Senior Engineering Manager — AI-Driven Clinical Platform

Parachute Health; United States; Hybrid; USD 260,000 - 310,000; Full time

Benefits offered by this job

Remote-First Culture

Annual Bonus up to 15%

Home Office & Wellness Stipend

Internet Stipend

401(k) Retirement Plan

Equity Incentive Plan

Job summary

Parachute Health is seeking a Senior Engineering Manager to lead two teams in the Clinical Division, owning the clinician order pipeline and patient continuity experience. You will partner with Product and Design to maintain a fast, sustainable pace while raising the bar on engineering health and delivery.

You will manage day-to-day, grow careers, and shape technical direction with a focus on AI-native engineering, architecture oversight, and stakeholder collaboration.

Qualifications

• 5+ years of management experience, including overseeing multiple teams or leading through tech leads.
• 10+ years of delivering software in production environments.
• Proven track record as a performance manager, growing engineers to next levels.
• Experience with open source programming languages.
• Hands-on familiarity with modern AI development tooling and enabling team adoption.
• Must reside in the U.S.

Responsibilities

• Set a clear, high performance bar; conduct reviews and manage underperformance.
• Grow careers: coach tech leads and senior engineers to carry scope autonomously.
• Own team goals and roadmap; remove blockers and ensure steady delivery.
• Promote AI-native engineering practices and tooling usage across teams.
• Collaborate with Product and Design as engineering counterpart to keep discovery and delivery aligned.
• Review architecture decisions and conduct pre-launch risk assessments to maintain coherence.
• Lead technical discovery and capacity estimation across roadmaps.
• Maintain close involvement with code through PRs, design discussions, and retrospectives.
• Drive engineering excellence using agile methods, TDD and solid design principles.
• Serve as primary engineering contact for Product, Design, clinical stakeholders, and leadership.

Skills

Management

Software delivery

AI tooling

Open source languages

Job description

Parachute Health is transforming post-acute care as the leading digital ordering platform for medical equipment and supplies. We connect major health systems, health plans, and suppliers to help patients get the life-saving products they need at home. Since launching, we've connected 300,000+ clinicians and 3,000+ supplier locations across all 50 states and helped 15M+ patients. What started as a DME ePrescribing tool has become the order management platform of choice for home medical equipment.

Join our team and make a difference in patient care.

About the Role

We are seeking a Senior Engineering Manager to lead two teams in our Clinical Division. You will own the engineering health, delivery, and technical direction of the clinician order pipeline and the patient continuity experience — two connected areas that sit at the center of how clinicians get patients the equipment they need.

This is a multi-team role managing engineers spanning mid-level through staff. You will manage day to day, grow careers, hold a high performance bar, and partner closely with Product and Design to keep both teams shipping at a fast, sustainable pace.

Responsibilities

• Performance Management: Set a clear, high bar and hold it. Give direct, timely feedback; run substantive reviews; build promotion cases; and address underperformance early and fairly. You are comfortable having the hard conversation and following through on it.
• Coaching and Growth: Manage multiple teams, with real ownership of their career growth and technical development. Develop tech leads and senior engineers who can carry scope without you in the room.
• Team Execution and Delivery: Own both teams' goals and roadmap execution. Keep a high operating pace by removing blockers, tightening feedback loops, and protecting focus through planning, IPM, PR review turnaround, and work-in-progress discipline.
• AI-Native Engineering: Raise how effectively your teams use AI tooling in daily engineering work — agentic coding, repo-native tooling and MCP servers, review and test acceleration. You are hands-on enough to have opinions about what works, where it breaks down, and how to build the judgment to tell the difference.
• Product and Design Partnership: Act as the engineering counterpart to two PMs and two designers. Shape scope with them early, push back where the technical cost does not match the user value, and keep discovery and delivery moving in the same direction.
• Strategic Technical Oversight: Review Architecture Decision Documents, run pre-launch risk assessments, and make sure the two areas evolve coherently instead of drifting apart at the seams.
• Technical Shaping: Lead early technical discovery, feasibility analysis, and capacity estimation across both roadmaps.
• Maintain Relevance: Stay close to the code through regular PR reviews, design discussions, and incident retrospectives.
• Engineering Excellence: Guide engineering practice across both teams using agile methods, TDD, and robust software design principles.
• Stakeholder Management: Serve as the primary point of contact for both teams with Product, Design, clinical stakeholders, and leadership.

Requirements

• Minimum of 5 years of management experience, including managing more than one team or managing through tech leads
• Minimum of 10 years of experience delivering software in a production environment
• Demonstrated track record as a performance manager: evidence of growing engineers to the next level, and of handling underperformance directly
• Professional experience with open source programming languages
• Hands-on familiarity with modern AI development tooling and experience on how to generate team adoption
• Must reside in the U.S.

Nice to Have

• Experience in healthcare, clinical workflows, or another regulated domain
• Experience leading teams through a manager transition or period of structural change
• Experience operating in a large shared codebase with clear domain ownership boundaries
• Medical, Dental, and Vision Coverage: Comprehensive plans with options for low-to-no-cost premiums
• Employer HSA Contribution: Company-funded contributions to your Health Savings Account
• 401(k) Retirement Plan
• Equity Incentive Plan
• Annual Company-Wide Bonus: Opportunity for up to 15% bonus based on company performance
• Remote-First Culture: We are remote-first with a dedicated NYC office and reimbursement options for co-working spaces
• Flexible Vacation Policy
• Summer Fridays: 5 additional Fridays off during the summer (separate from PTO)
• Home Office and Wellness Stipend
• Monthly Internet Stipend
• Annual Learning and Development Stipend

Base Salary Band (based on experience and level)

$260,000 - $310,000

California job applicants may access the Notice of Collection of Personal Information and Privacy Policy with information and rights required by the California Privacy Rights Act (CPRA) the link here .

We are proud to be an equal opportunity employer that does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth related medical conditions and lactation), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, disability, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances.

This role is not eligible for employer visa sponsorship. Applicants must be legally authorized to work in the United States at the time of application and for the duration of employment. The Company does not sponsor employment authorization for this position.

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