Note: The job is a remote job and is open to candidates in USA. Form Health is a virtual obesity medicine clinic delivering multidisciplinary, evidence-based obesity treatment through telemedicine and technology. The Engineering Manager will lead the Care Delivery team in building reliable, secure, and scalable clinical and operational systems, while guiding engineers, partnering cross-functionally, and advancing AI-native software delivery practices.
Responsibilities
- Lead, coach, and grow a small team delivering business-critical clinical and operational systems
- Establish clear goals and execution plans aligned with product and company priorities
- Foster a culture of ownership, accountability, and continuous improvement
- Provide direct feedback, mentorship, and career development for engineers at multiple levels
- Raise the technical and delivery bar through pairing, code review, and hands-on coaching
- Hire thoughtfully to strengthen team capability and long-term scalability
- Guide architectural decisions for backend services, workflows, integrations, and internal tools
- Partner with senior engineers to ensure systems are reliable, scalable, secure, and maintainable
- Maintain strong technical fluency across Ruby on Rails, Node.js, React/Next.js, and AWS-based infrastructure
- Ensure healthy CI/CD pipelines and safe deployment practices for a regulated healthcare environment
- Champion small-batch, continuous delivery—small PRs, short-lived branches, feature flags, tight feedback loops
- Use DORA metrics and other delivery signals to continuously raise the team's throughput and stability
- Identify technical risks early and lead mitigation before they impact care delivery
- Oversee systems supporting clinical charting, scheduling, task management, care coordination, and workflow automation
- Ensure systems handle patient data safely within HIPAA and broader healthcare regulatory requirements
- Support thoughtful integration of automation and AI where appropriate, always prioritizing human oversight and patient safety
- Partner with product, clinical, and operations leaders to define roadmaps and translate evolving requirements into clear engineering plans
- Provide structure and clarity in ambiguous problem spaces
- Balance speed of delivery with operational reliability and long-term platform health
Skills
- 5+ years managing engineering teams, with prior experience as a senior or staff-level engineer
- A track record leading delivery of complex backend or workflow-heavy systems in production, in fast-moving or high-growth environments
- Experience instilling delivery fundamentals—small-batch delivery, feature flags, testing, operational excellence—and coaching teams to adopt them
- Hands-on fluency with agentic, AI-native development (e.g., Claude Code)—you practice it yourself and can model and coach it into a team
- Strong communication across technical and non-technical stakeholders
- Experience in healthcare, clinical systems, workflow tooling, AI-enabled products, or other regulated domains
Benefits
- Equity in a high growth start-up
- Comprehensive health benefits (medical, dental, vision)
- 401k program
- Flexible work schedules
- Paid time off
- Paid parental leave
Company Overview