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Integrations Engineer
Medbill AI. Build and own pipelines pulling claims, bills, EOBs, and coverage data from payer portals, providers, and partners .
Posted 11/12/2026full-timeRemote • United StatesMid-LevelSenior💰 $150,000 - $225,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in backend engineering with a focus on building and managing data pipelines, ensuring data quality, and implementing technical leadership. Proficient in TypeScript, Node, and relational databases, with experience in healthcare data management and compliance.
Highest-signal resume keywords
Backend Engineering ExperienceTypeScript or Node ProficiencyData Modeling ExpertiseTechnical Leadership ExperienceHealthcare Data Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Backend EngineeringData PipelinesTypeScriptNodeRelational DatabasesData ModelingData Quality ChecksAnonymization PipelinesScrapingBrowser Automation
Soft Skills
MentoringTechnical Direction
Tools & Technologies
SnowflakeDbtTemporalCoding Agents
Certifications & Qualifications
HIPAA ComplianceSOC 2 Compliance
Industry Keywords
Healthcare DataClaimsEOBsX12/EDIFHIRPayer SystemsProvider Systems
Tech Stack
Tools & technologiesNode.jsSnowflakeTypeScript
About the role
Key responsibilities & impact- Build and own pipelines pulling claims, bills, EOBs, and coverage data from payer portals, providers, and partners
- Design for portal changes, authentication and 2FA, partial data, rate limits, and failure detection
- Own the flow from raw capture to normalized records to analytics, including PHI storage and protection
- Set technical direction for the pod, including architecture, sequencing, and prioritization
- Mentor engineers through code review, pairing, and design
- Build insurance and portal linking for patient account connections
- Monitor connected accounts and flag new bills, claims, and deductible changes
- Safely process inbound email, fax, and partner webhook channels exactly once
- Build the warehouse layer that converts raw healthcare data into anonymized, analytics-ready tables
- Work across backend systems and integrations with Product, Engineering leadership, and senior pod engineers
- Own features from idea through production
Requirements
What you’ll need- 5+ years of backend engineering experience, including integrations or data pipelines in production
- Strong TypeScript or Node experience
- Deep comfort with relational databases and data modeling
- Track record of building systems against unreliable third parties, including scraping or browser automation, flaky APIs, webhooks, and file drops
- Reliability and observability instincts, including idempotency, replay, monitoring, and data quality checks
- Technical leadership experience, including setting direction, making architecture decisions, and mentoring engineers
- Daily use of coding agents for real work and interest in improving team use of them
- Nice-to-have: warehousing, Snowflake, dbt or similar, and anonymization pipelines
- Nice-to-have: experience with workflow engines such as Temporal
- Nice-to-have: healthcare data experience including claims, EOBs, X12/EDI, FHIR, or payer and provider systems
- Nice-to-have: experience handling PHI or working under HIPAA or SOC 2
- Employees must be located in the US
- Must be legally authorized to work in the United States
- Must not require visa sponsorship to work in the United States
Benefits
Comp & perks- Equity for all FTE's
- Top-tier medical, vision, and dental insurance
- One Medical membership
- Mental health benefits through Talkspace
- Flexible PTO
- Option to participate in our 401K plan
- Engineering and CX are remote-first
- AI-native software development tools and workflows
- Room to grow scope and responsibilities