Engineering Manager - Synchronizer Core

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, CAFunding: $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 seeking an experienced Engineering Manager to lead the development of the Sync Core. Synchronizer provides native, real-time, bidirectional synchronization between numerous EHR systems of record and Nex Health’s harmonized central database. This foundation enables healthcare innovators to focus on improving patient experiences and outcomes—while we handle the underlying infrastructure.

This work represents step two in our three-step master plan. You’ll play a critical role in increasing engineering quality and execution velocity across the organization, making it easier and faster to build and extend Synchronizers. You’ll partner with multiple engineering teams and product managers to define the next-generation Synchronizer API offering.

This is an excellent opportunity for a hands-on leader who thrives in fast-paced environments and enjoys solving novel systems challenges. No prior healthcare experience required.

What You’ll DoBuild and develop a high-performing team:
Hire exceptional engineers and support their long-term growth through mentorship, coaching, and leadership development.

Raise the bar on engineering excellence:
Uphold strong technical standards through processes like architecture reviews, testing, and code quality practices.

Drive platform strategy:
Partner with engineering and product leadership to shape and execute long-term platform roadmaps, including the next-generation Synchronizer API.Lead cross-team execution:
Coordinate closely across multiple engineering groups to deliver complex, cross-cutting, high-impact initiatives.

Foster a strong engineering culture:
Promote ownership, innovation, reliability, and continuous improvement as core expectations for the team

What You’ll Bring 5+ years of experience leading engineering teams, including managing managersA proven track record of coaching, developing, and supporting both engineers and managers

Deep experience delivering complex, large-scale infrastructure or distributed systems

Strong judgment in balancing engineering velocity with long-term technical quality

Excellent collaboration skills with the ability to partner effectively across Product, Sales, Customer Success, and cross-functional stakeholders

Demonstrated ability to define and drive technical and organizational roadmaps with measurable impactA builder mindset with a history of scaling teams and systems in fast-paced, high-growth environments

Strong ownership and initiative, especially in ambiguous and evolving contexts

The ability to act as a change agent, helping guide our transformation into an API-first organizationA bias for action and data-driven decision making

First-principles thinking applied to both technical and organizational challenges

Deep care for people development, team health, and long-term success

Alignment with Nex Health’s mission and core valuesBS/MS in Computer Science or a…