Backend Engineer - Integrations

The role

You will build and own the pipelines that pull claims, bills, EOBs and coverage data from payer portals, providers and partners. You will set technical direction for the Integrations pod and mentor its engineers.

What you will do

• Build and own pipelines that pull claims, bills, EOBs and coverage data from payer portals, providers and partners
• Design for failure: portal changes, auth and 2FA, partial data, rate limits, and early detection of breaks
• Own the path from raw capture to normalized records to analytics, including where PHI lives and how it is protected
• Set technical direction for the pod: architecture, sequencing, and what to say no to
• Mentor engineers on the pod through code review, pairing and design
• Work on insurance and portal linking that lets patients connect accounts in a few taps
• Build data integrations that monitor connected accounts and flag new bills, claims and deductible changes
• Build inbound channels like email, fax and partner webhooks, landed safely and exactly once
• Build the warehouse layer that turns raw healthcare data into anonymized, analytics-ready tables

Required qualifications

• 5+ years of backend engineering experience, including integrations or data pipelines in production
• Strong TypeScript or Node experience, and deep comfort with relational databases and data modeling
• Track record of building systems against unreliable third parties: scraping or browser automation, flaky APIs, webhooks, file drops
• Reliability and observability instincts: idempotency, replay, monitoring, and data quality checks
• Technical leadership: set direction on a team, made architecture calls, mentored other engineers
• AI-native workflow: use coding agents daily for real work

Nice to have

• Data engineering: warehousing, Snowflake, dbt or similar, and anonymization pipelines
• Experience with workflow engines like Temporal
• Healthcare data experience: claims, EOBs, X12/EDI, FHIR, or payer and provider systems
• Experience handling PHI or working under HIPAA or SOC 2

Before you apply

• Candidates do not need to meet every listed qualification

About the company

Granted helps people fight claim denials, correct billing errors, negotiate bills and understand insurance coverage. It is a seed-stage company with $17M in funding.