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NourishNourish

Engineering Manager, Operations

Leads and develops a hands-on engineering team building automation and reliable systems for complex healthcare operations, including billing, claims, scheduling, and provider workflows. Requires 6+ years of software engineering experience, 2+ years of engineering management, strong product judgment, and modern full-stack expertise.

About the job

Responsibilities

  • Build, lead, and develop a high-performing team of 4–6 engineers with strong technical ownership.
  • Coach engineers through feedback, career development, calibration, and performance management.
  • Recruit, interview, hire, and onboard engineers.
  • Stay hands-on through architecture, pair programming, coding, code reviews, and on-call.
  • Partner with product and design on requirements, roadmaps, sprint planning, and measurable outcomes.
  • Drive system design, code quality, observability, reliability, and scalability.
  • Establish sprint planning, OKR planning and reporting, quarterly planning, and retrospectives.
  • Set technical direction for systems supporting large-scale clinical and business operations.
  • Automate manual workflows and design exception-handling systems while maintaining accuracy and patient trust.
  • Simplify billing, claims, eligibility, scheduling, and other healthcare workflows.
  • Build reliable, auditable systems that scale through growth and regulatory complexity.
  • Partner with operations, strategy, finance, clinical, product, design, data, and analytics teams.

Requirements

  • 6+ years of professional software engineering experience with modern full-stack technologies.
  • 2+ years of hands-on engineering management experience.
  • Experience hiring engineers and managing performance, promotions, and career development.
  • Ability to pair program and contribute directly to implementation.
  • Strong product judgment, including writing PRDs, critiquing designs, sizing opportunities, and progressing independently.
  • Proficiency with React, TypeScript, Node.js, PostgreSQL, or similar modern stacks.
  • Experience shipping and owning production systems in fast-moving, ambiguous environments.
  • Ability to balance people leadership, technical depth, delivery focus, and communication.

Nice to Have

  • Backend and workflow-platform experience.
  • Automation and AI-enabled operations.
  • Healthcare billing, claims, or eligibility experience.
  • Internal tools experience.
  • Experience with regulated systems.
  • Experience designing for reliability, auditability, and complex edge cases.
  • Experience with scheduling, capacity systems, provider applications, onboarding, productivity, earnings, retention, experimentation, funnels, referrals, and marketplace decisions.

Skills

React, TypeScript, Node.js, Postgres, Full-Stack Development, System Design, Observability, Reliability Engineering, Scalability, Artificial Intelligence, Automation, Healthcare Billing, Claims Processing, Scheduling

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