We are seeking an experienced Engineering Manager (player/coach) focusing on healthcare integrations, architecting the platform layer connecting provider networks, care navigator operations, and clinical workflows. This is a senior IC-first role where functions include writing production level code, building services, and owning critical systems while also setting architectural direction and mentoring other engineers.

The Engineering Manager will drive architecture decisions across services that interface with new and existing Postgres db’s, guide adoption of healthcare data standards such as FHIR/HL7 and DICOM, and ensure the platform can withstand the demands of healthcare at scale. This position emphasizes direct contribution, coding, system design, and problem-solving as the primary mode of leadership.

What you'll do:

• Architect and implement backend services that interface with Postgres and Databricks to support business verticals, ensuring scale, reliability, and maintainability. Write production-grade code and lead by example.
• Design and oversee data adapters to integrate with external imaging facilities, payers, and TPAs, adhering to health data standards (FHIR/HL7, DICOM)
• Conduct rigorous code reviews, set coding standards, and foster engineering best practices to ensure high-quality, secure, and compliant codebases.
• Design systems for reliability and graceful degradation as we scale from thousands to millions of orders. Extend considerations of fault-tolerance, error reporting, and load and stress testing to existing and new services. Establish recovery strategies and observability standards.
• Write clear engineering documentation that outlines architecture choices, technical milestones, and steps required to achieve epic/feature/service goals.
• Mentor backend and full-stack engineers, sharing tools and approaches to improve problem-solving. While mentorship is expected, the majority of your time will be spent coding and architecting systems.
• Partner with Product to translate business goals into efficient, value-driven technical solutions. Ensure tradeoffs are explicit and that the solution is optimized for the problem, pushing back on instances of incorrect scoping of a solution as needed providing the relevant evidence.
• Collaborate with DevOps to embed CI/CD, observability, security, and cost-transparency into every service.

About you:

• B.S./M.S. in Computer Science, Engineering, or related field, or equivalent industry experience.
• 8+ years of backend engineering experience with production level software development and architectural responsibilities.
• Strong expertise in Python, TypeScript/Node.js, PostgreSQL.
• Proven ability to design fault-tolerant, high-availability distributed systems and contribute hands-on in codebases.
• Hands-on experience with healthcare data standards (FHIR, HL7, DICOM) and compliance frameworks (HIPAA, SOC-II).
• Demonstrated ability to mentor engineers without direct management responsibilities.
• Excellent communication skills with the ability to influence both technical and non-technical stakeholders.
• Familiarity with cloud infrastructure (AWS preferred: S3, Fargate, App Runner, Route 53).
• Experience with CI/CD pipelines, observability platforms, and cost optimization.
• Experience with data pipelines and integrations with our Databricks layer (file ingestion, and BI integration), or equivalent large-scale data platforms.
• Familiarity with DICOM operations, processing, and interfacing with PACS systems
• Background in healthtech, insurance tech, or other regulated industries.
• Exposure to multi-agent systems (e.g., LLMs, OCR) to streamline workflows.

The base salary range for this position is $140,000 - $190,000.  Individual compensation will depend on various factors, including qualifications, skills, experience, location, and applicable laws. In addition to base salary, this role is eligible to participate in our equity incentive and competitive benefits plans. 

We are looking for a talented Backend Software Engineer who is excited to help grow and scale our API services, including helping transition our existing Node.js (Express) platform to TypeScript. As a backend focused developer you will design, build, and maintain robust backend features, develop API services, implement controller tests, and collaborate closely with frontend and data engineering teams to deliver secure and efficient healthcare technology solutions.

What you'll do:

• Develop scalable backend service components using TypeScript, Node.js, Express, MongoDB, and PostgreSQL.
• Build, maintain, and optimize RESTful APIs with clear roles, permissions, and audit logging aligned with HIPAA compliance requirements.
• Refactor existing Node.js codebases to modern TypeScript standards, ensuring improved maintainability and reliability.
• Write comprehensive unit and integration tests to ensure code reliability and robustness.
• Collaborate closely with frontend engineers (React, NextJS) to deliver cohesive, responsive user experiences.
• Engage with data engineers to allow for backend applications to mesh well with data-driven components and BI tools.
• Optimize backend performance and troubleshoot production issues promptly, ensuring minimal downtime.
• Leverage AWS services including S3, Route 53, App Runner, Fargate, Bedrock, and Transfer Family for secure deployment and scalability.
• Participate actively in code reviews, knowledge sharing discussions, and development decisions to continuously enhance code quality and team practices.
• Document backend architecture, API specifications, and technical decisions clearly and effectively.

About you:

• B.S. in Computer Science, Engineering, or related technical discipline with 5+ years of experience in backend software engineering, or 8+ years of relevant industry experience.
• Proven expertise with TypeScript, Node.js, Express, MongoDB (Mongoose), and PostgreSQL.
• Experience designing and implementing RESTful APIs, roles & permissions, and audit logging for regulatory compliance (e.g., HIPAA).
• Familiarity with testing frameworks such as Jest or Mocha.
• Strong understanding of software architecture best practices and backend optimization techniques.
• Excellent communication skills, collaborative mindset, and ability to work effectively within cross-functional teams.

Preferred:

• Familiarity with frontend frameworks, especially React.
• Experience with healthcare data standards (FHIR, HL7, DICOM) and development standards of dealing with sensitive data.
• Familiarity with using containerization technologies as part of daily development (Docker)
• Proficiency with AWS services including S3, Route 53, App Runner.
• Exposure to CI/CD pipelines and agile development methodologies.
• Experience working with multi agent (e.g. LLM & OCR) technologies to improve upon manual processes 

The base salary range for this position is $120,000 - $180,000.  Individual compensation will depend on various factors, including qualifications, skills, experience, location, and applicable laws. In addition to base salary, this role is eligible to participate in our equity incentive and competitive benefits plans.