Senior Backend Engineer, Integrations

Arbiter is an AI-powered care orchestration system that unites healthcare, and they are seeking a Senior Backend Engineer to design, build, and operate their platform systems. This role involves ensuring reliable data exchange across a complex ecosystem and owning critical parts of the backend infrastructure.

Responsibilities:

• Design, develop, and operate backend services that power Arbiter's core platform, with an emphasis on reliability, modularity, and clean system boundaries
• Build and maintain robust connections to third-party systems (e.g. cloud APIs, AI services, data exchange services, EHRs, telephony platforms)
• Own the abstractions that make these integrations reusable and adaptable across customers with minimal rework
• Design and operate high-scale APIs (REST, gRPC, webhooks) and manage complex data flows including real-time streaming, batch processing, file-based exchange (e.g. SFTP, HL7, EDI), and event-driven pipelines
• Ensure high throughput, low latency, and fault tolerance across backend services through strong system design, monitoring, alerting, and operational best practices
• Handle vendor failures, retries, idempotency, and graceful degradation
• Build and maintain ETL/ELT pipelines, manage schema evolution, and ensure data quality and integrity across systems with varying formats, standards, and reliability
• Implement and uphold best practices for CI/CD, testing, observability, and deployment of backend systems in production cloud environments
• Partner closely with AI engineers, product managers, implementation teams, and customer stakeholders to translate ambiguous, high-impact problems into scalable technical solutions
• Mentor engineers, contribute to internal documentation and standards, influence technical direction, and raise the overall engineering bar
• Take end-to-end ownership of critical systems, including participating in on-call rotations and leading incident resolution when production issues arise