Integrations Engineer
Core
Build backend infrastructure and data pipelines to connect to healthcare payer portals and provider systems, normalizing claims, bills, and coverage data to resolve member billing issues.
Role type
Senior IC Integrations Engineer (Backend)
Builds
Data pipelines, portal integrations, and analytics-ready data warehouses for healthcare claims processing
Domain
Healthcare technology / Insurance data integration
Required skills
TypeScript, Node.js, relational databases, data modeling, webhooks, browser automation, idempotency, observability, technical leadership, AI-native workflows
Preferred skills
Data warehousing (Snowflake, dbt), workflow engines (Temporal), healthcare data standards (X12/EDI, FHIR), PHI handling, HIPAA/SOC 2 compliance
Technologies
React Native, NextJS, NestJS, GraphQL, Postgres, Temporal, Pulumi, Docker, AWS
Responsibilities
Build pipelines pulling claims/bills/EOBs from payer portals; design for failure with unreliable third parties; own data normalization and analytics layers; set technical direction and architecture; mentor engineers on code review and design
Seniority
Senior, hands-on IC with leadership scope