Our Mission

At 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 FDA-clear digital therapeutics—SleepioRx for insomnia and DaylightRx for anxiety—guide patients through first-line recommended, evidence-based cognitive and behavioral therapy 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 Vision

Over the next 5-10 years, we believe digital therapeutics will transform the delivery of healthcare worldwide by providing access to safe and effective evidence-based treatments. Big Health is positioned to take the lead in this transformation.

Big Health is a remote-first company, and this role can be based anywhere in the US.

Join Us

We'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
Big Health’s products are used by large multinational employers and major health plans to help improve sleep and mental health. Our digital therapeutics are available to more than 62 million Medicare beneficiaries.
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.

$200,000 - $250,000 a year

The US base salary range for this full-time position is $200,000 - $250,000. Please note that the compensation details listed in US role postings reflect the base salary only and do not include bonuses, equity, or benefits. Additional compensation may include benefits, variable pay, discretionary bonuses, and equity.

Our salary ranges are determined by role, level, and location. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position across all US locations. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. The pay scale is subject to change depending on business needs.

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.

Big Health

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