Lead Software Engineer - Integrations

We are seeking a Lead Software Engineer to join our Integrations team, designing, developing, and scaling highly available healthcare integration systems that support prior authorization workflows across providers, payers, and delegated entities. You'll lead a fast-paced, autonomous, agile team of engineers building and operating a growing enterprise integration platform — driving technical excellence at the intersection of healthcare interoperability and modern distributed systems.

This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events.

- Provide technical leadership across architecture, system design, platform scalability, reliability, and operational excellence

- Design and build scalable, resilient, high-performing systems supporting critical enterprise integrations

- Lead development of secure integrations with internal, external, and third-party platforms

- Design event-driven, distributed architectures and drive cloud infrastructure and CI/CD automation

- Establish monitoring, observability, and incident response practices, and lead resolution of production issues

- Partner cross-functionally with product, operations, data, security, and business stakeholders on agile delivery

- Mentor engineers and contribute to hiring, coaching, and career development

- 8+ years building and supporting scalable enterprise applications and distributed systems

- Hands-on experience integrating external APIs/third-party systems and building automated testing frameworks required

- Expertise in authentication/authorization frameworks, secure API design, and access control required

- Experience with data modeling across relational/non-relational databases, observability tooling, and event-driven architecture required

- Healthcare technology/prior authorization experience, interoperability standards, or experience in other highly regulated industries a plus