Engineering Manager (Billing)

Neara; New York (NY); Hybrid; USD 190,000 - 210,000; Full time

Benefits offered by this job

Equity

Benefits

Annual bonus

Job summary

Neara is seeking an Engineering Manager to lead Backend engineering teams in New York City. This full-time, hybrid role involves overseeing core systems, including billing and payments infrastructure.

The ideal candidate will have extensive experience in leading engineering teams and a strong technical background including Rails, React, and more. Join us to help improve healthcare delivery through innovative technology.

Qualifications

• Proven leadership experience in managing engineering teams.
• Strong technical knowledge to engage in architectural discussions.
• Experience with high-performing engineering teams.

Responsibilities

• Lead and coach engineers to foster technical excellence.
• Own execution of squad roadmaps and ensure accountability.
• Shape architectural decisions and drive long-term system reliability.

Skills

Team leadership

Technical expertise

People management

Collaboration

Problem-solving

Education

8+ years as a software engineer

2+ years leading teams

Tools

Rails

React

TypeScript

GraphQL

Postgres

Job description

Engineering Manager (Billing)

Job type: Full Time · Department: Core Engineering · Work type: Hybrid · USD 190,000-210,000 / year

Location: New York, New York, United States

Our Mission

We’re building infrastructure for modern healthcare delivery.

Traditional healthcare is plagued with outdated, monolithic EHRs designed to maximize billing outcomes. Patient outcomes and provider experiences have been afterthoughts, as these systems have bolted on non-API-first solutions. None of this is built for how clinically excellent healthcare is actually delivered—longitudinally and collaboratively, with the patient at the center.

Healthie is the world’s leading API-first, ONC-Certified EHR for healthcare delivery outside of the hospital. We provide the powerful infrastructure every scaling organization needs—EHR, scheduling, patient engagement, billing, and more—all accessible via modern APIs and a white-labeled UI. Our platform makes it simple for organizations of any size to launch, customize, and scale their care delivery models without reinventing the wheel.

Today, over 2 billion API calls are made to Healthie every month, as thousands of organizations—working with more than 17 million patients in total—rely on Healthie to deliver clinically excellent healthcare in over 25 specialties, from preventative medicine to complex chronic care management.

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, make our product roadmap public 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.

Learn more at https://www.gethealthie.com/

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.

At Healthie, we are AI-enabled and AI-accelerated in how we build. We are looking for leaders who actively leverage AI-powered development tools, embrace automation, and help teams adopt modern, AI-assisted engineering practices to increase velocity and quality.

Responsibilities

• 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.

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.

Details

• This is a full-time, hybrid position located at our NYC HQ.
• U.S. work authorization is required.
• The base salary range is $190,000 - $210,000, plus equity, benefits, & annual bonus.

Additional Qualifications

• Experience: 8+ years as a software engineer and 2+ years leading teams, ideally in SaaS; healthcare tech experience a plus. Experience with billing, insurance, or revenue cycle systems is valuable but not required.
• 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.

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.