Engineering Manager San Francisco, CA

Healthcare is broken at the first step: patients can't find the right care, understand what it costs, or access the medications they need. Mochi Health is fixing this.

We're building an AI-driven marketplace that makes healthcare discoverable—connecting patients to the right providers, transparent pharmacy pricing, and affordable medications. Over the past few years, we've grown rapidly by combining clinical expertise with technology that actually works for real people, not just hospital systems.

Our platform does what legacy healthcare can't: it gives patients transparent pricing before they pay, personalized medication management that follows them across providers, and long‑term access to their own medical records. We're proving that healthcare can be more affordable, more human, and far more intuitive than what exists today.

Join a team that's rebuilding healthcare from the patient up. At Mochi Health, you'll work alongside people who value bold thinking, inclusive collaboration, and getting meaningful work into the world.

Mochi has already helped patients lose over 5 million pounds through metabolic care and is now rapidly expanding into preventative healthcare. To support this growth, we are actively leveling up our engineering maturity—pairing our ambitious, early-career engineers with incoming Senior and Staff-level talent to build our next generation of clinical systems.

We need an Engineering Manager who can mentor junior developers, recruit senior talent, maintain a culture of high technical craft, and collaborate directly with clinical leadership to co‑design solutions for massive healthcare challenges. If you are a deeply technical leader who meets engineers where they are and cares profoundly about patient outcomes, this is the role.

• Mentor and Scale the Team: act as a hands‑on technical leader who reviews PRs, pairs with junior engineers, and actively recruits top‑tier Senior and Staff engineers.
• Drive Alignment & Velocity: manage a team of diverse experience levels, provide crystal‑clear business context, align technical efforts with the product roadmap, and proactively remove organizational roadblocks.
• Co-Design the Clinical Product: partner with Operations, Product, and Clinical leadership to translate medical realities and regulatory workflows into clear technical roadmaps.
• Elevate the Craft & Govern AI: manage the risks of building with frontier AI models, audit outputs for edge cases, performance bottlenecks, and HIPAA compliance.
• Foster a High‑Ownership Culture: ensure context is shared fluidly across the platform, provide feedback, mentorship, and performance management to cultivate a team of versatile builders who care about patient outcomes.

• Pragmatic team builder and mentor with a track record of recruiting top engineering talent and coaching early‑career developers.
• Immense technical credibility: former Senior or Staff engineer who has built high‑stakes distributed systems and audits architectures.
• Deep product sense with 2+ years of formal engineering management experience and a focus on user experience and business outcomes.
• Experience navigating domain complexity in highly regulated, operationally heavy industries such as healthcare, fintech, or logistics.
• Leader who manages through context, not control, giving engineers autonomy tailored to their experience level.
• Collaborative partner with low ego, high standards, and excellent cross‑functional communication skills.
• Excited to work in‑person 5 days a week in our San Francisco office.

The base salary for this full‑time position ranges from $280,000 to $350,000, in addition to compelling equity and benefits.

Mochi Health is an Equal Opportunity Employer. We make all employment decisions based solely on merit. We provide equal employment opportunities to all applicants and employees without discrimination on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, disability status, or any other legally protected characteristic.

We prohibit any form of discrimination or harassment. This policy applies to all terms and conditions of employment, including hiring.