Backend Engineering Manager – Integrations

Based in San Francisco, Arine is a rapidly growing healthcare technology and clinical services company with a mission to ensure individuals receive the safest and most effective treatments for their unique and evolving healthcare needs. 

Frequently, medications cause more harm than good. Incorrect drugs and doses costs the US healthcare system over $528 billion in waste, avoidable harm, and hospitalizations each year. Arine is redefining what excellent healthcare looks like by solving these issues through our software platform (SaaS). We combine cutting edge data science, machine learning, AI, and deep clinical expertise to introduce a patient-centric view to medication management, and develop and deliver personalized care plans on a massive scale for patients and their care teams.

Arine is committed to improving the lives and health of complex patients that have an outsized impact on healthcare costs and have traditionally been difficult to identify and address. These patients face numerous challenges including complicated prescribing issues across multiple medications and providers, medication challenges with many chronic diseases, and patient issues with access to care. Backed by leading healthcare investors and collaborating with top healthcare organizations and providers, we deliver recommendations and facilitate clinical interventions that lead to significant, measurable health improvements for patients and cost savings for customers. 

Why is Arine a Great Place to Work?:

Outstanding Team and Culture - Our shared mission unites and motivates us to do our best work. We have a relentless passion and commitment to the innovation required to be the market leader in medication intelligence.

Making a Proven Difference in Healthcare - We are saving patient lives, and enabling individuals to experience improved health outcomes, including significant reductions in hospitalizations and cost of care.

Market Opportunity - Arine is backed by leading healthcare investors and was founded to tackle one of the largest healthcare problems today. Non-optimized medications therapies which cost the US 275,000 lives and $528 billion annually.

Dramatic Growth - Arine is managing more than 18 million lives across prominent health plans after only 4 years in the market, and was ranked 236 on the 2024 Inc. 5000 list and was named the 5th fastest-growing company in the AI category.

The Role:

We are seeking a Backend Engineering Manager (Integrations) to lead a team responsible for building and maintaining mission-critical integrations across Arine’s platform. This leader will manage a group of engineers working in a Python-based AWS Lambda environment, driving integrations with external systems (mail, fax, SSO, EHRs) and ensuring Arine’s core services interoperate smoothly with partners and customers.

You will be both a people manager and a technical leader—mentoring engineers, shaping technical direction, and occasionally contributing code to guide architectural patterns and quality standards.

What You'll Be Doing:

• Team Leadership & Strategy
• 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
• Integration Ownership
• 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 (Okta, Azure AD, etc.)
• Lead efforts for EHR integrations, with a particular focus on Epic and other leading health record systems
• Guide API development aligned with FHIR API standards, ensuring interoperability with payer and provider systems
• Architecture & Delivery
• 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 (HIPAA, HITRUST)
• Work with DevOps and Security teams to ensure best practices in IAM, Secrets Management, and PHI handling

Who You Are and What You Bring:

• 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

Preferred Skills:

• 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

Why Join Arine?:

• Mission-driven company improving healthcare outcomes at scale
• Collaborative culture emphasizing mentorship, growth, and technical excellence
• Modern tech stack with opportunities to influence architecture and direction
• Competitive compensation, equity, and comprehensive benefits

Remote Work Requirements:

• An established private work area that ensures information privacy
• A stable high-speed internet connection for remote work
• This role is remote, but you will be required to come to on-site meetings multiple times per year. This may be in the interview process, onboarding, and team meetings

Perks:

Joining Arine offers you a dynamic role and the opportunity to contribute to the company's growth and shape its future. You'll have unparalleled learning and growth prospects, collaborating closely with experienced Clinicians, Engineers, Software Architects, and Digital Health Entrepreneurs.

The posted range represents the expected salary for this position and does not include any other potential components of the compensation package, benefits, and perks. Ultimately, the final pay decision will consider factors such as your experience, job level, location, and other relevant job-related criteria. The salary range for this position is: $170,000-190,000/year.

Job Requirements:

• Ability to pass a background check
• Must live in and be eligible to work in the United States

Information Security Roles and Responsibilities:

All staff at Arine are expected to be part of its Information Security Management Program and undergo periodic training on Information Security Awareness and HIPAA guidelines. Each user is responsible to maintain a secure working environment and follow all policies and procedures. Upon hire, each person is assigned and must complete trainings before access is granted for their specific role within Arine.

Arine is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace where all employees are treated with fairness and respect. We do not discriminate on the basis of race, ethnicity, color, religion, gender, sexual orientation, age, disability, or any other legally protected status. Our hiring decisions and employment practices are based solely on qualifications, merit, and business needs. We encourage individuals from all backgrounds to apply and join us in our mission.

Check our website at https://www.arine.io. This is a unique opportunity to join a growing start-up revolutionizing the healthcare industry!

Job Offers: Arine uses the arine.io domain and email addresses for all official communications. If you received communication from any other domain, please consider it spam. 

Note to Recruitment Agencies: We appreciate your interest in finding talent for Arine, but please be advised that we do not accept unsolicited resumes from recruitment agencies. All resumes submitted to Arine without a prior written agreement in place will be considered property of Arine, and no fee will be paid in the event of a hire. Thank you for your understanding.