[Remote] Sr. Engineering Manager

Note: The job is a remote job and is open to candidates in USA. Fuze Health is dedicated to addressing pressing needs in healthcare through technology. The Senior Manager of Engineering will lead multiple engineering squads to develop secure, scalable software solutions for digital pharmacy and API-driven fulfillment platforms, directly contributing to improving patient access to medications and enhancing the digital care journey.

Responsibilities

• Recruit, mentor, and manage a team of 10+ software engineers and engineering managers across multiple agile squads, fostering a culture of continuous learning, inclusivity, and high performance
• Guide the technical vision for FuzeRx’s core B2B and consumer-facing platforms, ensuring highly available and secure solutions leveraging our primary tech stack (Ruby on Rails, Python, TypeScript/JavaScript, PostgreSQL, AWS)
• Own the end-to-end software development lifecycle (SDLC) for your domain, ensuring predictable delivery of features that drive API-powered prescription fulfillment and pharmacy logistics
• Partner closely with Product Management, Pharmacy Operations, Design, and QA to translate complex healthcare compliance and patient-care requirements into technical roadmaps and actionable sprints
• Champion engineering best practices that adhere to strict industry regulations (e.g., HIPAA, SOC2), ensuring patient data security, secure messaging, and privacy are woven into the fabric of our codebase
• Establish and track key engineering metrics (e.g., DORA metrics, system uptime, bug resolution rates) to drive continuous improvement in engineering efficiency and pharmacy system reliability
• Serve as a senior escalation point for critical system outages or security incidents, leading root-cause analyses and implementing preventive measures
• Manage departmental budgets, vendor relationships, and cloud infrastructure costs effectively to support sustainable scale

Skills

• Bachelor's degree in Computer Science, Software Engineering, or a related technical field
• 8+ years of progressive experience in software engineering, architecture, and distributed systems design
• 3+ years of direct people management experience, including managing managers or leading multiple concurrent engineering teams
• Previous experience building scalable B2B SaaS or consumer-facing web applications, with a strong understanding of complex logistical or transactional systems
• Standard business hours; available for on-call escalations as needed
• Deep architectural understanding and proven experience deploying systems using AWS, PostgreSQL, Ruby on Rails, Python, TypeScript, and JavaScript. Familiarity with collaboration and procurement tools (e.g., Slack, GSuite, Coupa, Jira)
• Proven ability to build high-trust relationships, manage conflict, and communicate complex technical concepts clearly to non-technical stakeholders (e.g., clinical and operational leaders)
• Demonstrable expertise in Agile/Scrum methodologies, CI/CD pipeline optimization, and relational database architecture
• Master's degree in Computer Science or an MBA with a technology focus
• Prior engineering leadership experience within Pharmacy Tech, Digital Health, or highly regulated environments
• Deep understanding of healthcare data interoperability, pharmacy management systems, API-led healthcare integrations, or electronic health record (EHR) integrations
• Proven track record of successfully scaling engineering teams by 50%+ during high-growth phases, or leading major architecture modernization projects within an AWS ecosystem

Benefits

• Dental, vision, and multiple group medical plans to choose from
• A 401(k) retirement savings plan
• Group life insurance
• Accidental death and dismemberment (AD&D) insurance
• Flexible spending account (FSA) and health savings account (HSA)
• Commuter benefits
• Employer-paid short-term (STD) and long-term disability (LTD) insurance
• Additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program)
• Flexible vacation time
• Accrued paid sick time
• 10 paid holidays
• (2 floating holidays for full time non-exempt employees)
• Eight weeks of paid parental leave for eligible employees
• Additional paid weeks for the birthing parent
• 4 weeks paid caregiver leave
• A Lifestyle Spending Account allowance each month

Company Overview