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Job Overview
Location
New York City
Job Type
Full-time
Category
Backend Engineer
Date Posted
January 16, 2026
Full Job Description
đź“‹ Description
- • Architect and own the backend brains of Arbiter’s AI-powered care orchestration platform, building the agentic layer that unites patients, providers, and payers in one seamless workflow.
- • Design, develop, and operate ultra-low-latency inference pipelines that power real-time clinical decision support, automating everything from prior-authorization to post-discharge follow-ups.
- • Build and scale service orchestration primitives that let hundreds of autonomous agents coordinate securely across EMRs, payer APIs, and patient messaging channels without ever dropping a critical task.
- • Ship production-grade AI systems that handle millions of multimodal interactions per month while meeting strict HIPAA, SOC-2, and clinical-grade reliability SLAs (<100 ms P99 latency, 99.99 % availability).
- • Contribute to the architectural blueprint of a modular, extensible platform that plugs cleanly into Epic, Cerner, and emerging FHIR endpoints, ensuring Arbiter can evolve with regulatory and customer demands.
- • Implement bullet-proof CI/CD, observability, and blue-green deployment pipelines so every model update, prompt tweak, or service refactor reaches production safely and at startup speed.
- • Partner shoulder-to-shoulder with data scientists to productionize cutting-edge LLM agents, including prompt evaluation, fine-tuning, and human-in-the-loop guardrails that clinicians trust.
- • Collaborate with product managers and clinical experts to translate fuzzy, high-impact healthcare problems into crisp technical specs, then shepherd them from whiteboard sketch to national-scale rollout.
- • Provide technical leadership and mentorship across the engineering org, raising code quality, system design, and operational excellence through design reviews, brown-bags, and pair programming.
- • Own your services end-to-end, including pager-duty rotation and incident command, turning every production fire into a post-mortem that makes the system—and the team—stronger.
- • Champion continuous learning by experimenting with the latest agentic frameworks, contributing to internal R&D spikes, and sharing findings that shape Arbiter’s technical roadmap.
- • Influence engineering culture by embodying “collaboration over ego,” shipping early and often, and celebrating craftsmanship that turns complex healthcare chaos into elegant, life-saving software.
🎯 Requirements
- • 5+ years building and operating production backend systems, including recent hands-on experience with AI-powered services and automation workflows in high-availability environments
- • Bachelor’s degree in Computer Science, Engineering, or equivalent practical experience
- • Proven track record designing and maintaining large-scale Python codebases with strong opinions on structure, quality, and trade-offs
- • Deep expertise in concurrency, distributed systems, and event-driven or async architectures; experience with REST/gRPC API design and cloud infrastructure (AWS, GCP, or Azure)
- • Demonstrated success shipping AI systems beyond prototypes—production-grade LLM integrations, prompt engineering, evaluation, and human-in-the-loop patterns
🏖️ Benefits
- • Highly competitive salary ($180k–$240k) plus meaningful equity designed to rival top FAANG packages
- • Comprehensive health, vision, and dental insurance for you and your family, plus life and disability coverage
- • Generous PTO policy and Simple IRA matching to support long-term financial wellness
- • Annual professional development budget for conferences, courses, and certifications, plus wellness programs for physical and mental health
Skills & Technologies
See exactly how your profile matches this role — strengths, skill gaps, and what to do about them.
About ArbiterAI Inc.
ArbiterAI offers a care orchestration platform designed to unite healthcare by addressing fragmented data and misaligned incentives. Their modular platform embeds into existing workflows to automate referrals, authorizations, and care optimization. Serving patients, payers, and providers, Arbiter aims to deliver the right care at the right time. Built and deployed by operators managing over $25B in annual healthcare payments and millions of patient lives, Arbiter is designed to meet the demands of healthcare leaders. Their team blends expertise from leading healthcare and technology companies, signaling a commitment to innovation and industry knowledge.
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