Staff Backend AI Engineer

Arbiter AI•New York, NY

8d•$190,000 - $250,000•Hybrid

About The Position

Arbiter is seeking expert engineers and leads to join their team and help push the frontier of what’s possible with agentic workflows in healthcare. Arbiter is launching its best-in-class, patient-facing agentic platform to optimize patient outcomes through a unique multimodal approach. They optimize complex healthcare workflows that interface with patients using the latest agentic AI approaches and combine it with a sophisticated platform to serve this agentic layer at scale. The company is backed by one of the largest seed rounds in health tech history and operators who bring the expertise and distribution to scale nationally, building the connected infrastructure healthcare should have had all along.

Requirements

8 + years of hands-on experience building and operating production backend systems, recent experience with AI-powered services and automation workflows, in high-availability environments.
Computer Science or Engineering degree, or equivalent practical experience.
Experience building and maintaining large-scale Python codebases with strong opinions on structure, quality, and tradeoffs.
Proven experience designing and operating complex backend systems in production.
Deep understanding of concurrency, scalability, reliability, and distributed systems patterns.
Hands-on experience with async or event-driven architectures.
Experience designing and operating high-scale APIs (REST and/or gRPC), including versioning and backward compatibility.
Experience with cloud infrastructure (AWS, GCP, or Azure) and production deployments.
Experience building and shipping AI-powered systems beyond prototypes or internal demos.
Strong communication skills and ability to work effectively across functions.

Nice To Haves

Experience building agentic workflows, including single- or multi-agent systems, orchestration across tools and services, and human-in-the-loop patterns.
Experience integrating LLM APIs and understanding prompt engineering and evaluation methodologies.
Proficiency with AI-assisted development tools (e.g., Cursor, Claude Code, GitHub Copilot).
Track record of delivering complex systems end-to-end with minimal oversight.
Startup or early-stage experience operating in fast-moving, high-ambiguity environments.

Responsibilities

Design, develop, and operate the backend systems that power Arbiter’s agent-driven care orchestration workflows, including service orchestration, inference pipelines, and automation primitives.
Ship and maintain production-grade AI systems that automate complex clinical and administrative workflows, with real customer dependency and strict reliability, latency, and correctness requirements.
Contribute to the architectural design of Arbiter’s AI-driven platform, emphasizing modularity, extensibility, scalability, and clean integration with EMRs, data systems, and external services.
Ensure high performance, low latency, and fault tolerance across backend services and AI inference pipelines through strong system design, monitoring, and operational best practices.
Implement and uphold best practices for CI/CD, testing, observability, and deployment of backend and AI systems in production environments.
Partner closely with data scientists, product managers, clinical experts, and other engineers to translate ambiguous, high-impact problems into scalable technical solutions.
Mentor engineers, contribute to internal documentation and standards, influence technical direction, and raise the overall engineering bar.
Take end-to-end ownership of critical systems, including participating in on-call rotations and leading incident resolution when production issues arise.