Engineering Manager, Care Delivery

FORM │ Virtual obesity medicine clinic

. Lead, coach, and grow a small team delivering business-critical clinical and operational systems .

Posted 9/29/2026full-timeRemote • United StatesMid-LevelSenior💰 $180,000 - $200,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in leading engineering teams to deliver complex clinical and operational systems while ensuring compliance with healthcare regulations. Proficient in fostering a culture of continuous improvement, technical excellence, and effective communication across diverse stakeholders.

Highest-signal resume keywords

Team LeadershipBackend Services ArchitectureRuby on RailsAWS InfrastructureCI/CD Pipeline Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Ruby on RailsNode.jsReact/Next.jsAI-Native DevelopmentWorkflow AutomationDORA MetricsFeature FlagsOperational ExcellenceTesting FundamentalsClinical Systems

Soft Skills

CoachingMentorshipCommunicationAccountabilityFeedback

Tools & Technologies

CI/CD ToolsHealthcare Regulatory ComplianceTask Management SystemsCare Coordination ToolsIntegration Tools

Industry Keywords

HealthcareClinical SystemsRegulated DomainsOperational SystemsAI-Enabled Products

Tech Stack

Tools & technologies

AWSJavaScriptNext.jsNode.jsReactRubyRuby on Rails

About the role

Key responsibilities & impact

Lead, coach, and grow a small team delivering business-critical clinical and operational systems
Establish clear goals and execution plans aligned with product and company priorities
Foster ownership, accountability, and continuous improvement
Provide feedback, mentorship, and career development for engineers at multiple levels
Raise technical and delivery standards through pairing, code review, and hands-on coaching
Hire thoughtfully to strengthen team capability and long-term scalability
Guide architectural decisions for backend services, workflows, integrations, and internal tools
Partner with senior engineers to ensure systems are reliable, scalable, secure, and maintainable
Maintain technical fluency across Ruby on Rails, Node.js, React/Next.js, and AWS-based infrastructure
Ensure healthy CI/CD pipelines and safe deployment practices in a regulated healthcare environment
Champion small-batch continuous delivery, feature flags, and tight feedback loops
Use DORA metrics and other delivery signals to improve throughput and stability
Identify technical risks early and lead mitigation
Oversee systems for clinical charting, scheduling, task management, care coordination, and workflow automation
Ensure patient data is handled safely within HIPAA and broader healthcare regulatory requirements
Support thoughtful automation and AI integration with human oversight and patient safety
Partner with product, clinical, and operations leaders on roadmaps and engineering plans
Balance delivery speed with operational reliability and long-term platform health

Requirements

What you’ll need

5+ years managing engineering teams, with prior experience as a senior or staff-level engineer
Track record leading delivery of complex backend or workflow-heavy systems in production, in fast-moving or high-growth environments
Experience instilling delivery fundamentals: small-batch delivery, feature flags, testing, operational excellence, and coaching teams to adopt them
Hands-on fluency with agentic, AI-native development, such as Claude Code; practice and ability to model and coach it into a team
Strong communication across technical and non-technical stakeholders
Experience in healthcare, clinical systems, workflow tooling, AI-enabled products, or other regulated domains is a plus, not required

Benefits

Comp & perks

Competitive salary and equity in a high growth start-up
Comprehensive health benefits (medical, dental, vision)
401k program
Flexible work schedules and paid time off
Paid parental leave