Engineering Manager, Operations

Usenourish; San Francisco (CA); On-site; USD 180,000 - 240,000; Full time

Job summary

Nourish is seeking a hands-on Engineering Manager to lead Operations Engineering, reporting to Senior Engineering Manager, you’ll help build the technology and operating systems behind one of the largest healthcare operations in the country, supporting more than 10,000 clinicians across dietitians, physicians, and therapists.

You’ll reimagine what an AI- and technology-native healthcare operation can look like - using automation to scale unlike traditional healthcare companies and making

Qualifications

• 6+ years of professional software engineering experience with modern full-stack technologies.
• 2+ years of hands-on engineering management experience.
• Experience hiring engineers and managing performance and career development.

Responsibilities

• Build and lead a high-performing team of 4-5 engineers with 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 direction for systems that support large-scale clinical and business operations.
• Automate manual workflows and design exception-handling systems that increase operational leverage without sacrificing accuracy or patient trust.
• Simplify billing, claims, eligibility, scheduling, and other complex healthcare workflows for patients, clinicians, and internal operators.
• Partner closely with business operations, strategy, finance, clinical, product, and analytics teams to identify bottlenecks and measure business impact.
• Build reliable, auditable systems that can safely scale through rapid growth and regulatory complexity.

Skills

Software engineering

Engineering management

Hiring & performance

Pair programming

Job description

About Us

Health 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. The round was led by Menlo Ventures, with participation from Thrive Capital, Index Ventures, J.P. Morgan Growth Equity Partners, Maverick Ventures, Y Combinator, BoxGroup, Atomico, Daybreak, and Operator Partners. Learn more about our Series C here: Nourish Blog, Bloomberg, Fierce Healthcare, Digital Native, The Pulse Podcast. 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 Role

Nourish is seeking a hands-on Engineering Manager to lead Operations Engineering. Reporting to Senior Engineering Manager, you’ll help build the technology and operating systems behind one of the largest healthcare operations in the country, supporting more than 10,000 clinicians across dietitians, physicians, and therapists.

You’ll reimagine what an AI- and technology-native healthcare operation can look like - using automation to scale unlike traditional healthcare companies and making notoriously complex workflows, including billing and claims, feel simple to patients and clinicians.

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.

• Build, 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 direction for systems that support large-scale clinical and business operations.
• Automate manual workflows and design exception-handling systems that increase operational leverage without sacrificing accuracy or patient trust.
• Simplify billing, claims, eligibility, scheduling, and other complex healthcare workflows for patients, clinicians, and internal operators.
• Partner closely with business operations, strategy, finance, clinical, product, and analytics teams to identify bottlenecks and measure business impact.
• Build reliable, auditable systems that can safely scale through rapid growth and regulatory complexity.

• 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.