Senior Manager, Software Engineering

About Nex Health

Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor's appointment and fill out a clipboard in the waiting room?

Nex Health's mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We're building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.

* Founded: 2017

* Headquarters:
San Francisco, CA

* Funding: $177M Series C

* Employees: 200+

* Trusted by tens of thousands of providers and hundreds of health-tech developers - forging the infrastructure layer that modern healthcare needs

About the Role

We are looking for a Senior Engineering Manager - Software to lead and scale our engineering teams responsible for building customer-facing applications and developer infrastructure. This is a high-impact role for an experienced engineering leader who excels at balancing technical depth, product intuition, organizational leadership, and cross-functional collaboration.

You will work closely with Product, Design, Operations, and other Engineering leaders to define and execute on our roadmap, while scaling the team and raising the bar on engineering excellence. You'll be instrumental in influencing the direction of the product and ensuring the architecture supports Nex Health's growth and innovation goals.

What You'll Do

* Strategic Leadership:
Drive the long-term vision and technical strategy for critical areas of Nex Health's platform.

* Team Development:
Hire, grow, and retain top engineering talent; mentor emerging leaders; and foster a culture of excellence, ownership, and innovation.

* Execution Excellence:
Own the delivery of complex initiatives across multiple teams, ensuring clear alignment between product goals and technical execution.

* Cross-functional Collaboration:

Partner with Product, Design, and Go-to-Market teams to deliver best-in-class customer experiences.

* Technical Oversight:
Guide system architecture, scalability, and maintainability across product domains; champion best practices in code quality, testing, reliability, and security.

* Org & Culture Building:
Shape organizational structures, career paths, and team processes to promote high performance and strong engineering culture.

What You'll Bring

* 7+ years of experience leading engineering teams, including managing managers or larger organizations

* Exceptional people leadership skills with a proven track record of coaching and developing engineers and managers

* Deep experience delivering complex, customer-facing software at scale

* Strong judgment in balancing product velocity with long-term technical quality

* Demonstrated ability to define and drive both technical and organizational roadmaps

* Excellent cross-functional collaboration skills, able to partner fluidly with Product, Sales, Customer Success, and other teams

* A builder mindset with experience scaling teams and systems in fast-paced environments

* Strong ownership and initiative in ambiguous, evolving contexts

* Bias for action grounded in data-driven decision making

* First-principles thinking applied to technical and organizational challenges

* Deep care for people development, team health, and culture

* Alignment with Nex Health's core values and mission

* BS/MS in Computer Science or a related field, or equivalent practical experience

Compensation

Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of Nex Health's total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.

Nex Health Compensation Range

$187,000—$268,000 USD

Benefits

* Full Medical, Dental, and Vision (up to 100% covered)

* 401K and commuter benefits

* Flexible PTO

* High-impact work that directly improves the healthcare experience for millions

Our Values

* Solve the customer's problems, not yours

When making decisions, think from the perspective of the customer. It's easy to make decisions that make our lives simpler, but not the customers.

* Do the things others are not willing to do

As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace.

* Take ownership

Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses.

* Say what's on your mind, with positive intent

Be direct, proactive, transparent, and frequent in your communication.

* Default trust

As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback,…