What are the responsibilities and job description for the Engineering Manager - Healthcare position at Career Renew?
We help people end their opioid use and restore their quality of life with respect for their time and dignity. Our mission is to make evidence-based treatments for opioid use disorder (OUD) accessible to everyone... and we're looking to bring more people onto our team to help us achieve it.
We are a venture-backed, healthcare startup that helps individuals with OUD by providing FDA-approved medication and clinical care through a telehealth platform. Our approach is discreet, convenient, and affordable. We've been successfully operating in 14 states for almost six years and we're excited to continue our growth. We are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America.
As an Engineering Manager I, you’ll play a key role in developing innovative, compliant solutions to support our mission of treating opioid use disorder through telehealth. You'll be a hands-on technical leader and manage a team of 2-5 full-stack software engineers who build and maintain our core web applications written in Typescript, React, and Firebase on GCP. The estimated split between hands-on code and leadership responsibilities is 50-70% hands-on to 50-30% leadership. You’ll ensure that your team maintains the highest quality standards across all projects, improve code architecture, and foster a culture of creativity, collaboration, and continuous improvement. Your work will have a direct impact on patients, clinicians, and our ability to scale.
In this role, you’ll mentor and develop the engineers on your team, promote a culture of innovation and excellence, and be a tech lead who works side-by-side with them through the full product cycle—from inception to results—making direct code contributions and taking responsibility for your team’s work quality and delivery goals. You’ll collaborate closely with your Product and Design counterparts, as well as various cross-functional teams, including clinicians and non-technical stakeholders, to ensure our products meet the needs of both users and the business. Flexibility will be key, as you will help tackle ambiguous challenges in a fast-evolving, growth-stage company.
Other responsibilities include continuously improving our systems and team processes, while advocating for projects that help improve code architecture, quality, and performance and drive business results, through insightful use of AI technologies and traditional approaches. With support from your Director, peers, and our People team, you’ll manage the performance evaluation of your team members, including promotions, performance improvement plans, and, when necessary, termination. Your role also involves staying up-to-date on emerging industry trends and technologies, including but not limited to AI in our products and development processes, bringing new ideas to drive innovation in product design and development.
Together, we will help hard-to-reach individuals treat their opioid dependence. While direct experience in this treatment area is not mandatory, knowledge of the healthcare space, including understanding health outcomes, benchmarks, systems, and regulatory compliance (HIPAA), is highly beneficial.
Responsibilities
Exhibit strong technical leadership by providing input on the team’s roadmap, feedback on project scope—seeking to deliver incremental wins—and work estimates to ensure the team reliably meets its delivery goals. Uphold a high technical bar through clear technical designs, opinionated architecture choices, thorough code reviews, and good test coverage.
Mentor and develop the engineers on your team, fostering a culture of technical excellence, creativity, collaboration, and continuous improvement, while cultivating a positive and inclusive team environment aligned with Ophelia’s core values.
Develop across the stack, with an emphasis on increasing capabilities of front-end apps, delivering impact wherever the team needs. Our core technologies are Typescript, React, and Firebase (e.g., Firestore, Authentication, Remote Config) in Google Cloud Platform.
Lead with flexibility and adaptability to navigate ambiguous, new challenges in a growth-stage company, learning from the past, asking questions, and rapidly evolving team approaches and focus as business needs change.
Collaborate cross-functionally in both sourcing new ideas and implementing improvements from our amazing community of clinicians and our care teams. You’ll be encouraged to ask even “dumb” questions as you work directly with our technical and non-technical teams to build the next generation of our products.
Stay current with industry trends, emerging technologies (including AI tooling), and best practices to drive innovation and excellence in product design and implementation.
Tech stack
TypeScript, React, Firebase
Requirements:
6 - 10 years of experience as a software engineer leading teams/projects at reputable tech scale-ups (Mandatory)
Demonstrated track record of hands-on IC ownership at reputable tech scale-ups with strong product/tech cultures (c.250-500 people ideal but open) (Mandatory)
Experience leading engineering teams and complex projects including shaping technical direction, providing mentorship/feedback etc (Mandatory)
Previous people management experience (Nice-to-have)
Strong technical fundamentals and clear opinions around software architecture (Mandatory)
Experience working with TypeScript, React, and Firebase (Nice-to-have)
Strong culture fit including collaborative, low ego but high energy, and friendly (Mandatory)
Passionate about the mission to make addiction treatment universally accessible (Mandatory)
Why candidates should join
Mission & Social Impact: We are addressing one of the most pressing public health crises in the United States - opioid use disorder, which is the second leading cause of death in adults aged 18 to 59. The company has deliberately chosen to serve a population that the traditional healthcare system has largely failed, with 70% of patients coming through Medicaid. To date, we've helped over 20,000 patients access treatment through a more convenient, accessible, and flexible care model. For candidates who are motivated by the tangible social value of their work, this is a rare opportunity to build technology that directly and measurably improves patient outcomes.
Team Quality & Culture: The mission-driven nature of the organization and the specific hiring practices in place helps to attract a particular caliber of person - one that is collaborative, empathetic, and genuinely invested in the company's goals. The result is a working environment notably free of politics and ego, where cross-functional collaboration is the norm rather than the exception. For candidates who have experienced more competitive or siloed environments, this is a meaningful differentiator.
Ownership & Autonomy: We operate as a flat organization, meaning individuals at all levels are empowered to take genuine ownership of their work. There is limited top-down direction, and employees are expected and trusted to drive decisions and outcomes independently. For experienced engineers and product managers, this represents a meaningfully broader scope of influence than is typically available at larger or more hierarchical organizations.
Growth Trajectory & Timing : We are currently operating in 16 states with a clear ambition to become a national provider. The company is approaching profitability (a significant milestone) and is consistently setting new records for weekly patient intake. With a significant expansion phase planned for 2026/27, and national payer contracts beginning to be signed, candidates joining now are well-positioned to grow alongside the business and take on increasing responsibility as the organization scales. This is aided by the impressive $50m Series B led by Tiger Global.
A Greenfield Leadership Opportunity: This is the first engineering manager role, created at a deliberate point in the company's growth. The incoming EM will inherit a team of three to five engineers and will be involved in architecture decisions and higher-level engineering strategy from day one, working closely with a senior director of engineering. Crucially, the role is structured to retain a strong hands-on coding component - approximately 50% of time - making it particularly well-suited to a senior individual contributor who is ready to step into leadership without fully stepping away from the technical work. For the right candidate, this is a rare opportunity to define what engineering management looks like at a scaling company.