AlayaCare

Manager, Software Development (EVV & Escalation Engineering)

AlayaCare$100K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's or advanced degree in computer science, mathematics, or related fields.
  • 5+ years of hands-on experience in a SaaS environment, leading backend or full-stack teams.
  • Proven track record delivering complex projects with multiple stakeholders and dependencies.
  • Hands-on background as a software engineer with technologies like Python, SQL, and AWS/Kubernetes.
  • Experience improving reliability through incident response and tooling development.
  • Strong organizational and project management skills for coordinating multiple workstreams.
  • Excellent communication skills to bridge technical and non-technical discussions.

Responsibilities

  • Coach and develop a team of engineers focused on EVV and IVR systems.
  • Drive planning, execution, and risk management for multiple parallel workstreams.
  • Maintain priorities, scope, and timelines, keeping stakeholders informed.
  • Take responsibility for the reliability of EVV/VV/IVR processes and address high-severity customer issues.
  • Partner with teams to resolve incidents and prevent future occurrences.
  • Encourage experimentation and innovation while maintaining operational discipline.
  • Champion the evolution of system architecture towards event-driven solutions.

Benefits

  • Hybrid work model with 2 set in-office collaboration days per week.
  • Opportunity for career development aligned with engineering frameworks.
  • Supportive team culture promoting ownership and mutual trust.
  • Involvement in significant projects that influence healthcare delivery and payment verification.
Full Job Description
About the Role

We are seeking a Manager, Software Development to join our EVV (Electronic Visit Verification), VV (Visit Verification) as well as IVR (Telephony) team; he group ensures we can reliably prove care was delivered, enabling our customers to receive payment. Reporting to the Director of Engineering, you will lead a cross-functional team of engineers; how visits are captured and verified (mobile, web, IVR), how verified visits are transformed into compliant EVV data for states and payers and the reliability and performance of these flows at scale.

You'll be accountable for team health, technical direction, and delivery: keeping critical customer workflows stable while evolving the architecture toward more scalable, event-driven systems.
What You'll Do
People & Coaching
  • Coach, and develop a team of backend and full-stack engineers working on EVV, Visit Verification, and IVR.
  • Participate in the recruiting process to grow the team.
  • Provide clear expectations, regular feedback, and career development aligned with our engineering career framework.
  • Cultivate a team culture grounded in ownership, growth, and mutual trust.
Performance & Delivery
  • Drive planning, execution, and risk management for multiple workstreams in parallel (e.g., state integrations, EVV platform improvements, performance work).
  • Maintain a single, coherent view of priorities, scope, and timelines, and keep stakeholders informed.
  • Re-plan when reality changes: call out risks early, renegotiate scope, and avoid quiet date slips.
  • Take end-to-end responsibility for reliability of EVV/VV/IVR flows, including internal SLAs for high-severity customer issues.
  • Partner with our reliability and customer teams to triage, resolve, and prevent incidents.
  • Leverage AI and emerging technologies to remove bottlenecks and accelerate execution while maintaining full accountability for quality and outcomes.
  • Encourage thoughtful experimentation that supports the team's effectiveness, articulates domain challenges with clarity and precision, and invests in innovation deliberately, balancing opportunity with operational discipline.
  • Ensure root-cause analyses are completed and lead to real follow-ups in code, configuration, or process.
  • Partner closely with Product, Customer Success, Managed Services, and other engineering teams (e.g., Revenue Cycle Management teams, Platform, Data).
  • Turn recurring issues into shared initiatives (for example, mapping/config improvements with billing teams, better tooling with platform and data).
  • Represent the team in planning forums, status reviews, and customer-facing discussions when needed.
Technical & Operations
  • Work with senior engineers to define and evolve the architecture for:
  • Event-driven system migration.
  • Visit Verification performance (query patterns, background jobs, pagination, caching).
  • IVR call flows and their integration with the rest of the platform.
  • Review key designs and pull requests (without being the primary coder) to highlight risks and align work with longer-term goals.
  • Champion end-to-end visibility for visits: from capture, through verification, into EVV exports, and on to payers and aggregators.
  • Sponsor "safety net" work (e.g., reports and tools that detect missing or duplicated visits before they impact billing).
  • Work with reliability and data teams to ensure the right monitoring, alerting, and dashboards are in place.
What You Bring to the Team
  • Bachelor's or advanced degree in computer science, mathematics, or related fields.
  • 5+ years of hands-on experience in a SaaS environment, leading backend or full-stack teams.
  • Proven track record delivering complex projects with multiple stakeholders and dependencies.
  • Hands-on background as a software engineer; comfortable discussing designs, code, and trade-offs in systems built with technologies like Python, SQL, and AWS/Kubernetes (or similar stacks).
  • Experience improving reliability: incident response, post-incident review, and building the guardrails and tooling that reduce incidents over time.
  • Strong organizational and project management skills: you can coordinate several streams of work at once and keep plans and backlogs up to date.
  • Excellent communication skills - able to explain technical and domain concepts to both engineers and non-technical stakeholders.
  • High ownership, empathy, and resilience: comfortable working in a domain with legacy systems, regulatory constraints, and partial migrations.
  • Experience in healthcare, payments, or other regulated domains where correctness and auditability matter is an asset.
  • Experience with feature flagging, modern observability tools, and CI/CD practices is an asset.
  • Familiarity with event-driven architectures, background job systems, and file-based or API-based integrations with external partners is an asset.
  • Exposure to EVV, Medicaid, or Revenue Cycle Management concepts is an asset.
  • Bilingual in French and English
Location and Work Model

This role is based in Montreal. At AlayaCare, our hybrid model includes 2 set in-office collaboration days/week, and it is expected that team members are present in the office on those days to foster connection, innovation, and teamwork.

About AlayaCare

AlayaCare is a Canadian software company that provides cloud-based home healthcare software. The company's platform includes features such as electronic health records, scheduling, billing, and reporting, and is used by home care agencies, caregivers, and patients. AlayaCare's mission is to improve the quality of life for patients and caregivers by providing innovative technology solutions. The company has received several awards for its technology and has been recognized as one of Canada's fastest-growing companies.
Learn more about AlayaCare
Size
200 employees
Industry
Founded
2014

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