Backend Engineer, Integrations (Senior/Staff Level)

Posted 2 Days Ago
Hiring Remotely in Continental, OH
In-Office or Remote
150K-225K Annually
Senior level
Artificial Intelligence • Healthtech • Insurance • Financial Services
AI that handles your health insurance and bills. Finally.
The Role
Design and build integration frameworks for data flows between Granted and external partners, focusing on reliability and performance while utilizing AI for automation.
Summary Generated by Built In
💡 Mission

The US healthcare system is complex, error-prone, and financially draining. Medical bills and insurance coverage shouldn’t be this hard to navigate. At Granted, we’re building the one solution every American can turn to for help.

Thanks to AI and new regulations, Granted can fight claim denials, correct billing errors, negotiate bills, and make coverage easier to understand—saving people time, money, and stress. Our goal is simple: to be the #1 platform that empowers all Americans to take charge of their healthcare.

🩺 About Us

Founded by a former Oscar Health leader, we’re a seed-stage company with $17M in funding. We’re lucky to be backed by the founders and investors at Hugging Face, Rocket Money, Oscar Health, CaseText, Forerunner Ventures, RRE Ventures, and more. We are well-funded for the next few years.

🔎 About the Role

The Integrations pod creates the universal conduit between Granted and the outside world — gathering data and interacting with insurer portals, provider EHRs, HSA/FSA platforms, banks, and the broader web.

This team pushes the limits of AI and automation to build integrations that simply weren’t possible before. As an engineer on Integrations, you’ll design the infrastructure and systems that allow Granted to speak the language of the entire healthcare ecosystem.

🚀 What You’ll Do
  • Architect and build scalable integration frameworks that power data flows between Granted and external partners.

  • Leverage AI to automate interactions with complex, fragmented systems — from scraping messy insurer portals to interacting with APIs and structured data sources.

  • Own reliability, performance, and security for mission-critical data pipelines and orchestration layers.

  • Collaborate closely with product, infra, and domain experts to prioritize and ship high-leverage integrations.

  • Shape the technical direction of the pod as one of its foundational engineers.

🧪 What You Might Work On
  • Developing AI-driven agentic integrations with insurer portals that don’t have modern APIs.

  • Building resilient connectors to EHR systems, banking platforms, and benefits accounts.

  • Designing fault-tolerant orchestration systems that gracefully handle the messiness of the real world.

  • Extending our integration platform and developer tooling to accelerate new connections over time.

👩‍💻 We'll be most excited if you
  • Bring 6-10+ years of backend engineering experience, with a track record of building distributed systems at scale.

  • Love solving problems at the intersection of messy real-world data and clean abstractions.

  • Have experience building integrations with complex or non-standard external systems

  • Communicate clearly and collaborate well across disciplines.

  • Thrive in high-autonomy, high-trust environments.

  • (Bonus) Have experience with healthcare data or complex fintech-like systems.

  • (Extra bonus) Have 10+ years of GPT-5 experience — or, failing that, a good sense of humor.

📢 You don't need to check every single box—if you're passionate, driven, and excited about the impact AI can make on the healthcare system, we'd love to hear from you!

Granted is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, protected veteran status, disability, or any other legally protected characteristics.

We are also committed to providing reasonable accommodations to qualified individuals with disabilities. If you need assistance or an accommodation during the application or interview process, please contact us.

Top Skills

AI
APIs
Backend Engineering
Distributed Systems
Ehr
Hsa/Fsa
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The Company
HQ: New York, New York
23 Employees
Year Founded: 2023

What We Do

The U.S. healthcare system is incredibly complex and frustrating to navigate. It's impossible to know what your insurance will cover and how much care will cost. Bills and claims are confusing and unexpectedly high, and 40% of them contain errors or are incorrectly denied. Yet most people are left to figure it out on their own.

We're using AI to make access to healthcare and insurance experts 500x more efficient and their services 10x better by turning into a product that can be connected to all your healthcare data, is instantaneous, and runs proactively in the background. As a result, we can go direct to consumers - you! - with a very affordable product and a free tier accessible to anyone. Medbill AI works and advocates for you - not your employer, insurance, or healthcare providers. We'll help you throughout your entire family healthcare journey - no matter your insurance or life phase.

We're in stealth mode with exceptional user satisfaction and are working hard to scale and make this available to anyone later this year. We're looking for hyper-talented and ambitious individuals looking to do the best work of their lives and help bring this to 100s millions of Americans.

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