Engineering Manager, Patient Experience

Fullscript

4d•Remote

About The Position

Fullscript is an industry-leading health technology company dedicated to helping people improve their health. Since 2011, Fullscript has evolved into a comprehensive platform that supports over 125,000 practitioners and 10 million patients by providing clinical insights, lab interpretations, patient analytics, education, and access to high-quality supplements. The company focuses on building tools that make healthcare smarter and more human, enabling practitioners to concentrate on patient well-being. The current evolution, termed 'Care Mode,' aims to transform the platform into one that actively helps patients adhere to their care plans by creating a continuous connection between patients and their care teams. This initiative focuses on closing the loop from recommendation to adherence and outcomes, using technology to deepen patient-care team connections at scale and build trusted experiences that guide patients through their care journey.

Requirements

Significant experience building and leading software products end-to-end, from early concepts through iteration and operation at scale.
Multiple years of engineering management experience, with a clear commitment to people leadership while remaining deeply technical and close to the work.
A track record of owning difficult, non-obvious technical problems with meaningful product and user impact.
Comfort moving between hands-on engineering and engineering leadership—sometimes within the same day.
Strong technical judgment and an ability to communicate why a decision matters, not simply what should be built.
Experience building and operating high-scale applications, with a strong appreciation for reliability, performance, maintainability, and user trust.
Strong product instincts and the ability to connect engineering decisions to the experience they create for users.
Deep experience building successful consumer-facing web and/or mobile products, where engagement, retention, usability, and product quality were central to the experience.
Experience building consumer experiences that proactively give users a reason to return—through timely, relevant, personalized, or context-aware interactions that reduce effort and sustain engagement over time.
Fluency with modern AI-assisted engineering workflows and tools, with strong judgment about how to use AI to explore options, challenge assumptions, accelerate implementation, and improve technical decision-making.
Strong instincts around responsiveness, fast feedback loops, perceived performance, and the details that make software feel lightweight and intuitive.
Experience designing for moments when users may be overwhelmed, disengaged, or uncertain about what to do next.
Experience with React, React Native, Rails, GraphQL, Apollo.
High agency, strong judgment, and a fundamentally optimistic view of what technology can make possible.
Default to action: When something is unclear, narrow the problem, propose a path, and move — then adjust with data.
Enforce a high bar on reliability and trust: bug discipline, instrumentation, dogfooding.
Take ownership beyond the boundaries of your formal scope.
Comfortable operating in ambiguity and moving forward with incomplete information.
Challenge direction thoughtfully when something doesn’t feel right—and help create a better path.
Care about outcomes, not simply output.
Equally comfortable asking “What should we build?” and “How should we build it?”

Nice To Haves

Experience building products in regulated, safety-sensitive, or high-trust domains.
A track record of raising quality bars, not simply increasing velocity.
An ability to challenge people constructively and leave teams stronger and more energized as a result.

Responsibilities

Build and lead a cross-functional team focused on patient experience, setting technical direction in a complex and evolving domain.
Remain hands-on through system design, code reviews, prototyping, and solving difficult technical problems.
Set technical direction and evolve architecture in a complex, rapidly developing product domain.
Lead design discussions where product, engineering, data, and clinical considerations intersect.
Own hard problems, evolving Fullscript from transactional patient experiences to a longitudinal, person-centric model of care.
Build systems that integrate clinical data, behavioral signals, and real-world patient context.
Make deliberate tradeoffs across speed, quality, reliability, safety, and trust.
Bring structure and momentum to ambiguous problems without waiting for perfect information.
Establish a high bar for technical and product quality through building, reviewing, and decision-making.
Create an environment that combines psychological safety with meaningful accountability.
Develop engineers through coaching, pairing, feedback, technical debate, and hands-on collaboration.
Continually challenge the team to assess problem relevance and the quality of user experiences.
Collaborate closely with Product, Design, Clinical, Data, and Engineering leaders across Fullscript.
Influence broader technical direction as Care Mode and patient experiences become foundational to the Fullscript platform.
Champion patient trust, practitioner workflows, and long-term system health in product and technical decisions.