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Senior Backend Engineer Integrations

Arbiter AI

seniorcdibackend New York City 2 days ago via RemoteOK

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Tech Stack

RESTgRPCWebhooksETL/ELTSFTPHL7EDICI/CDCloud Infrastructure

About the role

Senior Backend Engineer Integrations

Role Overview

As a Senior Backend Engineer, you will design, build, and operate critical platform systems that power Arbiter's connections to external systems. You'll own backend infrastructure components and ensure reliable, performant data exchange across a complex healthcare ecosystem.

Key Responsibilities

Platform Architecture & Backend Systems

  • Design, develop, and operate backend services with emphasis on reliability, modularity, and clean system boundaries
  • Build scalable, fault-tolerant systems that evolve with business needs

External System Connectivity

  • Build and maintain robust connections to third-party systems (cloud APIs, AI services, EHRs, telephony platforms)
  • Own abstractions that make integrations reusable and adaptable across customers

API Design & Data Exchange

  • Design and operate high-scale APIs (REST, gRPC, webhooks)
  • Manage complex data flows including real-time streaming, batch processing, file-based exchange (SFTP, HL7, EDI), and event-driven pipelines

Performance & Reliability

  • Ensure high throughput, low latency, and fault tolerance through strong system design
  • Implement monitoring, alerting, and operational best practices
  • Handle vendor failures, retries, idempotency, and graceful degradation

Data Engineering & Pipeline Ownership

  • Build and maintain ETL/ELT pipelines
  • Manage schema evolution and ensure data quality across systems with varying formats and standards

Infrastructure & Deployment

  • Implement CI/CD best practices, testing, observability, and deployment in production cloud environments

Cross-Functional Collaboration

  • Partner with AI engineers, product managers, implementation teams, and customer stakeholders
  • Translate complex problems into scalable technical solutions

Technical Leadership

  • Mentor engineers and contribute to internal documentation and standards
  • Influence technical direction and raise engineering standards
  • Take end-to-end ownership and on-call responsibilities

Requirements

  • Strong expertise in backend systems design and distributed systems
  • Experience building and operating integrations with external systems and APIs
  • Proficiency with data pipelines, ETL/ELT, and event-driven architectures
  • Cloud infrastructure experience (AWS, GCP, or similar)
  • Strong understanding of API design and data exchange patterns
  • Demonstrated ability to mentor and lead other engineers

About Arbiter AI

Arbiter AI is an AI-powered care orchestration platform that optimizes complex healthcare workflows through agentic AI approaches. The company combines cutting-edge AI technology with sophisticated platform infrastructure to serve healthcare at scale, backed by significant seed funding.

Scraped 3/28/2026

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