Integrations Engineer

Granted

3d • $150,000 - $225,000 • Remote

About The Position

Granted is a seed-stage healthcare technology company building a platform that helps people understand and reduce their medical bills. The Integrations Pod develops infrastructure that connects to the systems holding members’ healthcare and insurance information, enabling the company to understand coverage, identify billing issues, and take action. The role focuses on rethinking integrations with AI-enabled systems that retrieve and interpret information needed to resolve billing issues.

As part of the Integrations and Platform team, the Integrations Engineer works across backend systems and integrations, using AI-native software paradigms and modern development tools. The engineer works with Product, Engineering leadership, and senior engineers, and owns features from idea through production, with opportunities to expand scope over time.

Granted is headquartered in New York, near Union Square. Engineering and CX are remote-first, while other teams work in a hybrid arrangement from the NYC office. The company describes its work environment as intentional about in-person collaboration and flexible to support deep, high-quality work.

Requirements

• At least 5 years of backend engineering experience, including production integrations or data pipelines.
• Strong TypeScript or Node.js experience and deep familiarity with relational databases and data modeling.
• A track record of building systems that depend on unreliable third parties, such as scraping or browser automation, flaky APIs, webhooks, or file drops.
• Reliability and observability skills, including idempotency, replay, monitoring, and data-quality checks.
• Technical leadership experience setting team direction, making architecture decisions, and mentoring engineers.
• Daily use of coding agents for real work and interest in improving how the team uses them.

Nice To Haves

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

Responsibilities

• Build and own pipelines that collect claims, bills, EOBs, and coverage data from payer portals, providers, and partners.
• Design integrations to handle portal changes, authentication and 2FA, partial data, and rate limits, and detect failures before they affect advocates.
• Own the data path from raw capture through normalized records to analytics, including the storage and protection of PHI.
• Set technical direction for the pod, including architecture, sequencing, and prioritization.
• Mentor engineers through code review, pairing, and design, and improve how the team builds with agents.
• Build account-linking features that help patients connect insurance accounts.
• Develop integrations that monitor connected accounts and flag new bills, claims, and deductible changes.
• Build safe, exactly-once inbound channels such as email, fax, and partner webhooks.
• Develop a warehouse layer that converts raw healthcare data into anonymized, analytics-ready tables.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed