Engineering Manager

About the role

We are looking for an Engineering Manager to lead and scale the team behind Payer Intelligence—the platforms that automate prior authorization review end to end, from provider intake through AI-driven medical necessity determination. You will own the people, process, and technical direction for a multidisciplinary group spanning backend services, AI/ML engineering, and frontend product work. You thrive when connecting your team's work to meaningful health outcomes and are as comfortable in a 1:1 coaching conversation as you are debating an eval strategy or architecture review.

Responsibilities

• People Leadership & Development
  • Directly manage a team of engineers across backend, AI/ML, and frontend disciplines
  • Drive performance management cycles: goal-setting, mid-year check-ins, year-end reviews, and performance improvement plans when needed
  • Partner with recruiting to attract, hire, and onboard top engineering talent, including AI-focused roles where the hiring bar is still being defined industry-wide
  • Build and sustain a culture of psychological safety, continuous feedback, and high accountability
  • Identify individual growth opportunities and create development plans tailored to each teammate's career goals
• Technical Oversight
  • Provide technical direction and quality standards across Go backend services, Python AI actions, and Vue 3 / TypeScript frontends
  • Own the reliability and cost profile of AI/ML pipelines: model selection/upgrades, prompt and context engineering, structured output, document ingestion and OCR, and multimodal handling of clinical PDFs
  • Champion a rigorous evaluation practice: golden datasets, regression suites for model and prompt changes, accuracy and drift monitoring, and clear rules for what ships to production
  • Participate in architecture and design reviews; ensure decisions balance speed, maintainability, and scalability
  • Champion engineering best practices: code review culture, automated testing, CI/CD, Terraform-managed infrastructure, and observability
• Delivery & Execution
  • Own roadmap execution for the Payer engineering team, partnering closely with Product, Design, and Clinical teams
  • Coordinate work that spans multiple projects, where a single feature often touches a Python action, the Go API, and multiple frontends
  • Remove blockers, manage dependencies, and create predictable delivery rhythms via agile practices
  • Track and communicate progress, risks, and trade-offs to engineering leadership and cross-functional stakeholders
  • Drive continuous improvement in team velocity, quality, and developer experience
• Cross-Functional Collaboration
  • Act as the engineering point-of-contact for Product, Clinical Operations, and payer and provider-facing stakeholders
  • Translate clinical and regulatory requirements (medical necessity criteria, CMS program rules) into clear technical scope and feasibility assessments
  • Represent AI capabilities and limitations honestly to non-technical audiences, including where a human reviewer stays in the loop
  • Partner with the broader engineering leadership team on org-wide standards, tooling, and planning

Requirements

• 5+ years of software engineering experience, with at least 2 years in an engineering management or team lead role
• Hands-on depth in at least one of the languages in our stack—Go, Python, or TypeScript—strong enough to read and review code, understand architectural trade-offs, and ask the right questions. Working familiarity with the others, or the appetite to build it quickly
• Practical experience with modern AI technologies: building or leading work on AI-powered products, including prompting, structured output, retrieval, agentic or multi-step pipelines, and evaluation of non-deterministic systems
• Demonstrated experience hiring engineers and conducting full-cycle technical interviews
• Proven track record in performance development: delivering meaningful feedback, managing performance, and growing engineers at multiple levels
• Experience shipping and operating distributed services in production: containers, Kubernetes, CI/CD, and incident response
• Comfort with relational data modeling and SQL
• Strong written and verbal communication skills—you write crisp specs, give direct feedback, and tailor your message to technical and non-technical audiences

Preferred Qualifications

• Experience in healthcare, health-tech, or other regulated industries; familiarity with prior authorization workflows is a significant plus
• Familiarity with FHIR, HL7, CRD/DTR/PAS, or other healthcare data standards
• Hands-on experience with Azure (or similar cloud provider) and infrastructure-as-code via Terraform
• Experience with gRPC / protobuf service architectures
• Background in document AI: OCR, PDF parsing, and structured extraction from unstructured clinical documents
• Vue 3 experience; React or Angular is sufficient
• Background contributing to engineering culture initiatives: leveling frameworks, interview training, onboarding programs

Benefits

• Impactful work contributing to innovative solutions that improve healthcare efficiency and patient outcomes
• Remote flexibility with access to a new office in Winter Park, FL
• Competitive base compensation, equity through our Employee Stock Option Plan, and bonus-eligible roles
• Comprehensive benefits package including unlimited PTO and 401k program with employer match
• Growth opportunities in a fast-paced, high-impact environment with ample professional development
• Inclusive culture where your ideas and contributions are valued