Senior Engineering Manager

We're building America's national imaging network: the infrastructure that connects patients, providers, and payers to faster, better-value diagnostic imaging. We manage the medical imaging pathway end-to-end. We're looking for a Senior Engineering Manager to lead a cross-functional engineering team and partner with the product organization to deliver on our roadmap. We are a small, high-output team building across a complex technical surface: consumer marketplace, provider-facing scheduling tools, interoperability infrastructure, revenue cycle tooling, and AI-augmented workflows.

Responsibilities

Lead and develop a team of engineers across multiple product domains, owning velocity, process, performance, technical growth, and team culture; Remain a consistent technical contributor by writing production code, leading design reviews, and pairing with engineers on complex problems; Define and enforce engineering standards across code quality, system design, testing discipline, deployment practices, and incident response; Drive the team's AI-native operating model by identifying where AI agents can replace or accelerate engineering workflows, building evaluation frameworks, and coaching engineers to leverage AI tooling; Partner with Product to refine roadmaps, push back on scope where necessary, and prioritize the highest-leverage problems; Own the architecture of your team's systems by making build vs. buy decisions, managing technical debt, and ensuring the stack can support business growth; Contribute to the broader engineering culture through interview loops, cross-team design reviews, engineering all-hands, and institutional knowledge; Report to the CPO and partner closely with Product, Operations, and Data

Requirements

Proven experience managing and growing engineering teams; Operated with limited resources, changing priorities, and a high bar for individual output; Genuine AI-native fluency, including deploying AI agents in production engineering workflows, designing evaluation frameworks for non-trivial tasks, and coaching teams to use AI as a primary tool; Active technical contributor with strong engineering fundamentals; Writes production-quality code in at least one modern backend or full-stack language; Can lead a system design discussion at a senior level; Has not been out of the code for more than a year; Strong cross-functional instincts, including partnering with Product and Operations and representing technical constraints to non-technical audiences; A track record of growing engineers who have been promoted or expanded their scope; High ownership orientation

Nice to have

Experience in a scaling healthcare technology company; Familiarity with the regulatory environment, interoperability constraints, and operational complexity of healthcare delivery

Benefits

Salary range of $180,000 - $240,000; Hybrid work model with 2 days in the office and 3 days remote each week; Dedicated personal development budget; Medical, vision, and dental coverage; 28+ days of paid time off across PTO and wellbeing days; Paid parental leave; 401k retirement plan; All the equipment needed to do your best work; Inclusive, people-first policies