Integrations Engineer

Responsibilities

• Build and own pipelines that pull claims, bills, EOBs, and coverage data from payer portals, providers, and partners.
• Design resilient integrations that handle portal changes, authentication and 2FA, partial data, rate limits, flaky APIs, webhooks, file drops, and browser automation.
• Own the flow from raw data capture through normalized records and analytics, including PHI storage and protection.
• Set technical direction for the pod, including architecture, sequencing, and scope decisions.
• Build insurance account linking, connected-account monitoring, inbound email/fax/partner webhook channels, and anonymized healthcare data warehouse tables.
• Mentor engineers through code review, pairing, and design while improving the team's use of coding agents.

Requirements

• 5+ years of backend engineering experience, including production integrations or data pipelines.
• Strong TypeScript or Node experience and deep familiarity with relational databases and data modeling.
• Experience building systems against unreliable third parties such as portals, browser automation, flaky APIs, webhooks, and file drops.
• Understanding of idempotency, replay, monitoring, observability, and data-quality checks.
• Experience setting technical direction, making architecture decisions, and mentoring engineers.
• Daily hands-on use of coding agents for real engineering work and interest in improving AI-native development practices.
• Preferred experience with data warehousing, Snowflake, dbt, anonymization pipelines, Temporal, healthcare claims, EOBs, X12/EDI, FHIR, payer or provider systems, PHI, HIPAA, or SOC 2.

Benefits

• Engineering is remote-first, with the company headquartered in New York and an office near Union Square.
• The company offers ownership, meaningful impact, flexible collaboration, and room to grow scope at a well-funded seed-stage startup.