Engineering Manager, Operations

Nourish•San Francisco, CA

13d•Hybrid

About The Position

Nourish is seeking a hands-on Engineering Manager to lead Operations Engineering. Reporting to Senior Engineering Manager, you’ll help build the technology and operating systems behind one of the largest healthcare operations in the country, supporting more than 10,000 clinicians across dietitians, physicians, and therapists. You’ll reimagine what an AI- and technology-native healthcare operation can look like—using automation to scale unlike traditional healthcare companies and making notoriously complex workflows, including billing and claims, feel simple to patients and clinicians. This is a full-time role. We strongly prefer candidates based in New York City or San Francisco, with exceptions for truly exceptional candidates. Check out Engineering at Nourish to learn more about our team and what we’ve already built.

Requirements

Have 6+ years of professional software engineering experience with modern full-stack technologies and 2+ years of hands-on engineering management experience.
Have hired engineers and managed performance, promotions, and career development.
Remain technical enough to pair program with your team and contribute directly when needed.
Bring exceptional product judgment: you can write a PRD, critique or mock a design, size an opportunity, and make progress without waiting on a PM.
Are highly proficient with React, TypeScript, Node.js, PostgreSQL, or similar modern stacks.
Have shipped and owned production systems in a fast-moving, ambiguous environment.
Balance people leadership with technical depth, delivery focus, and clear communication.
Are energized by Nourish’s mission to improve people’s health by making it easy to eat well.

Nice To Haves

Backend and workflow-platform experience.
Automation and AI-enabled operations.
Healthcare billing, claims, or eligibility.
Internal tools.
Regulated systems.
Experience designing for reliability, auditability, and complex edge cases.

Responsibilities

Build, lead, and develop a high-performing team of 4–5 engineers with strong technical ownership.
Coach engineers through regular feedback, career development, calibration, and performance management.
Scale the team through recruiting, interviewing, hiring, and onboarding.
Stay hands-on through architecture, pair programming, coding, code reviews, and on-call.
Partner with product and design to write requirements, shape roadmaps, scope work, plan sprints, and deliver measurable outcomes.
Drive thoughtful decisions around system design, code quality, observability, reliability, and scalability.
Establish effective team rituals, including sprint planning, OKR planning and reporting, quarterly planning, and retrospectives.
Operate with urgency and sound judgment in a fast-paced, ambiguous environment.
Set the technical direction for systems that support large-scale clinical and business operations.
Automate manual workflows and design exception-handling systems that increase operational leverage without sacrificing accuracy or patient trust.
Simplify billing, claims, eligibility, scheduling, and other complex healthcare workflows for patients, clinicians, and internal operators.
Partner closely with business operations, strategy, finance, clinical, product, and analytics teams to identify bottlenecks and measure business impact.
Build reliable, auditable systems that can safely scale through rapid growth and regulatory complexity.