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  2. Arbiter

Senior Backend Engineer, Integrations

Posted on April 23, 2026 (about 1 month ago)

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About Arbiter

Arbiter is the AI-powered care orchestration system that unites healthcare. We are launching our best-in-class, patient-facing Agentic platform to optimize patient outcomes through a unique multimodal approach. We optimize complex healthcare workflows that interface with patients using the latest Agentic AI approaches, and we combine it with a sophisticated platform to serve this Agentic layer at scale.
Backed by one of the largest seed rounds in health tech history and operators who bring the expertise and distribution to scale nationally, Arbiter is building the connected infrastructure healthcare should have had all along.

Our Engineering Culture & Values

We are a high-performing group of engineers dedicated to delivering innovative, high-quality solutions. We believe in excellence, impact-driven development, collaboration over ego, and continuous growth.
  • Excellence: Taking pride in our technical craft and the products we build.
  • Impact-Driven Development: Building fault-tolerant, scalable systems that evolve with business needs.
  • Collaboration Over Ego: Valuing exceptional work and ideas and shipping often to create impact.
  • Continuous Growth: Fostering learning, mentorship, and professional development.

Responsibilities

As a Senior Backend Engineer, you will design, build, and operate platform systems that power Arbiter's integrations and ensure reliable, performant data exchange across a complex ecosystem. You will own critical backend infrastructure from API design and service orchestration to data pipelines and third-party connectivity.
  • Platform architecture and backend systems: design, develop, and operate reliable, modular backend services.
  • External system connectivity: build and maintain robust connections to third-party systems (cloud APIs, AI services, EHRs, telephony, etc.) with reusable abstractions.
  • API design & data exchange: design and operate high-scale APIs (REST, gRPC, webhooks) and manage real-time streaming, batch processing, and file-based exchange (SFTP, HL7, EDI).
  • Performance & reliability: ensure high throughput, low latency, fault tolerance, monitoring, and operational best practices.
  • Data engineering & pipeline ownership: build and maintain ETL/ELT pipelines, manage schema evolution, and ensure data quality.
  • Infrastructure & deployment excellence: implement CI/CD, testing, observability, and production deployments in cloud environments.
  • Cross-functional execution: partner with AI engineers, product, implementation teams, and customers to translate ambiguous problems into scalable solutions.
  • Technical leadership & mentorship: mentor engineers, contribute to documentation and standards, and influence technical direction.
  • Ownership & on-call: take end-to-end ownership of critical systems, participate in on-call rotations, and lead incident resolution.

Minimum Qualifications

  • 5+ years of hands-on experience building and operating production backend systems in high-availability environments.
  • Computer Science or Engineering degree, or equivalent practical experience.
  • Experience building and maintaining large-scale Python codebases with strong opinions on structure and quality.
  • Deep understanding of API design patterns, versioning, backward compatibility, and managing breaking changes.
  • Experience building reusable abstraction layers or connector frameworks for multiple customers/vendors.
  • Proven experience designing systems that connect to third-party services, handling authentication, rate limiting, retries, and failure modes.
  • Strong understanding of concurrency, scalability, reliability, and distributed systems patterns.
  • Hands-on experience with batch and streaming data pipeline architectures, schema management, and data quality enforcement.
  • Experience with cloud infrastructure (AWS, GCP, or Azure) and production deployments.
  • Strong communication skills and ability to work 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.

Preferred Qualifications

  • Experience with healthcare data exchange standards (HL7, FHIR, EDI) or similarly complex domain-specific protocols.
  • Familiarity with database performance tuning and managing large-scale relational databases (PostgreSQL, CloudSQL).
  • Startup or early-stage experience operating in fast-moving, high-ambiguity environments.

Location

This role is primarily remote (US), with the option to be on-site in New York City or Boca Raton offices.

Job Benefits

Arbiter offers a comprehensive benefits package to support well-being and professional growth.
  • Highly competitive salary & equity package designed to rival top FAANG compensation.
  • Generous paid time off (PTO).
  • Comprehensive health, vision, and dental insurance.
  • Life and disability insurance.
  • Simple IRA matching.
  • Professional development budget for conferences, courses, and certifications.
  • Wellness programs supporting physical and mental health.

Pay Transparency

The annual base salary range for this position is $148,500 - $190,000. Actual compensation may vary based on experience, skill level, and other factors.

How to Apply

To apply, click the "Apply for this Job" button on the job posting page or visit the application URL below and complete the online application.

Application URL

https://jobs.ashbyhq.com/arbiter-ai/f84f0e2f-0bef-4e58-9ac5-cd89f2fd5cb5/application