Responsibilities
- Design, build, and operate the backend AI systems that power Arbiter’s intelligent care orchestration platform.
- Own critical parts of our agentic infrastructure, from low-latency inference pipelines to workflow automation and service orchestration, working closely with product, data, and clinical partners to ship production-grade AI systems with real customer dependency.
- Build The Agentic Platform: Design, develop, and operate the backend systems that power Arbiter’s agent-driven care orchestration workflows, including service orchestration, inference pipelines, and automation primitives.
- Production AI Systems: Ship and maintain production-grade AI systems that automate complex clinical and administrative workflows, with real customer dependency and strict reliability, latency, and correctness requirements.
- Platform Architecture & Scalability: Contribute to the architectural design of Arbiter’s AI-driven platform, emphasizing modularity, extensibility, scalability, and clean integration with EMRs, data systems, and external services.
- Inference & Backend Reliability: Ensure high performance, low latency, and fault tolerance across backend services and AI inference pipelines through strong system design, monitoring, and operational best practices.
- Infrastructure & Deployment Excellence: Implement and uphold best practices for CI/CD, testing, observability, and deployment of backend and AI systems in production environments.
- Cross-Functional Execution: Partner closely with data scientists, product managers, clinical experts, and other engineers to translate ambiguous, high-impact problems into scalable technical solutions.
- Technical Leadership & Mentorship: Mentor engineers, contribute to internal documentation and standards, influence technical direction, and raise the overall engineering bar.
- Ownership & On-Call: Take end-to-end ownership of critical systems, including participating in on-call rotations and leading incident resolution when production issues arise.
Requirements
- 5 + years of hands-on experience building and operating production backend systems, recent experience with AI-powered services and automation workflows, in high-availability environments.
- Computer Science or Engineering degree, or equivalent practical experience.
- Experience building and maintaining large-scale Python codebases with strong opinions on structure, quality, and tradeoffs.
- Proven experience designing and operating complex backend systems in production.
- Deep understanding of concurrency, scalability, reliability, and distributed systems patterns.
- Hands-on experience with async or event-driven architectures.
- Experience designing and operating high-scale APIs (REST and/or gRPC), including versioning and backward compatibility.
- Experience with cloud infrastructure (AWS, GCP, or Azure) and production deployments.
- Experience building and shipping AI-powered systems beyond prototypes or internal demos.
- Strong communication skills and ability to work effectively across functions.
Nice to Have
- Experience building agentic workflows, including single- or multi-agent systems, orchestration across tools and services, and human-in-the-loop patterns.
- Experience integrating LLM APIs and understanding prompt engineering and evaluation methodologies.
- Proficiency with AI-assisted development tools (e.g., Cursor, Claude Code, GitHub Copilot).
- Track record of delivering complex systems end-to-end with minimal oversight.
- Startup or early-stage experience operating in fast-moving, high-ambiguity environments.
Benefits
- 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.
- Wellness Programs: Initiatives to support your physical and mental health.
Work Arrangement
Hybrid
Additional Information
- This role can be remote or onsite, based in our New York City or Boca Raton offices, in a fast-paced, collaborative environment where great ideas move quickly from whiteboard to production.


