# Engineering Manager, Operations

**Company:** [Nourish](https://hotfix.jobs/companies/nourish)
**Location:** New York, NY, San Francisco, CA
**Role:** Engineering Management
**Experience:** 6+ years
**Skills:** React, TypeScript, Node.js, Postgres, Full-Stack Development, System Design, Observability, Reliability Engineering, Scalability, Artificial Intelligence, Automation, Healthcare Billing, Claims Processing, Scheduling
**Posted:** 2026-08-17

> 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.

## Job Description

## 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.

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