# Senior Engineering Manager
**Company:** [Rad AI](https://hotfix.jobs/companies/rad-ai)
**Location:** San Francisco, CA
**Salary:** $215K-$240K
**Experience:** 6+ years
**Skills:** Python, TypeScript, JavaScript, React, Distributed Systems, Cloud Provider, HIPAA, SOC 2, Ml/Ai, Hl7/Fhir, Dicom
**Posted:** 2026-04-28
> Leads core product engineering team owning roadmap execution, architecture decisions, and cross-functional partnerships to deliver reliable AI systems for healthcare. Requires 6+ years managing engineers with hands-on experience in modern web/cloud stacks.
## Job Description
## Responsibilities

- Own end-to-end execution on your team’s roadmap from planning, prioritization, delivery, rollout, and iteration across one or more core products.
- Raise the technical bar by guiding architecture and design decisions, ensuring your team builds observable, maintainable systems that meet healthcare-grade reliability standards.
- Partner cross-functionally with Product, Implementations, Design, Clinical, Customer Success, and GTM counterparts to translate customer problems into clear, actionable engineering work.
- Drive continuous improvement across planning, estimation, code review, incident response, on-call, and documentation while evolving team processes and pushing the limits of AI to unlock new levels of efficiency and quality.
- Use data and metrics to drive decisions, defining and tracking the right leading indicators for reliability, performance, and delivery health.
- Hire exceptional engineers, develop the talent already on your team, and foster a culture of psychological safety, ownership, and continuous learning.

## Requirements

- 6–8+ years of experience managing software engineers with a proven track record leading teams that ship and operate production software at scale.
- A strong engineering foundation where you started as a hands-on engineer and are still comfortable going deep in technical discussions even if you’re no longer the primary coder.
- Experience leading teams building production web or cloud applications in modern stacks (e.g., **Python**, **TypeScript/JavaScript**, **React**, distributed systems on a major cloud provider).
- Excellent execution and stakeholder management: you set clear priorities, navigate tradeoffs, and keep teams aligned when requirements evolve.
- Strong communication across technical and non-technical audiences with a track record of influencing across functions without formal authority.
- A pragmatic, outcomes-oriented mindset where you’ve balanced ideal architecture with real-world constraints and have bias toward incremental, value-driven delivery.
- Genuine enjoyment of building and scaling healthy engineering teams: hiring, onboarding, performance management, and career development.

## Nice-to-Haves

- Worked in healthtech, healthcare data, or a regulated environment (**HIPAA**, **PHI**, **SOC 2**).
- Familiar with radiology workflows or adjacent clinical systems (**PACS**, **RIS**, **EHR**, **HL7/FHIR**, **DICOM**).
- Led teams that work closely with **ML/AI** systems in production.
- Managed multiple teams or a small org, including partnering with Staff or Principal engineers to set technical direction.
**Apply:** https://hotfix.jobs/jobs/senior-engineering-manager-at-rad-ai-43dbe81f-dd9e-424d-a010-ba62bb7055ea
**Canonical:** https://hotfix.jobs/jobs/senior-engineering-manager-at-rad-ai-43dbe81f-dd9e-424d-a010-ba62bb7055ea