Engineering Manager

Company Description

Quietly scaling healthtech startup building AI-powered voice agents to transform patient access and healthcare navigation.

Job Description

Lead a high-performing engineering team building sophisticated AI voice agents and the underlying platforms that connect patients with essential care. You will drive technical architecture, hire elite talent, and set the standard for using AI coding tools to accelerate development. This is a hands-on leadership role balancing rapid iteration with enterprise-grade system design.

Location

San Francisco or New York, USA

Why this role is remarkable

• Direct impact on healthcare access by leading the development of production-grade AI voice agents that resolve real patient needs in real-time.
• Join a fast-moving, mission-driven environment where you have the autonomy to shape the engineering culture and technical roadmap from the ground up.
• Work alongside a world-class team in a high-growth phase, with the opportunity to build and mentor a premier engineering organization in SF or NYC.

What You Will Do

• Lead, hire, and coach a high-performing team of engineers, fostering a culture of rapid development and technical excellence.
• Drive architectural decisions and design discussions for complex AI-powered products, ensuring systems are scalable and production-ready.
• Engage directly with healthcare professionals to translate real-world clinical workflows into innovative software solutions and automated voice interactions.

The ideal candidate

• Possesses 5+ years of software engineering experience with at least 2+ years specifically in an engineering management or leadership capacity.
• Demonstrates strong systems-thinking with a track record of building and scaling complex applications in fast-paced, high-uncertainty environments.
• Maintains a hands-on technical approach, willing to dive into code reviews, debugging, and testing while managing overall team delivery goals.