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Integrations Engineer

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Integrations Engineer in USA new

  • Granted
  • Full time
  • Email
  • Remote

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.

Salary: $150k - $225k/yr

Granted

Healthcare in the U.S. is broken - complex, confusing, and often unfair. Most people have no idea what their insurance actually covers, why their bill is so high, or where to turn when something goes wrong. Nearly 40% of medical bills contain errors or are incorrectly denied, yet individuals are ...

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