Engineering Manager, GI

Hinge Health is the leader in Digital Physical Therapy and is expanding into new areas of care. In April, we launched our comprehensive Migraine Care Program, now available to over two million people through 125+ clients. We’re building a team to launch our Gastrointestinal (GI) Care Program, addressing conditions that affect roughly one in four U.S. adults and drive $135 billion in annual medical spending. Our planned acquisition of Cylinder Health, a leader in virtual-first digestive healthcare, provides a strong foundation, combining their clinical expertise with Hinge Health’s AI-powered care model and technology platform. This role offers the opportunity to build a new product from the ground up, shape the future of digital GI care, and define the experience for millions of Americans by 2027.

About the role

As the Engineering Manager for GI, you’ll build an understanding of the 60M+ Americans affected by GI conditions and ensure Hinge Health creates a comprehensive end-to-end experience to treat them. You’ll run rapid experiments to validate assumptions and launch a brand-new digital care product. Hinge Health differentiates itself through a fast pace of innovation, blending licensed care providers with AI solutions and medical-grade hardware to deliver a complete experience. You’ll partner closely with senior leadership, Product, Design, and Marketing across our hubs in San Francisco, Montreal, and Bangalore. As a hands-on engineering leader, you’ll contribute to and review code (~15% of your time) while building a high-performing team.

Responsibilities

• In your first 3 months:
  • Build a team of 5 engineers working across our React Native (Phoenix) mobile codebase and backend services (Go & JS), establishing clear goals, rituals, and expectations for a high-performing team.
  • Define the new vertical/product line from scratch.
  • Build strong partnerships with Product, Design, and Marketing to align on strategy, experimentation roadmap, and success metrics.
• In your first 6 months:
  • Build the “new vertical” product as a minimum loveable product (MLP), defining how to use display software, AI solutions, and licensed care providers to deliver significant health improvements for members.
  • Establish a rigorous portfolio of A/B experiments to run post-launch, planning for funnel optimizations to ensure member success.
  • Establish engineering best practices for CI/CD, automated testing, monitoring, and client performance across the entire stack.
• Within 12 months and beyond:
  • Launch the “new vertical” product.
  • Execute a series of A/B experiments to increase usage and success of the new product.
  • Grow and mentor your team, raising the bar on engineering quality, experimentation rigor, and operational excellence.

Requirements

• 0->1 Builder: Track record of building new products from scratch.
• Talent magnet: Ability to quickly assemble a team to build the “new vertical” product, balancing innovation and reuse while delivering clear business results.
• Hands-on engineering leader: Comfortable reading and writing code in modern stacks (e.g., React Native, BFF/full-stack web, GraphQL) to coach, review, and set technical direction.
• Experiment-driven operator: Ability to think in terms of hypotheses, sample sizes, and decision rules, and run a dense A/B experimentation roadmap without sacrificing quality.
• Systems and UX thinker: Ability to see how architecture, API design, and client performance shape real-world member experiences and align cross-functional partners around trade-offs.
• Inclusive team builder: Create clear expectations, give direct feedback, and foster a culture where engineers can do their best work.

Qualifications

• Minimum Bachelor’s degree in Computer Science, Engineering, or a related technical field, or equivalent practical experience.
• Minimum of 3+ years of experience managing a team of ~5+ engineers in a fast-paced, product-focused environment.
• AI-native development: Expertise using tools like Cursor, Claude Code, or similar AI agents to improve the pace of experimentation, with opinions on prompting, agent review, and harness engineering.
• Strong React Native, mobile, or client-side engineering background — or equivalent depth in a BFF/full-stack web context with a track record of shipping member-facing UI at scale.
• Experience owning and evolving a major product surface end-to-end — from architecture and UX through experimentation and production reliability.
• Demonstrated ability to design, run, and interpret A/B experiments, including comfort reasoning about sample sizes, interference effects, and decision rules.

Preferred Qualifications

• React Native: Experience building or leading teams in large React Native codebases, including client performance, render optimization, and app architecture patterns.
• Server-Driven UI: Familiarity with SDUI patterns and the trade-offs of moving layout and presentation logic from client to server.
• Platform mindset: History operating a shared product surface that other teams extend—defining extension contracts, managing inbound requests, and protecting stability.
• GraphQL & modern stacks: Familiarity with GraphQL (caching, BFF patterns, client-driven data-fetching performance), plus working knowledge of Python, TypeScript/Node.js, AWS services (e.g., Lambda, SQS, SNS, SageMaker), and modern DevOps practices.
• Regulated environments: Experience working within healthcare (HIPAA) or other highly regulated domains involving sensitive member data.

Schedule

This role is based in our San Francisco HQ and follows Hinge Health’s hybrid working model. Employees in hybrid roles are required to be in the office 3 days per week for the full 8 hours of a typical business day. Our San Francisco office also has a dog-friendly workplace program.

Benefits

• Inclusive healthcare and benefits: Comprehensive medical, dental, and vision coverage, plus support for gender-affirming care, family and fertility planning, and travel reimbursements if healthcare isn’t available where you live.
• Planning for the future: Traditional or Roth 401k retirement plan options with a 2% company match.
• Modern life stipends: Manage your own learning and development.
• Grow with us: Discounted company stock through our ESPP with easy payroll deductions.

Pay

Compensation Range: $212K - $318K