Backend Engineer - Integrations

💡 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 energy. Our goal is simple: to be the 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 and have solid runway.

People come to us when they have a bill they can't afford or don't understand. Granted checks it, catches errors, overcharges and denials, secures financial assistance, and negotiates with providers. That earns us the right to be connected to their insurance and their patient data, and from there Granted runs in the background, proactively monitoring every bill to help patients lower and pay what they owe.

🔎 About the Role

Our Integrations Pod builds the infrastructure that connects to the systems where members' healthcare and insurance information lives, bringing everything together so we can understand their coverage, identify billing issues, and take action to lower their medical bills. With AI, we have an opportunity to rethink how these integrations work: building highly personalized systems that can retrieve and make sense of the information needed to resolve a member's billing issues, without requiring them to track down documents, navigate portals, or do the legwork themselves.

As a member of our Integrations and Platform team, you'll work across backend systems and integrations. You'll leverage AI-native software paradigms and cutting-edge development tools to build a world-class application. You'll work closely with Product, Engineering leadership, and senior engineers on the pod, owning features from idea to production, with plenty of room to grow your scope as you ramp.

📖 Read more about our stack and Eng culture here

🚀 What You'll Do

• Build and own the pipelines that pull claims, bills, EOBs and coverage data from payer portals, providers and partners

• Design for failure: portal changes, auth and 2FA, partial data, rate limits, and knowing something broke before an advocate does

• Own the path from raw capture to normalized records to analytics, including where PHI lives and how it's protected

• Set technical direction for the pod: architecture, sequencing, and what we say no to

• Mentor engineers on the pod through code review, pairing and design, and raise the bar for how we build with agents

🧪 What You Might Work On

• Insurance and portal linking that lets a patient connect their accounts in a few taps

• Data integrations that monitor every connected account and flag new bills, claims and deductible changes

• Inbound channels like email, fax and partner webhooks, landed safely and exactly once

• The warehouse layer that turns raw healthcare data into anonymized, analytics-ready tables

🛠 Tech Stack

• TypeScript frontend & backend

• React Native, NextJS, NestJS, GraphQL

• Postgres, amplitude, sentry, datadog

• Temporal, Pulumi, Docker, AWS

👩‍💻 You'll Bring

Must-haves

• 5+ years of backend engineering experience, including integrations or data pipelines in production

• Strong TypeScript or Node experience, and deep comfort with relational databases and data modeling

• A track record of building systems against unreliable third parties: scraping or browser automation, flaky APIs, webhooks, file drops

• Reliability and observability instincts: idempotency, replay, monitoring, and data quality checks you bring up without being asked

• Technical leadership: you've set direction on a team, made architecture calls, and mentored other engineers

• AI-native workflow: you use coding agents daily for real work and want to make how the team uses them better

Nice-to-haves

• Data engineering: warehousing, Snowflake, dbt or similar, and anonymization pipelines

• Experience with workflow engines like Temporal

• Healthcare data experience: claims, EOBs, X12/EDI, FHIR, or payer and provider systems

• Experience handling PHI or working under HIPAA or SOC 2

📢 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!

🦸 Working with Us

Granted is headquartered in New York, with our office near Union Square. Our team is split between in-office and remote across the US: Engineering and CX are remote-first, while other teams work hybrid from our NYC office (in-office Monday to Thursday, Fridays from home). We're intentional about when we're together and flexible where it enables deep, high-quality work.

More than anything, we're here because we care deeply about the problem we're solving and the standard we hold ourselves to. Healthcare is broken, and fixing it requires people who want ownership, impact, and the chance to do the most meaningful work of their careers.