Arbiter is reimagining how healthcare works - not by adding more point solutions, but by building the infrastructure that runs the system. We’re designing the intelligent operating spine that unifies data, automates workflows, and aligns incentives across providers, payers, and patients. Our platform embeds AI into real-world care and revenue cycle operations, transforming administrative chaos into orchestrated execution.
We’ve just closed one of the largest early-stage raises in health tech history - backed by some of the most influential players in the industry who collectively manage millions of lives and billions in spend. Paired with a powerhouse board and executive team, we have the capital, context, and relationships to move quicker than anyone - tackling the problems we know intimately and scaling what works. Our MVP is already live with hundreds of providers managing hundreds of thousands of lives, and improving daily based on real-world feedback.
At Arbiter, engineers don’t just ship features - they shape the foundation of an industry in flux. You’ll work alongside a small, elite team of product leaders and technologists from FAANG and top startup and healthcare orgs to architect systems that handle millions of patient records, build AI agents that execute critical healthcare workflows, and design platforms that major health entities depend on daily. Every line of code you write shapes how a $4T industry operates.
Our Engineering Culture & Values
We are a high-performing group of engineers dedicated to delivering innovative, high-quality solutions to our clients and business partners. We believe in:
Engineering Excellence: Taking immense pride in our technical craft and the products we build, treating both with utmost respect and care.
Impact-Driven Development: Firmly committed to engineering high-quality, fault-tolerant, and highly scalable systems that evolve seamlessly with business needs, minimizing disruption.
Collaboration Over Ego: Valuing exceptional work and groundbreaking ideas above all else. We seek talented individuals who are accustomed to working in a fast-paced environment and are driven to ship often to achieve significant impact.
Continuous Growth: Fostering an environment of continuous learning, mentorship, and professional development, where you can deepen your expertise and grow your career.
Responsibilities
As a Senior Engineer, EMR Integration, you will be the primary technical leader responsible for connecting our platform to our partners' most critical clinical systems:
Epic Integration Leadership: Lead the technical design, development, certification, and implementation of integrations with partner Epic EMR systems.
Partner-Facing Collaboration: Act as the primary technical point of contact for healthcare organizations. Work side-by-side with their business, IT, informatics, and analyst teams to understand their unique Epic configuration, clinical workflows, and technical constraints.
Solution & API Development: Design, build, and maintain robust, scalable, and secure integration solutions using Epic's APIs (e.g., FHIR, App Orchard, Interconnect) and modern backend technologies.
Hands-On Technical Problem-Solving: Triage, diagnose, and resolve complex integration challenges, data mapping issues, and workflow blockages in live partner environments.
Cross-Functional Bridge: Collaborate closely with our internal product and core engineering teams to communicate partner feedback, advocate for necessary features, and ensure the core platform can support real-world partner needs.
Deployment & Operations: Manage the deployment, monitoring, and maintenance of integration services, adhering to partner security, compliance, and infrastructure standards.
Technical Documentation: Create and maintain clear technical documentation, integration guides, and best practices for our partners and internal teams.
Technical Leadership: Provide technical guidance and mentorship, championing best practices in integration architecture, security, and data handling.
Minimum Qualifications
8+ years of hands-on software engineering experience, with a strong focus on backend development and complex systems integration.
Direct, hands-on experience integrating with Epic EMR systems.
Deep knowledge of healthcare data standards and APIs, specifically FHIR and HL7v2.
Proven experience in a partner-facing or client-facing technical role (e.g., Solutions Architect, Technical Consultant, or Forward Deployed Engineer).
You must understand the challenges and architecture of integrating with a major EMR.
Exceptional communication and interpersonal skills, with the ability to explain complex technical concepts to both technical and non-technical stakeholders at partner organizations.
Strong expertise in building and operating applications within distributed systems architectures.
Extensive experience with modern API design (RESTful, gRPC) and security protocols (SAML, OAuth 2.0, mTLS).
Intimate knowledge of and ability to implement comprehensive testing strategies.
Demonstrated experience providing technical leadership and working with cross-functional partners to deliver a product.
Preferred Qualifications
Familiarity with Epic's core database (Chronicles) and its programming language (MUMPS/M) for deep system-level workflow customization.
Epic certification (e.g., Bridges, App Orchard, Chronicles) is highly desirable.
Experience with message queues or streaming platforms (e.g., Kafka, RabbitMQ, Google Cloud Pub/Sub).
Familiarity with cloud platforms (e.g., Google Cloud Platform, AWS) and associated services.
Experience working in a fast-paced, high-growth startup environment.
Deep understanding of HIPAA and other healthcare compliance regulations.
The role is on-site, based in our New York City office, in a fast-paced, collaborative environment where great ideas move quickly from whiteboard to production.
Job Benefits
We offer a comprehensive and competitive benefits package designed to support your well-being and professional growth:
Highly Competitive Salary & Equity Package: Designed to rival top FAANG compensation, including meaningful equity.
Generous Paid Time Off (PTO): To ensure a healthy work-life balance.
Comprehensive Health, Vision, and Dental Insurance: Robust coverage for you and your family.
Life and Disability Insurance: Providing financial security.
Simple IRA Matching: To support your long-term financial goals.
Professional Development Budget: Support for conferences, courses, and certifications to fuel your continuous learning.
Relocation Assistance: For candidates moving to New York City.
Wellness Programs: Initiatives to support your physical and mental health.
Pay Transparency
The annual base salary range for this position is $180,000-$240,000. Actual compensation offered to the successful candidate may vary from the posted hiring range based upon work experience, and/or skill level, among other things.
