Engineering Manager, Operations

Nourish

$150K — $180K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 6+ years of software engineering experience with modern full-stack technologies
  • 2+ years of hands-on engineering management experience
  • Experience in hiring and managing engineer performance
  • Technical proficiency to engage in pair programming
  • Strong skills in React, TypeScript, Node.js, PostgreSQL or similar technologies
  • Proven track record of delivering production systems in fast-paced environments
  • Ability to balance technical depth and people leadership

Responsibilities

  • Build and lead a high-performing engineering team of 4-6 engineers
  • Provide coaching through feedback and performance management
  • Recruit and onboard new engineering talent
  • Engage in hands-on technical tasks including coding and code reviews
  • Collaborate with product and design teams to define requirements and deliver outcomes
  • Drive decisions on system design, code quality, and scalability
  • Establish and maintain effective team rituals and planning processes
  • Develop systems that enhance provider capacity and simplify operations

Benefits

  • Focus on improving healthcare operations using AI and automation
  • Opportunity to work closely with interdisciplinary teams and influence meaningful changes
  • Work in a dynamic and fast-paced environment with room for innovation
  • Engagement in building technology that impacts healthcare access and efficiency
  • Potential for career growth within a rapidly scaling team
Full Job Description
About the Role

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.
Key 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.
We'd Love to Hear from You If You:
  • 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 Have:
  • Backend and workflow-platform experience.
  • Automation and AI-enabled operations.
  • Healthcare billing, claims, or eligibility.
  • Internal tools.
  • Regulated systems.
  • Experience designing for reliability, audibility, and complex edge cases.
About the Role

Nourish is seeking a hands-on Engineering Manager to lead Provider Supply. Reporting to Sarah J, you'll own the team responsible for ensuring Nourish has the provider capacity to meet growing patient demand - and that providers can build predictable, rewarding careers on the platform.

Your team owns technology across the provider journey, from application and onboarding through scheduling, productivity, earnings, and retention. You'll grow provider supply through two primary levers: helping existing providers operate at their full potential and creating a seamless, high-converting path for new providers to join and activate on Nourish.

This team is tackling a foundational challenge for Nourish: scaling our provider network to serve patients across the country. First, we're rebuilding the scheduling and capacity system so providers can set achievable caseload goals, trust Nourish to fill their calendars, and earn predictably. Second, we're transforming application through activation from a human-heavy recruiting process into a thoughtful, product-led experience - with data and automation handling repetitive work while people step in at the moments where they have the greatest impact on supporting providers in their onboarding at Nourish.

This is a hands-on leadership role for someone who enjoys developing engineers, shaping products, remaining close to architecture and implementation, and the details of marketplace dynamics. You'll work closely with provider recruiting, onboarding, provider strategy, product, design, data, and finance to build systems that balance patient access, provider experience, and business performance.

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.

Key Responsibilities
  • Build, lead, and develop a high-performing team of 4-6 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 and product direction for Nourish's provider supply platform.
  • Build scheduling and capacity systems that help providers set achievable caseload goals, manage their availability, fill open appointments, and earn predictably.
  • Improve the provider application-to-activation funnel through experimentation, automation, lifecycle-based referrals, and thoughtfully designed recruiting and onboarding experiences.
  • Create human-in-the-loop systems that automate repetitive operational work and direct recruiting and operations teams toward the highest-value interventions.
  • Build the data foundations needed to understand provider capacity, forecast supply, measure funnel conversion, and make effective marketplace decisions.
  • Connect improvements in provider growth and productivity to patient access, provider retention, operational efficiency, and Nourish's ability to scale.
  • Partner closely with provider recruiting, onboarding, strategy, operations, product, design, data, finance, and clinical leadership.


We'd Love to Hear from You If You:
  • 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.
  • Are comfortable using data and experimentation to improve complex funnels, workflows, or marketplace systems.
  • 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 Have:
  • 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.


More Information

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Why Nourish Exists

How We Work

Comp Philosophy

Benefits

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