Senior Backend Engineer, Agentic Solutions

Arbiter is an AI-powered care orchestration system that unites healthcare, and they are launching their best-in-class, patient-facing Agentic platform. The Senior Backend Engineer will engineer production agentic systems, design multi-step workflows, and contribute to the platform while addressing complex healthcare challenges.

Responsibilities:

• Engineer Agentic Deployments: Design, build, and ship multi-step, multi-modal agentic workflows (voice, SMS, video, chat, web) tailored to specific customer use cases. Own these systems end-to-end from requirements through production monitoring
• Solve Hard Problems Creatively: Each deployment surfaces novel challenges: complex scheduling logic, real-time EHR data flows, multi-outcome conversations, adaptive patient journeys. You are expected to think independently and build solutions that go beyond existing patterns
• Translate Requirements into Technical Designs: Partner with Customer Success and stakeholders to understand operational needs, then architect agentic workflows that address them. Push back when requirements don't make sense. Propose better approaches when you see them
• Ship to Production with High Standards: Deploy and operate customer-facing systems with strict reliability, compliance, and quality requirements. Instrument thoroughly, monitor outcomes, and iterate based on real-world performance
• Contribute to the Platform: Identify reusable patterns across deployments and contribute them back as platform capabilities. Improve shared tooling, workflow primitives, and infrastructure based on what you learn in the field
• Cross-Functional Collaboration: Work with product, data, engineering, and clinical teams to align deployment work with broader platform direction and company goals