Senior Engineer Manager

Summary

Join Big Health as a Senior Engineering Manager to lead a global engineering team in building innovative healthcare products. You will be at the forefront of digital health innovation, using cutting-edge AI and modern development practices. This role involves managing team performance, defining technical roadmaps, driving architectural decisions, and ensuring compliance. You will collaborate with product, design, and clinical teams to deliver high-quality healthcare solutions. The position is remote-first and based anywhere in the US. Big Health offers a competitive salary, stock options, and benefits including a generous vacation policy and professional development fund.

Requirements

• 6+ years of engineering management experience with a track record of building and leading high-performing teams
• Proven experience managing remote and distributed engineering teams
• Strong coaching and mentoring skills with experience developing engineers at different career stages
• Experience working in dynamic startup environments with rapid growth and changing priorities
• Deep understanding of full-stack development and modern web architectures
• Hands-on experience with healthcare product development and understanding of healthcare workflows, especially around Ordering and Observations
• Knowledge of healthcare integration standards including FHIR, HL7, and related protocols and message types, including ORUs, ORMs,ServiceRequest, DeviceRequest, DeviceResponse, Observation, etc
• Experience with EMRs, such as Epic, Cerner, eCW, Athena, etc
• Understanding of healthcare data concepts such as orders, claims, eligibility, and patient records
• Experience with healthcare compliance requirements (HIPAA, SOC2, etc.)
• Experience leveraging AI-powered development tools such as v0.dev , Claude AI, ChatGPT, Cursor, and similar platforms
• Familiarity with low-code/no-code platforms and automation tools like n8n
• Passion for exploring and implementing emerging technologies to enhance team productivity

Responsibilities

• Lead and mentor a globally distributed engineering team (onshore and offshore), fostering a culture of ownership, high quality, and continuous improvement
• Manage team performance, career development, and growth opportunities for engineers at all levels
• Drive technical excellence while maintaining team velocity and morale in a remote-first environment
• Facilitate effective communication and collaboration across time zones and cultural differences to keep the team aligned and productive
• Partner closely with product management to define technical roadmaps and prioritize feature development
• Ensure successful delivery of healthcare solutions for providers and employers, from conception to production
• Drive architectural decisions that support scalability, security, and healthcare compliance requirements
• Drive the adoption and integration of AI-powered development tools and low-code/no-code solutions to enhance team productivity
• Oversee full-stack development across web and mobile platforms, ensuring robust and scalable architectures
• Guide implementation of healthcare integrations and interoperability standards
• Establish and maintain engineering best practices, code quality standards, and testing protocols
• Stay current with emerging technologies and evaluate their potential impact on our products and processes
• Work closely with product, design, and clinical teams to translate requirements into technical solutions
• Collaborate with other engineering managers to ensure consistency and knowledge sharing across teams
• Participate in technical and strategic planning sessions with senior leadership

Preferred Qualifications

• Vercel for deployment and hosting
• Supabase for backend-as-a-service and authentication
• Django & Python for core API application development
• Experience with Node JS
• Experience with React, TailwindCSS, ShadCN for frontend development
• Experience with platforms like Kong and Svix
• AWS cloud infrastructure and services
• PostgreSQL database management
• GitHub for version control and CI/CD
• Experience with healthcare data standards and APIs
• Knowledge of regulatory compliance in healthcare technology
• Background in agile development methodologies
• Experience with monitoring, logging, and observability tools

Benefits

• Generous vacation policy
• Professional development fund
• Flexible working arrangements
• Competitive salary packages including stock options