Engineering Manager, Billing

Engineering Manager, Billing

NYC or LA

Our Mission

Healthie is an AI-Native, ONC Certified EHR for modern outpatient healthcare. Healthie is proud to power clinically excellent healthcare for over 40,000 providers who deliver clinically excellent healthcare - longitudinal and collaboratively, with patient and provider experiences at the center. Both healthcare and technology are undergoing unparalleled industry innovation, and it’s incredible to see the momentum - from consumers, from providers, and from reimbursement for this type of healthcare - grow exponentially. We provide the powerful infrastructure every care delivery organization needs. On the surface this includes EHR, Scheduling, Engagement, Billing, Data, and much more. Underneath the iceberg are thousands of configurations, settings, widgets, automations, and limitless capabilities because we are an API-first platform. Our fully brandable platform makes it easy for clinics and organizations of any size to scale and never reach a limit. Today, over 3 billion API calls are made to Healthie every month, as thousands of organizations who work with more than 21 million patients in total, rely on Healthie to deliver clinically excellent healthcare in over 35 specialties, from behavioral healthcare to complex chronic care management and personalized medicine. We believe in the power of technology to improve access to healthcare and we’re building the rails that make this a reality. We work fast and with quality because we provide business-critical, healthcare-critical software that clinicians and patients need for a better healthcare system. We’re customer-obsessed, operate with lightning-fast processes and responses, and always share our product roadmap publicly- so customers can see what we’re building, and remain relentlessly focused on how care gets delivered. Healthie is backed by leading investors, and while we've $42M raised to date, more importantly, we operate with fiscal responsibility and have been profitable for more than half of our time as a company. We know that building an ONC-Certified EHR is a lifetime’s body of work, and we are here to build for our customers forever. Learn more at

About the role

We’re looking for an exceptional Engineering Manager to lead one of our Backend engineering teams at Healthie. This role offers a unique opportunity to guide a high-impact team responsible for the scalability, reliability, and performance of Healthie's most critical systems -- including billing, insurance, and payments infrastructure -- ensuring our platform continues to meet the needs of providers, patients, and partners as we grow.

As an Engineering Manager for Core R&D, you’ll be accountable for driving execution within your squads, overseeing the design, development, and maintenance of core systems and services. You’ll work closely with Product, Engineering, and cross-functional business partners to translate requirements into scalable, performant solutions that power Healthie’s infrastructure and product experiences.

Your responsibilities will include:

• Leading, mentoring, and coaching engineers within your squad to foster technical excellence, growth, and collaboration.
• Owning execution of your squad’s roadmaps, ensuring clear prioritization, accountability, and delivery of high-impact initiatives.
• Partnering with peers across Engineering and Product to shape architectural decisions, balance trade-offs, and drive long-term system reliability.
• Championing engineering best practices to deliver secure, performant, and maintainable code.
• Creating an environment where engineers feel empowered, supported, and motivated to do their best work.
• At Healthie, we are AI-enabled and AI-accelerated in how we build. We are looking for team members who actively leverage AI-powered development tools, embrace automation, and help teams adopt modern, AI-assisted engineering practices to increase velocity and quality.

About you

This is the ideal role for someone passionate about building and scaling high-performing engineering teams while staying close to the technical details. You thrive in a pod-based structure where collaboration, ownership, and accountability are shared. Our ideal candidate is:

• Technically strong: able to engage in architectural discussions and guide engineers through complex challenges.
• A proven leader: experienced in managing engineering teams, driving execution, and building trusted relationships.
• Focused on people and systems: equally committed to supporting engineer growth and building robust, scalable infrastructure.
• Collaborative: effective at partnering across teams and ensuring alignment to company goals.
• Experienced: 8+ years as a software engineer and 2+ years leading teams, ideally in SaaS; healthcare tech experience a plus.
• Technical: Strong hands-on experience with our stack — Rails, React, TypeScript, GraphQL, Postgres, Redis, Sidekiq, RSpec, and Capybara — plus a broad foundation in distributed systems and cloud infrastructure.
• Mobile-Aware: Experience building or collaborating on mobile applications (iOS, Android, or React Native) and designing APIs and systems that support high-quality mobile experiences. Comfortable considering mobile performance, usability, and platform constraints when building full-stack features.
• Leader: Proven ability to coach engineers, set priorities, and drive execution while fostering growth, collaboration, and accountability.
• Communicator: Clear and effective in writing and async communication, able to simplify complex topics for technical and non-technical audiences.
• Independent: Organized, self-directed, and proactive in problem-solving—able to identify solutions and remove blockers quickly.
• Builder: Committed to scaling both teams and systems; passionate about making a lasting impact on Healthie’s core technology.
• Alignment: Strong alignment with Healthie’s core values and culture: Respect, Resilience, Reliability and no ego.

Details, details

This is a full-time, hybrid position within our NYC office.

U.S. work authorization is required, Healthie does not provide sponsorship.

The salary for this position is a base between $190,000 - $210,000.

Interview Process

• Quick chat with someone from our Talent team (15 min)
• Interview with Jonathan, VP of Engineering (30 minutes)
• Pair Coding Exercise (1 hour)Executive Interview with Cavan, CTO + cofounder (20 minutes)
• Reference Checks

Learn more at gethealthie.com/careers.

Healthie is subject to HIPAA and other security and privacy frameworks, and this job entails training and conformance to expectations regarding security and compliance.

Healthie participates in e-verify.

Healthie is committed to equal employment opportunity. All qualified applicants will receive consideration for employment without regard to and will not be discriminated against based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category. We're proud to be building a diverse and inclusive environment that encourages collaboration, creativity, and growth. Whatever your background, please apply if this is a role that would make you excited to come into work every day.