Engineering Manager - Care Delivery Systems

Great care depends on great tools. Behind every patient visit is a care team—physicians, advanced practice professionals, and Registered Dietitians—who chart, coordinate, schedule, and manage a longitudinal treatment plan across thousands of patients. The Care Delivery team owns the systems that make that work possible: clinical charting, scheduling, task management, care coordination, operational tooling, and workflow automation.

What You Will Do

Team Leadership & Execution

• Lead, coach, and grow a small team delivering business-critical clinical and operational systems
• Establish clear goals and execution plans aligned with product and company priorities
• Foster a culture of ownership, accountability, and continuous improvement
• Provide direct feedback, mentorship, and career development for engineers at multiple levels
• Raise the technical and delivery bar through pairing, code review, and hands-on coaching
• Hire thoughtfully to strengthen team capability and long-term scalability

Technical Leadership

• Guide architectural decisions for backend services, workflows, integrations, and internal tools
• Partner with senior engineers to ensure systems are reliable, scalable, secure, and maintainable
• Maintain strong technical fluency across Ruby on Rails, Node.js, React/Next.js, and AWS-based infrastructure
• Ensure healthy CI/CD pipelines and safe deployment practices for a regulated healthcare environment
• Champion small-batch, continuous delivery—small PRs, short-lived branches, feature flags, tight feedback loops
• Use DORA metrics and other delivery signals to continuously raise the team’s throughput and stability
• Identify technical risks early and lead mitigation before they impact care delivery

Clinical Workflow & Intelligent Systems

• Oversee systems supporting clinical charting, scheduling, task management, care coordination, and workflow automation
• Ensure systems handle patient data safely within HIPAA and broader healthcare regulatory requirements
• Support thoughtful integration of automation and AI where appropriate, always prioritizing human oversight and patient safety

Cross-Functional Partnership

• Partner with product, clinical, and operations leaders to define roadmaps and translate evolving requirements into clear engineering plans
• Provide structure and clarity in ambiguous problem spaces
• Balance speed of delivery with operational reliability and long-term platform health

About You

• 5+ years managing engineering teams, with prior experience as a senior or staff-level engineer
• A track record leading delivery of complex backend or workflow-heavy systems in production, in fast-moving or high-growth environments
• Experience instilling delivery fundamentals—small-batch delivery, feature flags, testing, operational excellence—and coaching teams to adopt them
• Hands-on fluency with agentic, AI-native development (e.g., Claude Code)—you practice it yourself and can model and coach it into a team
• Strong communication across technical and non-technical stakeholders
• A plus, not required: experience in healthcare, clinical systems, workflow tooling, AI-enabled products, or other regulated domains