Engineering Manager - Synchronizer Core (San Francisco)

About NexHealthOur 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?NexHealth’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: 2017Headquarters: 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 needsAbout the RoleWe 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 NexHealth’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 teamWhat You’ll Bring5+ years of experience leading engineering teams, including managing managersA proven track record of coaching, developing, and supporting both engineers and managersDeep experience delivering complex, large-scale infrastructure or distributed systemsStrong judgment in balancing engineering velocity with long-term technical qualityExcellent collaboration skills with the ability to partner effectively across Product, Sales, Customer Success, and cross-functional stakeholdersDemonstrated 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 environmentsStrong ownership and initiative, especially in ambiguous and evolving contextsThe ability to act as a change agent, helping guide our transformation into an API-first organizationA bias for action and data-driven decision makingFirst-principles thinking applied to both technical and organizational challengesDeep care for people development, team health, and long-term successAlignment with NexHealth’s mission and core valuesBS/MS in Computer Science or a related field, or equivalent practical experienceCompensationActual 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 NexHealth’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.NexHealth Compensation Range$190,000—$270,000 USDBenefitsFull Medical, Dental, and Vision (up to 100% covered)401K and commuter benefitsFlexible PTOHigh-impact work that directly improves the healthcare experience for millionsOur ValuesSolve the customer’s problems, not yoursWhen 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 doAs a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. Take ownershipAct 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 intentBe direct, proactive, transparent, and frequent in your communication.Default trustAs 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, information sharing, and overall improvements will be a lot faster.Think in first principlesWe first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. 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