Backend Engineering Manager – Integrations

Arine

full-time

Posted on: 9/7/2025

Location: 🇺🇸 United States

✨ AI Apply

💰 $170,000 - $190,000 per year

SeniorLead

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

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