Senior Engineering Manager

About Alaffia & Our Mission

Every year, U.S. health plans lose billions to improper payments and administrative waste. That wasted spending ultimately trickles down across the healthcare ecosystem, driving up costs for plans, providers, and patients alike. We’re here to change that paradigm.

Alaffia is a new kind of claims operations partner for health plans. Using expert clinicians and transparent AI, we deliver deeper insights, smarter automation, and consistently better outcomes across the entire lifecycle of claims. With Alaffia, health plans can cut wasted spending more effectively than ever — and provide their members the most affordable care.

We’re a high-growth, venture-backed Series B healthtech startup based in NYC and are actively scaling our company. Join us in helping to build a healthcare system that works better for everyone

​This position requires current authorization to work in the United States. Unfortunately, we are not in a position to sponsor work visas at this time.

As Senior Engineering Manager for Product Engineering, you will lead a team of senior fullstack engineers building our core platform, a modern, AI-powered web application built on Type Script, React, Graph

QL, and Postgre

SQL. You will be a force multiplier: setting technical direction, cultivating engineering excellence, and ensuring your team ships high-quality products with speed and confidence.

This is a hands‑on leadership role. You won't just manage, you'll partner closely across the EPD org as well as with non‑technical stakeholders to define roadmaps, drive architectural decisions, and help your team navigate the complexity of building in a fast-moving healthcare environment.

• Hire, retain, and develop a high‑performing team of senior fullstack engineers, running effective 1:1s, performance reviews, and growth conversations while building a collaborative engineering culture with strong code review standards.
• Identify skill, process, and tooling gaps before they become blockers, and create an environment where engineers do their best work and grow their careers.

• Partner with engineers on architectural decisions that enable scalability, maintainability, and extensibility, while maintaining a high bar for code quality, system design, testing, and operational readiness.
• Stay technically engaged enough to challenge assumptions, review designs, and unblock engineers — without micromanaging execution.

• Collaborate with Product, UX, AI, and Business teams to translate strategy into well‑scoped engineering plans, owning delivery from planning through launch including dependency management and risk mitigation.
• Represent engineering in leadership discussions and communicate clearly with non‑technical stakeholders on timelines, tradeoffs, and progress.

• Continuously improve developer efficiency through better tooling, documentation, and process, and champion best practices in observability, testing, and rollout strategy.
• Foster a culture of learning, pragmatic decision‑making, and shipping with quality.

• 8+ years of software engineering experience, with 3+ years in an engineering management role leading senior engineers.
• Strong technical background in fullstack development: hands‑on experience with Type Script, React, Graph
  
  QL, Postgre
  
  SQL, and Next.js or comparable modern stacks.
• Experience building and shipping SaaS products at a SaaS company, with a strong understanding of the product development lifecycle in that context.
• Demonstrated ability to lead teams delivering complex, user‑facing products in a production environment.
• Experience managing in a high‑growth startup environment
• A track record of hiring and developing strong engineers and building healthy, high‑performing teams.
• Excellent communication and stakeholder management skills (i.e. you can translate between technical and business contexts with ease)
• Strong judgment on technical tradeoffs, architectural decisions, and when to move fast vs. slow down to get things right.

• Experience in healthcare technology or other regulated…