Engineering Manager

Engineering Manager, Provider QualityNew York, NY or San Francisco, CAAbout UsHealth is the most important thing in life, and the American healthcare system is completely broken - poor outcomes, high cost, bad patient experience. We're building a new system from the ground up. Our mission is to improve people's health by making it easy to live a healthy lifestyle. Nourish is the country's largest dietitian-led metabolic health clinic. We're an AI-native digital health system matching patients with 10,000+ Registered Dietitians, physicians, medications, lab testing, and AI agents to deliver insurance-covered care across all 50 states. Founded four years ago, we've completed millions of appointments, tripled year-over-year, and partnered with health plans covering 200M+ Americans across 250+ health systems. In 2026 we raised a $100M Series C, bringing total funding to $215M. This is not a job for everyone. We hold an extremely high bar because we believe talent density is our biggest competitive advantage. We're looking for people who actively choose hard, ambiguous problems, who run toward unglamorous work, give and receive candid feedback, and bring relentless resilience without the ego. Our work is important, but we are not self-important. We do this because we're solving one of the hardest problems in the world, and the problem matters. If that's you, we disproportionately reward it.About the RoleNourish is seeking a hands-on Engineering Manager to lead Provider Quality. Reporting to our Director of Engineering, you'll own the team responsible for helping every Nourish clinician deliver exceptional and personalized care that helps their patient achieve their desired health outcomes — the foundation of patient retention and Nourish's mission.This team is taking one of Nourish's biggest product and technical swings: evolving the clinician experience from a traditional chart into an intelligent, data-driven, real-time care platform. During a session, our platform transcribes the conversation and surfaces relevant, condition-specific guidance while keeping clinical judgment front and center with the provider. Afterward, the same intelligence layer will power chart notes, personalized coaching, and provider development.This is a hands-on leadership role for someone who enjoys developing engineers, shaping products, and remaining close to architecture and implementation. You'll work closely with clinical leadership, product, design, and data to define what high-quality care looks like, translate it into useful products, and measure its effect on patient and provider outcomes.This is a full-time role. We strongly prefer candidates based in New York City or San Francisco, with exceptions for truly exceptional candidates. Check out Engineering at Nourish to learn more about our team and what we've already built.Key ResponsibilitiesBuild, lead, and develop a high-performing team of 4–5 engineers with strong technical ownership.Coach engineers through regular feedback, career development, calibration, and performance management.Scale the team through recruiting, interviewing, hiring, and onboarding.Stay hands-on through architecture, pair programming, coding, code reviews, and on-call.Partner with product and design to write requirements, shape roadmaps, scope work, plan sprints, and deliver measurable outcomes.Drive thoughtful decisions around system design, code quality, observability, reliability, and scalability.Establish effective team rituals, including sprint planning, OKR planning and reporting, quarterly planning, and retrospectives.Operate with urgency and sound judgment in a fast-paced, ambiguous environment.Set the technical and product direction for the clinician-facing quality platform.Build AI-assisted workflows that transform session transcripts into accurate chart notes, coaching insights, and useful quality signals.Create prescriptive experiences that help clinicians identify and take the optimal next action for each patient.Partner closely with clinical leadership, providers, product, design, data, and compliance to define and measure care quality.Design human-in-the-loop systems with strong evaluation, observability, privacy, and safety practices.Connect quality improvements to patient outcomes, retention, and clinician effectiveness.We'd Love to Hear from You If You:Have 6+ years of professional software engineering experience with modern full-stack technologies and 2+ years of hands-on engineering management experience.Have hired engineers and managed performance, promotions, and career development.Remain technical enough to pair program with your team and contribute directly when needed.Bring exceptional product judgment: you can write a PRD, critique or mock a design, size an opportunity, and make progress without waiting on a PM.Are highly proficient with React, TypeScript, Node.js, PostgreSQL, or similar modern stacks.Have shipped and owned production systems in a fast-moving, ambiguous environment.Balance people leadership with technical depth, delivery focus, and clear communication.Are energized by Nourish's mission to improve people's health by making it easy to eat well.Nice to Have:AI/ML product experience, especially LLM evaluation or human-in-the-loop systemsClinician-facing products.Privacy-sensitive workflows.Regulated technology.Please note that you must be legally authorized to work in the U.S. for this position.