Engineering Manager

Join a forward-thinking digital health company where your expertise in software engineering drives the development of scalable, cutting-edge products. We foster an inclusive, dynamic environment where creativity, technical excellence, and problem-solving contribute directly to transforming virtual care.

The candidate will have responsibilities across the following functions:

Engineering Leadership and People Management:

• Lead, mentor, and grow a team of 5-12 full-stack and backend engineers.
• Run structured 1:1s, quarterly performance reviews, and career development conversations.
• Drive hiring for the India engineering org; interview, assess, and onboard engineers.
• Foster a culture of ownership, psychological safety, and continuous improvement.

Technical Architecture:

• Collaborate with senior engineers and US architects on system design and technical direction.
• Lead architecture reviews for new features and platform changes.
• Make sound technology trade-off decisions across the MERN + PostgreSQL + AWS stack.
• Ensure systems are designed for scalability, observability, and HIPAA compliance.

Code Quality and Process:

• Own and evolve the code review process, set standards, enforce them, and lead by example.
• Define and roll out engineering best practices: branching strategy, PR workflows, testing standards, documentation.
• Establish sprint cadences, definition of done, and engineering SLAs in coordination with Product.
• Drive incident response practices and post-mortem culture.

Cross-Functional Collaboration:

• Partner with Product Management and US leads to refine roadmap items into engineering-ready specs.
• Participate in architecture discussions around FHIR R4, EHR integrations, and data pipelines.
• Provide engineering effort estimates and technical risk assessments for planning cycles.

Tech Stack and Environment:

• Frontend - React.js, React Native (mobile).
• Backend - Node.js (Express), REST APIs.
• Database - PostgreSQL (multi-schema, complex queries, views).
• Cloud and Infra - AWS (ECS, RDS, ALB, Cognito, S3, CloudWatch) us-east-1 Multi-AZ.
• Integrations - HL7 FHIR R4, Mirth Connect, Epic App Orchard, Athenahealth.

Requirements:

• 8-13 years of total software engineering experience, with 4+ years managing or technically leading a team.
• Strong hands-on proficiency in Node.js and React.js (MERN minus MongoDB).
• Deep experience with PostgreSQL schema design, query optimisation, and connection management.
• Proven ability to lead architecture discussions and technical design reviews.
• Experience running or significantly contributing to engineering process setup: code review culture, sprint processes, on-call/incident management.
• Strong written and verbal communication skills in English, comfortable with async US-India collaboration.

Preferred:

• Experience in healthcare technology FHIR, HL7, EHR integrations (Epic, Cerner, athenahealth), or HIPAA-compliant systems.
• Hands-on AWS experience with ECS, RDS, ALB, or similar managed services.
• Familiarity with Mirth Connect or healthcare interoperability middleware.
• Prior startup or scale-up experience where you helped build engineering culture from scratch.
• Background in value-based care, CCM/RPM/BHI, or clinical data platforms.