Form Health is hiring a Senior Engineering Manager to lead the team responsible for building AI-enabled care delivery workflows, agentic patient and provider experiences, and backend systems for our growing cardiometabolic programs. You will guide a team of senior full-stack engineers working at the intersection of healthcare, AI/LLMs, and operational automation, reporting to the Senior Director of Engineering.
What You'll Do
- Manage and grow a team of full-stack engineers shipping AI-powered workflows for patients and providers.
- Guide development of agentic experiences using LLMs and AI-assisted workflows that support care plan adherence, clinical decision support, patient engagement, and provider efficiency.
- Ensure AI features always keep a human-in-the-loop, honoring our core value Put Patients First.
- Instill best practices for AI safety, guardrails, evaluation, monitoring, and responsible deployment.
- Partner with clinicians and product leaders to translate emerging cardiometabolic care needs into actionable engineering work.
- Build backend services and tools that automate care delivery, streamline clinical workflows, and enable longitudinal patient support.
- Develop scalable systems that support the growth of new care programs while integrating seamlessly with Form Health’s existing platform.
- Build and evolve backend services and APIs using Ruby on Rails, Node.js, and GraphQL.
- Uphold a culture of small-batch iteration, safe rollouts, feature-flagged releases, progressive delivery, and continuous improvement.
- Ensure reliability and operational excellence and tech debt management.
- Collaborate with engineering leaders to establish architectural patterns that balance rapid iteration with long-term maintainability.
- Guide teams building and operating services on AWS, including EKS and Lambda, with an emphasis on reliability, observability, and safe deployment practices.
- Support web and mobile experiences built with React, Next.js, React Native, and TypeScript, ensuring architectural consistency across the platform.
- Work closely with product, design, clinical, and operations partners to define roadmaps that deliver measurable patient and provider value.
- Translate complex requirements into simple, iterative milestones that deliver value early and often.
- Provide clarity and structure in ambiguous problem spaces.
- Coach and mentor engineers in both technical execution and cross-functional leadership.
- Create growth opportunities through thoughtful delegation, feedback, and collaborative planning.
- Foster a culture grounded in empathy, ownership, and mission alignment.
What We're Looking For
- Experience managing and growing full-stack engineering teams.
- Hands-on contribution to architecture, code, and reviews.
- Experience delivering AI/LLM-powered features with human-in-the-loop safety.
- Applying engineering best practices—small-batch iteration, feature flags, safe rollouts, continuous improvement, and thoughtful tech debt management.
- Working closely with product and senior leadership to shape strategy and roadmap.
- Communicating clearly across technical and clinical stakeholders and leading with empathy and ownership.
Nice to Have
- Experience working in or alongside healthcare or other regulated environments.
Technical Stack
- LLMs (via AWS Bedrock)
- Backend: Ruby on Rails, Node.js, GraphQL
- Infrastructure: AWS, EKS, Lambda
- Frontend: React, Next.js, React Native, TypeScript
Team & Environment
You will report to the Senior Director of Engineering and collaborate across engineering, product, design, operations, and clinical teams.
Benefits & Compensation
- Competitive salary of $160,000 - $180,000 USD and equity in a high growth start-up
- Comprehensive health benefits (medical, dental, vision)
- 401k program
- Flexible work schedules and paid time off
- Paid parental leave
Work Mode
This position is local-country based in the United States.
Form Health is deeply committed to creating a culture where every employee is valued and we learn and improve together, and celebrates diversity and inclusion while fostering safety and belonging.
