Senior Engineering Manager, Service Enablement (San Francisco)

The OpportunityEvery product surface at Hinge Health—the ones helping 18M+ people move beyond pain—depends on the foundational infrastructure your team will own. As Senior Engineering Manager, Service Enablement, you'll lead the platform-minded team responsible for keeping our cloud infrastructure rock-solid while accelerating the shift to AI-native engineering workflows. Your work will be a force multiplier for every engineer, product manager, and designer in the company. This is a high-impact leadership role for someone who thrives at the intersection of platform reliability, developer enablement, and autonomous AI-driven operationsWhat You'll AccomplishIn your first 3 months:Establish relationships with key stakeholders across Security, Product Engineering, Data Engineering, and the India-based SRE team. Audit the current infrastructure posture, on-call practices, and CI/CD pipelines to identify the highest-leverage improvement opportunities.Assess your team of 8–10 engineers (Staff, Senior, and mid-level SREs), understand individual growth trajectories, and begin shaping a coaching-first operating cadence.In your first 6 months:Own Platform Reliability & Scalability — Guarantee stability and performance across multiple EKS clusters, maintaining 99.9%+ uptime while optimizing cost-efficiency as AI workloads scale.Drive the Harness Engineering Initiative — Define safety rails, test harnesses, and verification systems that allow autonomous AI agents to reliably build, test, and maintain infrastructure in production-grade environments.Scale the NestJS Monorepo & CI/CD Platform — Accelerate migration of all NestJS services into the monorepo, ensuring NX, GitHub Actions, and Okteto deliver a world-class developer experience.In your first year:Execute Vendor Strategy & Cost Optimization — Own relationships with AWS, Datadog, Cloudflare, Temporal, and Infisical; deliver significant cost savings as Hinge Health scales infrastructure and AI workloads.Champion Operational Excellence — Run a follow-the-sun support model, maintain 24/7 on-call coverage, lead the Incident Review Board, and continuously improve SLOs, runbooks, and observability to reduce MTTR.Build a High-Performing, Inclusive Team — Develop talent toward Senior and Staff levels, maintain sustainable on-call practices, and foster a culture of blameless retros and continuous improvement.Who You AreA Platform Thinker — You see infrastructure as a product. You obsess over developer experience metrics (DXI, DORA, PR throughput) and build systems that reduce friction for every team you serve.AI-Forward — You're energized—not threatened—by the shift to AI-assisted engineering. You've experimented with tools like Cursor, Claude Code, or Copilot and can envision a world where engineers act as architects and auditors of AI-generated code.A Trust Builder — You communicate effectively across engineering, security, product, and executive stakeholders to align infrastructure decisions with business priorities.A Learn-it-All — You don't have all the answers, but you have a proven framework for finding them. You lead blameless retros that convert insights into action and measure what matters most.Hands-On & Accountable — You know the ins and outs of your team's tech stack and spend ~15% of your time working in the code. You take owner-operator pride in supporting production systems.Resilient — You thrive in fast-paced, ambiguous environments and can make results happen even with imperfect data—whether that's navigating a breaking-change migration at scale or an unexpected incident.Basic RequirementsAt minimum, 3-4 years of professional experience in technology, with depth in SaaS platforms and large-scale distributed systems.At minimum, 3-4 years managing engineering teams of 6+ direct reportsBachelor’s Degree (or equivalent) in Computer Science, Engineering, or a related technical field.Deep hands-on expertise with cloud infrastructure (AWS), container orchestration (Kubernetes/EKS), and Infrastructure as Code (Terraform).Proven track record owning platform reliability at scale — including incident management, SLO-driven operations, and cost optimization.Cross-functional leadership experience spanning multiple engineering teams and geographies.Preferred Requirements5+ years managing engineering teams of 6+ direct reports, including Senior and Staff-level engineerBachelor’s Degree (or equivalent) or Masters in Computer Science, Engineering, or a related technical field.Experience leading the adoption of AI-native engineering workflows (Cursor, Claude Code, Copilot) where engineers serve as architects and auditors of AI-generated infrastructure code.Passion for developer productivity — experience building internal platforms that measurably improve DXI, DORA metrics, or PR throughput.Deep SRE & Platform Engineering experience: production Kubernetes at scale, CI/CD platforms (GitHub Actions, Helm), observability (Datadog), and secrets management (Infisical, Vault).Experience with trunk-based CI/CD, healthcare compliance (HIPAA, HITRUST, SOC 2, CCPA), and NestJS/TypeScript ecosystems.About Hinge HealthAt Hinge Health, we're using technology to scale and automate the delivery of healthcare — starting with musculoskeletal (MSK) conditions, which affect over 1.7 billion people worldwide. With an AI-powered human-centered care model, Hinge Health leverages cutting-edge technology to improve outcomes, experiences, and costs to help people move beyond their pain. The platform addresses a broad spectrum of MSK care — from acute injury, to chronic pain, to post-surgical rehabilitation — through personalized, evidence-based care. As the preferred partner to 50+ health plans, PBMs and other ecosystem partners, Hinge Health is available to over 20 million people across more than 2,550 employers. Learn more at What You'll Love About UsInclusive healthcare and benefits: On top of comprehensive medical, dental, and vision coverage, we offer employees and their family members help with gender-affirming care, tools for family and fertility planning, and travel reimbursements if healthcare isn't available where you live.Planning for the future: Start saving with our traditional or Roth 401k retirement plan options which include a 2% company match.Modern life stipends: Manage your own learning and development investments.Culture & EngagementHinge Health is an equal opportunity employer and prohibits discrimination and harassment of any kind. We make employment decisions without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran status, disability status, pregnancy, or any other basis protected by federal, state or local law. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. We provide reasonable accommodations for candidates with disabilities. If you feel you need assistance or an accommodation due to a disability, let us know by reaching out to your recruiter. By submitting your application you are acknowledging we are using your personal data as outlined in the personnel and candidate privacy policy.Beware of Phishing Attempts: We've noticed an increase in phishing where fraudsters impersonate employees and send fake job offers to steal sensitive information. We'll never ask for financial details during the hiring process and only use @hingehealth.com emails. If you receive a suspicious offer, stop communication and report it to the US FBI Internet Crime Complaint Center. To verify an email from our recruiting team, forward it to View email address on apply.placed-app.com Range: $251.2K - $376.8KLocationSan Francisco-HQEmployment TypeFull timeLocation TypeHybridDepartmentRnDEngineeringCompensationTier 1Please note the annual salary range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, competencies. $251.2K – $376.8K • Offers EquityThis position will have an annual salary, plus equity and benefits. Please note the annual salary range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, and competencies.