Engineering Manager

Department: Engineering

Location: New York HQ

Employment Type: FullTime

About Us

We are fixing US healthcare by building an AI-native physical care platform, starting with home health.

Home health is a $140B industry with less than $10B in EBITDA — 40% of revenue is spent on pure administrative waste. We automate this work with AI, creating a fundamentally different cost structure compared to incumbents. This lets us rapidly take market share by serving the 30% of patients who go untreated today.

By reshaping the cost structure of this industry, we unlock its growth.

We’ve built one of the best AI teams in the world (from Character AI, Scale, Palantir, Citadel, Jane Street) and paired them with a team of healthcare veterans and ex-MBB strategists to build a new type of healthcare company: one that delivers care at the speed of an AI company.

Our physical care platform already operates with 30pp higher gross margins than traditional home health providers. With our AI advantage, we pay nurses more, remove their admin burden, and unlock the scale economics that have been missing from this fragmented industry. If we served this entire $140B market, instead of $10B in EBITDA, we’d drive $60B.

We're starting with home health, then expanding to all delivered care. Our mission is “any care, any where”.

Fundamentally, our incentives are aligned with America. Every dollar in revenue we make is two dollars taken out of the healthcare system. If we succeed, so does US healthcare.

About the Role

We’re hiring our first Engineering Manager to lead and scale the core systems that power Fira Health’s AI-driven platform. In this role, you’ll guide a team of sharp, mission-aligned engineers, influence technical strategy, and work closely with Operations to ship solutions that drive real-world impact for healthcare providers.

This role is ideal for an engineering leader who enjoys being close to the code, thrives in fast-moving environments, and is energized by the opportunity to shape both technical systems and team culture from the ground up.

Responsibilities

Team Leadership & Development

You build a team that’s motivated, aligned, and continuously improving — engineers trust your leadership, know what’s expected, and grow under your guidance

• Grow, support, and lead a high-performing engineering team, setting clear expectations and developing a culture of ownership and continuous improvement

• Support engineers’ growth through coaching, feedback, and clear development paths, while leading by example as a technical mentor
  

Technical Direction & Execution

You set clear technical direction, make smart trade-offs, and ensure the systems we build today can support the scale and complexity of tomorrow

• Own architectural direction and technical decision-making, balancing speed, quality, and long-term scalability

• Define and drive the technical roadmap, ensuring alignment with company priorities and customer needs

• Proactively identify and resolve technical debt, infra challenges, and bottlenecks as we scale our platform and team
  

Cross-Functional Product Collaboration

You work closely with ops and product to ship solutions that are both technically sound and deeply aligned with user needs — all while raising the bar on engineering excellence

• Collaborate cross-functionally with Operations to translate real-world workflows into scalable, AI-powered product experiences

• Establish engineering best practices around code quality, testing, monitoring, and deployment in a fast-paced environment
  

Qualifications

• 5+ years of software engineering experience, ideally having operated in a Tech Lead or Staff Engineering capacity, with recent experience leading technical projects

  • If you have additional experience, talk to us about Director-level or other engineering leadership roles.

• Strong grasp of systems architecture, performance optimization, and reliability engineering

• Ability to navigate trade-offs between speed, quality, and business value in an early-stage environment

• Customer- and user-oriented mindset, with an ability to think beyond technical correctness to how features are experienced, adopted, and used in real-world workflows

• Strong written and verbal communication skills, with the ability to clearly articulate technical decisions, align stakeholders, and collaborate effectively cross-team

Preferred:

• Proven experience building and scaling robust backend systems (APIs, distributed services, and data pipelines)

• Familiarity with DevOps and infrastructure tooling (e.g., Docker, CI/CD, observability stacks, AWS or GCP)

What We Offer

• Comprehensive medical, dental, and vision coverage

• Flexible time off policy — we expect most employees to take at least 3 weeks of vacation per year

• In-office lunches, dinners, and snacks to fuel your focus and well-being

Location

• Located or willing to move to New York, NY