Onsite Engineering Manager

New York (NY)

On-site

USD 260,000 - 380,000

Full time

6 days ago

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Benefits offered by this job

Equity package

Top salary

Health insurance

Dental & Vision

Catered lunches

Commuter benefits

Laptop provided

Learning & development budget

Team-building events

Flexible PTO

Job summary

Anterior’s engineering leadership is seeking an Engineering Manager to guide a 10–15 person team in New York. You’ll balance people leadership with hands-on technical work, shaping how the team builds scalable healthcare platform software.

You’ll partner with product, clinical, and customer teams to translate real workflows into roadmaps, hire and grow engineers, and ensure reliable, high‑quality delivery while maintaining an ownership culture.

Qualifications

8+ years in software engineering, incl. 2+ years as an engineering manager.
Backend/infrastructure depth: APIs, data pipelines, distributed systems, cloud infra.
Proven ability to design system decisions and run production systems at scale.
Able to contribute to design reviews and hands-on when needed.
Experience growing engineers into senior/lead roles and giving direct feedback.
Strong delivery judgment to scope, sequence, and ship reliably.
Experience at scale with AWS footprint; healthcare exp is a plus.

Responsibilities

Hold regular 1:1s and create development plans for engineers.
Own performance reviews and career growth.
Hire for your team: define roles, run interviews, hire engineers.
Build a culture of ownership and high standards.
Plan and sequence work to keep execution predictable.
Collaborate with product, clinical, and customer teams to map roadmaps.
Scope integrations with enterprise customers and support deployments.
Own on-call rotations and postmortems.
Review designs and contribute hands-on where leverage is high.

Skills

Backend systems

APIs

Data pipelines

Distributed systems

AWS

Python

TypeScript

React

Tools

CDKTF

Job description

About Anterior

Anterior is on a mission to transform healthcare administration, making it seamless and invisible so clinicians can focus on delivering care. We’ve built an AI-powered platform designed by clinicians, for clinicians, to simplify administrative workflows and improve patient outcomes. By combining clinical expertise with cutting-edge technology, we’re revolutionizing healthcare operations with responsible AI.

We’re growing rapidly and are backed by world-class investors including Sequoia, New Enterprise Associates (NEA), and Neo along with notable angels including the founders of DeepMind, Google AI, and Inflection AI.

Anterior is improving the experience of healthcare for everyone. We’re working on the cutting edge of using technology to make clinical decision-making frictionless.

We’re building exciting tech for huge customers and we trust in the foundations: keep it simple, build strong foundations, and the rest will follow.

The Role

Anterior’s engineering team builds the platform health plans rely on for clinical decision-making at enterprise scale. As we grow, we need engineering leaders who keep the team moving quickly, hold a high bar for quality, and help every engineer do the best work of their career.

As an Engineering Manager, you’ll lead and grow a team of around 10-15 engineers in our New York office. You’ll be responsible for the people on your team — how they’re hired, how they grow, and how they work together — and for what the team delivers. This is a player-coach role, roughly 70% leading people and 30% hands‑on: you’ll stay close to the technical work, take part in design decisions, and contribute hands‑on where it gives the team the most leverage.

You’ll work closely with our founders and with our product and clinical teams, and you’ll help shape how engineering at Anterior is organized as we scale.

What You’ll Do

Lead and grow the team

Hold regular 1:1s, give clear and honest feedback, and build development plans that help strong engineers become standout ones.
Own performance reviews and career growth for your team, in line with our growth model.
Hire for your team: define roles with us, run interview loops, assess for competence and fit, and close the engineers we want most.
Build a team culture of ownership, care, and high standards.

Deliver for our customers

Plan and sequence the team’s work so that execution is predictable and quality stays high.
Partner with product, clinical, and customer‑facing teams to turn real healthcare workflows into roadmaps and specs.
Work with our enterprise customers’ technical teams to scope integrations and support deployments.
Own the reliability of your team’s systems: keep your engineers’ on‑call rotation healthy, act as an escalation point during incidents, and drive postmortem follow‑through.

Stay close to the technical work

Review system designs, architecture decisions, and code, and help the team make sound trade‑offs.
Contribute hands‑on where it gives the team leverage: prototyping, debugging, or building internal tooling.

Help shape engineering at Anterior

Raise the bar on engineering practices and standards as the team grows.
Work with leadership on team structure, hiring plans, and how we scale the engineering organization.

We’re Looking For

You’re an engineer who became a manager because you care about building strong teams. You believe in keeping things simple and getting the foundations right, and you know that good engineering is as much about what a team chooses not to build. What we care about:

You have 8+ years in software engineering, including 2+ years as an engineering manager responsible for hiring, performance, and career development.
Your technical depth is in backend and/or infrastructure: APIs, integrations, data pipelines, distributed systems, or the cloud infrastructure underneath them. You’ve owned system design decisions and operated systems in production at scale.
You still enjoy the technical work, and you can hold your own in a design review.
You’ve grown engineers into senior and lead roles, and your feedback is direct, specific, and kind.
You have sound delivery judgment. You know how to scope, sequence, and cut in order to ship reliably.
You’ve worked somewhere with real complexity — a scale‑up, a big tech platform team, an engineering‑focused finance firm, or anywhere with a serious AWS footprint.
Healthcare experience is a plus, but not required.

This Isn’t For You If

You want to step away from technical work entirely. This role stays close to the code and the systems.
You’d rather inherit a well‑defined process. We’re still building ours, and you’ll help shape it.
You’re looking for a remote role. This role is based in our New York office.

Tech

Langs: Python / Go / TS, React (and HTMX)
Infra: Nix, AWS (currently on CDKTF — actively looking to migrate; experience leading a migration like this is a plus)

What’s in it for you

This is an opportunity to join a company at a major inflection point, using cutting‑edge technology to have a meaningful impact in healthcare. You’ll work with a world‑class team, hold significant responsibility, and shape how our engineering organization grows.

We take pride in our strong apprenticeship and coaching culture. We expect our early hires to become leaders both within our company and across the industry, and as an Engineering Manager, you’ll be central to building that culture.

Benefits: