Backend Engineering Manager – Integrations

Arine

161d • $170,000 - $190,000

About The Position

Arine is a rapidly growing healthcare technology and clinical services company based in San Francisco, focused on ensuring individuals receive the safest and most effective treatments for their unique healthcare needs. The company is redefining healthcare by addressing the issues of incorrect medications and doses that cost the US healthcare system over $528 billion annually. Arine combines data science, machine learning, AI, and clinical expertise to provide personalized care plans at scale. The company is committed to improving the lives of complex patients and has been recognized for its rapid growth and impact in the healthcare sector. The role of Backend Engineering Manager (Integrations) involves leading a team responsible for building and maintaining critical integrations across Arine’s platform. This position requires both technical leadership and people management, guiding engineers in a Python-based AWS Lambda environment and ensuring smooth interoperability with external systems and partners.

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.

Nice To Haves

• Prior experience integrating with Epic via APIs or Bridges.
• Knowledge of healthcare compliance frameworks (HIPAA, HITRUST, SOC2).
• Background in event-driven or microservices architectures.
• Strong communication skills and the ability to mentor engineers at different seniority levels.

Responsibilities

• 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.
• Lead efforts for EHR integrations, focusing 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.
• Work with DevOps and Security teams to ensure best practices in IAM, Secrets Management, and PHI handling.

Benefits

• Competitive compensation, equity, and comprehensive benefits.
• Opportunities for learning and growth.
• Collaborative culture emphasizing mentorship and technical excellence.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 101-250 employees