Arine

Backend Engineering Manager – Integrations

Arine

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $170,000 - $190,000 per year

Job Level

SeniorLead

Tech Stack

AWSAzureDynamoDBMicroservicesPython

About the role

  • Lead, mentor, and grow a backend engineering team focused on integrations
  • Define technical direction, best practices, and quality standards for integration services
  • Partner with Product and Clinical teams to translate integration needs into scalable solutions
  • Oversee development and maintenance of Arine’s Mailroom service, including connections with multiple third-party mail providers
  • Manage the Faxroom service, integrating with multiple HIPAA-compliant fax providers
  • Drive customer SSO integrations, including federated user provisioning with AWS Cognito and other identity providers (Okta, Azure AD, etc.)
  • Lead efforts for EHR integrations, with a particular focus on Epic and other leading health record systems
  • Guide API development aligned with FHIR API standards, ensuring interoperability with payer and provider systems
  • Ensure services are secure, reliable, and performant within Arine’s AWS Lambda environment
  • Implement monitoring, alerting, and observability for integrations to meet SLA and compliance needs (HIPAA, HITRUST)
  • Work with DevOps and Security teams to ensure best practices in IAM, Secrets Management, and PHI handling
  • Serve as both people manager and technical leader—mentoring engineers, shaping technical direction, and occasionally contributing code to guide architectural patterns and quality standards

Requirements

  • 7+ years of backend engineering experience with Python
  • 3+ years of engineering leadership/management experience
  • Deep experience building integrations with external systems in healthcare, fintech, or similarly regulated environments
  • Strong knowledge of AWS serverless architectures (Lambda, API Gateway, SQS, EventBridge, DynamoDB)
  • Hands-on experience with SSO and identity federation (SAML, OIDC, AWS Cognito)
  • Familiarity with EHR systems and HL7/FHIR standards
  • Track record of building secure, scalable APIs and services
  • Prior experience integrating with Epic via APIs or Bridges (preferred)
  • Knowledge of healthcare compliance frameworks (HIPAA, HITRUST, SOC2) (preferred)
  • Background in event-driven or microservices architectures (preferred)
  • Strong communication skills and the ability to mentor engineers at different seniority levels (preferred)
  • Ability to pass a background check
  • Must live in and be eligible to work in the United States
  • An established private work area that ensures information privacy
  • A stable high-speed internet connection for remote work