transformation and type casting for you, zero configuration required.

    • Auto-map
    • Type casting
    • Transforms
    Lever NextGen Healthcare
    Company company_name text
    Email email text
    Amount amount numeric
    Created created_at timestamp
FAQ

Lever and NextGen Healthcare integration FAQ

SECURITY

Security teams trust Stacksync

As a data company, we understand the importance of keeping your data secure. Stacksync is built with security best practices to keep your data safe at every layer, and is DPF-certified for US, EU, UK and CH data transfers.

SOC 2 Type II
ISO 27001
HIPAA BAA
GDPR
CCPA
DPF US-EU-UK-CH
→ SECURITY WITH BENEFITS

SSO & SCIM

Let your users access Stacksync from your centralized user management systems. Works with Okta, Azure, Google SSO and more.

Alerts

Immediately get alerted about record syncing issues over email, Slack, PagerDuty and WhatsApp. Resolve issues from a centralized dashboard with retry and revert options.

Secure connection options

Securely connects to your systems with:

Related integrations

Every pair below is a real-time, two-way sync. Search all 370 integrations available for Lever and NextGen Healthcare.

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