Senior Engineer Manager, Provider & Employer Products

Our MissionAt Big Health, our mission is to help millions back to good mental health by providing fully digital, non-drug options for the most common mental health conditions. Our digital therapeutics—SleepioRx for insomnia and DaylightRx for anxiety, both recently cleared by the FDA—provide treatment anytime, anywhere. Our digital program, Spark Direct, helps to reduce the impact of persistent depressive symptoms. 
In pursuit of our mission, we’ve pioneered the first at-scale digital therapeutic business model, in partnership with some of the most prominent global healthcare organizations, including leading Fortune 500 healthcare companies and Scotland’s NHS. Through product innovation, robust clinical evaluation, and a commitment to equity at scale, we are designing the next generation of medicine and the future of mental health care.
Our VisionOver the next 5-10 years, we believe digital therapeutics (DTx) will transform the delivery of health care worldwide, providing access to safe and effective evidence-based treatments to billions. Big Health is in a prime position to take the lead in this transformation.
Big Health is a remote-first company, and this role can be based anywhere in the US. We encourage you to apply even if you don’t meet 100% of the job requirements. 
Join UsWe're seeking a hands-on Senior Engineering Manager to lead our engineering team in building and managing innovative products for Healthcare Providers and Employers. This is a unique opportunity to shape the future of digital health solutions while leading a talented team of engineers in a fast-paced, dynamic startup environment.
As our Senior Engineering Manager, you'll be at the forefront of healthcare technology innovation, leveraging cutting-edge AI tools and modern development practices to accelerate product delivery and enhance team productivity. You'll work closely with product teams and other engineering leaders to ensure our solutions meet the complex needs of healthcare organizations while maintaining the highest standards of quality and compliance.

Key Responsibilities

• Team Leadership and Management
• Lead and mentor a globally distributed engineering team (onshore and offshore), fostering a culture of ownership, high quality, and continuous improvement
• Manage team performance, career development, and growth opportunities for engineers at all levels
• Drive technical excellence while maintaining team velocity and morale in a remote-first environment
• Facilitate effective communication and collaboration across time zones and cultural differences to keep the team aligned and productive


• Product Development and Strategy
• Partner closely with product management to define technical roadmaps and prioritize feature development
• Ensure successful delivery of healthcare solutions for providers and employers, from conception to production
• Drive architectural decisions that support scalability, security, and healthcare compliance requirements
• Drive the adoption and integration of AI-powered development tools and low-code/no-code solutions to enhance team productivity


• Technical Excellence
• Oversee full-stack development across web and mobile platforms, ensuring robust and scalable architectures
• Guide implementation of healthcare integrations and interoperability standards
• Establish and maintain engineering best practices, code quality standards, and testing protocols
• Stay current with emerging technologies and evaluate their potential impact on our products and processes


• Cross-functional Collaboration
• Work closely with product, design, and clinical teams to translate requirements into technical solutions
• Collaborate with other engineering managers to ensure consistency and knowledge sharing across teams
• Participate in technical and strategic planning sessions with senior leadership

Required Qualifications

• Management and Leadership Experience
• 6+ years of engineering management experience with a track record of building and leading high-performing teams
• Proven experience managing remote and distributed engineering teams
• Strong coaching and mentoring skills with experience developing engineers at different career stages
• Experience working in dynamic startup environments with rapid growth and changing priorities


• Technical Expertise
• Deep understanding of full-stack development and modern web architectures
• Hands-on experience with healthcare product development and understanding of healthcare workflows, especially around Ordering and Observations
• Knowledge of healthcare integration standards including FHIR, HL7, and related protocols and message types, including ORUs, ORMs,ServiceRequest,  DeviceRequest, DeviceResponse, Observation, etc.
• Experience with EMRs, such as Epic, Cerner, eCW, Athena, etc.
• Understanding of healthcare data concepts such as orders, claims, eligibility, and patient records
• Experience with healthcare compliance requirements (HIPAA, SOC2, etc.)


• Modern Development Tools and AI Integration
• Experience leveraging AI-powered development tools such as v0.dev, Claude AI, ChatGPT, Cursor, and similar platforms
• Familiarity with low-code/no-code platforms and automation tools like n8n
• Passion for exploring and implementing emerging technologies to enhance team productivity

Preferred Technical Experience

• Platforms and Technologies
• Vercel for deployment and hosting
• Supabase for backend-as-a-service and authentication
• Django & Python for core API application development
• Experience with Node JS
• Experience with React, TailwindCSS, ShadCN for frontend development
• Experience with platforms like Kong and Svix
• AWS cloud infrastructure and services
• PostgreSQL database management
• GitHub for version control and CI/CD


• Additional Preferences
• Experience with healthcare data standards and APIs
• Knowledge of regulatory compliance in healthcare technology
• Background in agile development methodologies
• Experience with monitoring, logging, and observability tools

What Helps You Succeed Here

• Mindset and Approach
• Can-do attitude with a bias toward action and problem-solving
• Comfort with ambiguity and rapid change in a startup environment
• Strong ownership mentality and commitment to quality
• Collaborative approach to working across teams and functions
• Continuous learning mindset and openness to new technologies


• Communication and Leadership
• Excellent communication skills with ability to translate technical concepts to non-technical stakeholders
• Strong decision-making capabilities with ability to balance speed and quality
• Experience facilitating difficult conversations and resolving conflicts
• Ability to inspire and motivate teams during challenging periods

Background and Life at Big Health

• Backed by leading venture capital firms, Index Ventures, Octopus Ventures, and Kaiser Permanente Ventures
• Big Health’s products are used by large multinational employers and major health plans to help improve sleep and mental health. To date, more than 12 million people across 60+ countries have access to Sleepio or Daylight
• Surround yourself with the smartest, most enthusiastic, and most dedicated people you'll ever meet—people who listen well, learn from their mistakes, and when things go wrong, generously pull together to help each other out. Having a bigger heart and a small ego are central to our values
• Enjoy benefits including a generous vacation policy, professional development fund, flexible working arrangements, and more
• Competitive salary packages including stock options

We at Big Health are on a mission to bring millions back to good mental health, in order to do so, we need to reflect the diversity of those we intend to serve. We’re an equal opportunity employer dedicated to building a culturally and experientially diverse team that leads with empathy and respect. Additionally, we will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the San Francisco Fair Chance Ordinance.