Senior Backend Engineer

🕒 March 28

🇺🇸 United States – Remote

💵 $148.5k - $190k / year

⏰ Full Time

🟠 Senior

🔙 Backend Engineer

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Arbiter

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2025

☁️ SaaS

⚕️ Healthcare Insurance

SaaS • Healthcare Insurance

Arbiter is a care orchestration platform that unifies patients, payers, and providers on a single intelligent system to automate referrals, prior authorizations, scheduling, and care optimization. The modular SaaS embeds into existing clinical workflows, consolidates clinical, financial, and policy data, and uses AI-driven routing and automation to improve referral matching, reduce administrative burden, and ensure timely, cost-effective care. Arbiter is built by industry operators and integrates with EMRs and payer systems to deliver closed-loop execution across the care continuum.

📋 Description

• 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.

🎯 Requirements

• 5+ years of hands-on experience building and operating production software systems. Recent experience with AI-powered services, automation, or workflow systems is a strong plus. • Computer Science or Engineering degree, or equivalent practical experience. • Strong software engineering fundamentals: you write clean, testable, well-structured code and care about the systems you build. • Python proficiency (our primary backend language). • Proficiency with AI-assisted development tools (e.g., Cursor, Claude Code, GitHub Copilot). • Experience with real-time integrations (APIs, webhooks, bidirectional data sync) in production. • Experience working across the stack when needed. You're primarily backend-focused but not afraid to touch whatever layer the problem requires. • Experience with cloud infrastructure (AWS, GCP, or Azure) and production deployments. • Comfort with ambiguity. You can take a loosely defined problem, structure it, and drive it to a shipped solution without heavy hand-holding. • Strong communication skills. You will regularly interface with non-technical stakeholders and need to explain technical tradeoffs clearly.

🏖️ Benefits

• Highly Competitive Salary & Equity Package: Designed to rival top FAANG compensation, including meaningful equity. • Generous Paid Time Off (PTO): To ensure a healthy work-life balance. • Comprehensive Health, Vision, and Dental Insurance: Robust coverage for you and your family. • Life and Disability Insurance: Providing financial security. • Simple IRA Matching: To support your long-term financial goals. • Professional Development Budget: Support for conferences, courses, and certifications to fuel your continuous learning. • Wellness Programs: Initiatives to support your physical and mental health.