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Job Overview
Location
Remote, US
Job Type
Full-time
Category
Backend Engineer
Date Posted
March 28, 2026
Full Job Description
đź“‹ Description
- • As a Senior Backend Engineer, Integrations at ArbiterAI Inc., you will design, build, and operate the platform systems that power Arbiter's connections to the outside world, ensuring reliable, performant data exchange across a complex healthcare ecosystem. You will own critical parts of the backend infrastructure, from API design and service orchestration to data pipelines and third-party system connectivity, working closely with product, engineering, and customer teams to ship production-grade systems with real customer dependency.
- • Your day-to-day responsibilities include designing and developing backend services with emphasis on reliability, modularity, and clean system boundaries; building and maintaining robust connections to third-party systems such as cloud APIs, AI services, EHRs, and telephony platforms; designing and operating high-scale APIs (REST, gRPC, webhooks) and managing complex data flows including real-time streaming, batch processing, and file-based exchange (e.g., SFTP, HL7, EDI); ensuring high throughput, low latency, and fault tolerance through strong system design, monitoring, alerting, and operational best practices; building and maintaining ETL/ELT pipelines, managing schema evolution, and ensuring data quality and integrity across systems with varying formats and standards; implementing and upholding best practices for CI/CD, testing, observability, and deployment in production cloud environments; partnering with AI engineers, product managers, implementation teams, and customer stakeholders to translate ambiguous, high-impact problems into scalable technical solutions; mentoring engineers, contributing to internal documentation and standards, influencing technical direction, and raising the overall engineering bar; and taking end-to-end ownership of critical systems, including participating in on-call rotations and leading incident resolution when production issues arise.
- • ArbiterAI is a high-performing engineering team dedicated to delivering innovative, high-quality solutions in healthcare AI orchestration. Backed by one of the largest seed rounds in health tech history, the company is building the connected infrastructure healthcare should have had all along, with a culture rooted in engineering excellence, impact-driven development, collaboration over ego, and continuous growth. You will join a team of expert engineers and leads pushing the frontier of Agentic workflows in healthcare at scale.
- • In this role, you will deepen your expertise in distributed systems, API design, and healthcare data exchange while gaining hands-on experience with cutting-edge Agentic AI platforms. You will have the opportunity to influence technical direction, mentor peers, and grow your career in a fast-paced, high-impact environment where your work directly improves patient outcomes through optimized clinical workflows and seamless data exchange across complex ecosystems.
🎯 Requirements
- • 5+ years of hands-on experience building and operating production backend systems in high-availability environments.
- • Experience building and maintaining large-scale Python codebases with strong opinions on structure, quality, and tradeoffs.
- • Deep understanding of API design patterns, versioning, backward compatibility, and managing breaking changes across consumers.
- • Proven experience designing systems that connect to third-party services, including handling authentication, rate limiting, retry logic, and failure modes gracefully.
- • Strong understanding of concurrency, scalability, reliability, and distributed systems patterns.
- • Hands-on experience with data pipeline architectures: batch and streaming, schema management, and data quality enforcement.
- • Experience with cloud infrastructure (AWS, GCP, or Azure) and production deployments.
- • Strong communication skills and ability to work effectively across functions.
- • Proficiency with AI-assisted development tools (e.g., Cursor, Claude Code, GitHub Copilot).
- • Track record of delivering complex systems end-to-end with minimal oversight.
🏖️ Benefits
- • Highly Competitive Salary & Equity Package: Designed to rival top FAANG compensation, including meaningful equity.
- • Generous Paid Time Off (PTO): To ensure a healthy work-life balance.
- • Comprehensive Health, Vision, and Dental Insurance: Robust coverage for you and your family.
- • Life and Disability Insurance: Providing financial security.
- • Simple IRA Matching: To support your long-term financial goals.
- • Professional Development Budget: Support for conferences, courses, and certifications to fuel your continuous learning.
- • Wellness Programs: Initiatives to support your physical and mental health.
Skills & Technologies
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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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