Integrations Engineer

Role overview

Build and lead backend integrations that connect healthcare and insurance information to services that help people understand and manage medical bills. The work spans data capture, normalization, monitoring and analytics, with a focus on dependable connections to external portals and partners. You’ll own features from design through production and help set technical direction for the team.

Responsibilities

- Build and maintain pipelines that retrieve claims, bills, explanations of benefits and coverage data from portals, providers and partners. - Design integrations to handle changing portals, authentication and two-factor checks, incomplete data, rate limits and failures. - Own data flows from capture through normalization and analytics, with appropriate protection for sensitive health information. - Develop account-linking and monitoring capabilities that detect new bills, claims and deductible changes. - Build reliable inbound processing for channels such as email, fax and partner webhooks, and contribute to analytics-ready data layers. - Set architecture and delivery priorities, mentor engineers through reviews and pairing, and improve how the team uses coding agents.

Requirements

- 5+ years of backend engineering experience, including production integrations or data pipelines. - Strong TypeScript or Node.js skills and substantial experience with relational databases and data modeling. - Experience building against unreliable third-party systems, such as browser automation, inconsistent APIs, webhooks or file transfers. - Strong reliability practices, including idempotency, replay, monitoring and data quality checks. - Technical leadership experience setting direction, making architecture decisions and mentoring engineers. - Regular use of coding agents in software development and interest in improving team practices.

Nice to have

- Data warehousing, Snowflake, dbt or anonymization pipeline experience. - Familiarity with workflow engines, healthcare data formats or systems such as claims, EOBs, X12/EDI, FHIR, payers and providers. - Experience handling protected health information or working under HIPAA or SOC 2 requirements.

Benefits and work setup

Engineering is remote-first within the United States. The source describes a team split between remote and office work; it does not specify role-specific compensation or benefits.