Engineering Manager

Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team. Our mission is to empower patients and be leaders in Obesity Medicine driving impact at a national scale. We are deeply invested in our core value to put patients first, and also deeply committed to ...

Form Health is building a clinical-grade care platform that powers longitudinal obesity and cardiometabolic treatment at national scale. The software we build spans two sides of the same mission:

Patient experience — the app patients live in, where they onboard, meet their care team over video, and stay engaged with a treatment plan that unfolds over months and year

Care team experience — the clinical charting, scheduling, care coordination, and operational tooling that let clinicians deliver safe, effective care at scale. 

You'll be responsible for shipping software that is reliable, scalable, secure, accessible, and maintainable, because our patients and our care teams depend on it every day.
Just as important, you'll level up how the team builds. We're an AI-native engineering org, and we expect this leader to bring a high bar with them: fluency in agentic software delivery (operating as a manager of agents, with AI tooling like Claude Code as a core part of the workflow) and the engineering fundamentals that make small teams fast and safe: small-batch delivery, continuous delivery, feature flags, and tight feedback loops. You should already practice these things, and you should be eager to coach them into the team and raise the ceiling on what a small group can ship.
This role will partner closely with product, design, clinical, and operational leaders to translate evolving patient and care needs into scalable software.
This is a fully remote role open to candidates located anywhere in the United States.
Lead, coach, and grow a small (but growing) team of engineers delivering business-critical clinical, operational, and patient-facing systems
Establish clear goals and execution plans aligned with product and company priorities
Foster a culture of ownership, accountability, and continuous improvement
Provide direct feedback, mentorship, and career development for engineers at multiple levels
Level up the team: raise the technical and delivery bar through pairing, code review, and hands-on coaching, and grow engineers' fluency with modern, AI-native delivery practices
Hire thoughtfully to strengthen team capability and long-term scalability
Guide architectural decisions across backend services, workflows, integrations, internal tools, and patient-facing web and mobile experiences
Partner closely with senior engineers to ensure systems are reliable, scalable, secure, and maintainable
Maintain strong technical fluency across systems built with technologies such as Ruby on Rails, Node.js, React / Next.js, React Native, TypeScript, and AWS-based infrastructure
Ensure healthy CI/CD pipelines and safe deployment practices that support incremental delivery in a regulated healthcare environment
Champion small-batch, continuous delivery—small PRs, short-lived branches, feature flags, and tight feedback loops—so the team ships safely and frequently
Drive an agentic, AI-native approach to building software: lead as a manager of agents, and coach engineers to make AI developer tools (e.g., Claude Code) a core part of how they design, build, test, and review—without compromising engineering rigor
Use DORA metrics and other delivery signals to continuously raise the team's throughput and stability
Identify technical risks early and lead mitigation strategies before they impact care delivery
Oversee development of the experiences patients rely on daily (onboarding and activation, video visits, secure messaging, photo and data journaling, device and health-data integrations) and the systems that power the care team (clinical charting, scheduling, task management, care coordination, automation, and intelligent workflow enhancements)
Drive measurable improvements in the outcomes that matter for your team—engagement, activation, retention, reliability, efficiency, and clinician experience
Ensure experiences meet a high bar for accessibility (WCAG/ADA), performance, and reliability
Ensure systems handle patient data safely and operate within HIPAA and broader healthcare regulatory requirements
Support thoughtful integration of automation and AI capabilities where appropriate, always prioritizing human oversight and patient safety
Partner closely with product, design, clinical, and operations leaders to define roadmaps and deliver measurable impact
Translate complex, evolving business and clinical requirements into clear engineering plans
Provide structure and clarity in ambiguous problem spaces
Balance speed of delivery with operational reliability and long-term platform health

You are an experienced engineering leader who blends hands-on technical depth with strong people leadership. You've managed high-performing teams and guided engineers through the delivery of complex, production-grade systems.
You bring experience such as:
5+ years of experience managing engineering teams
Prior experience as a senior or staff-level engineer before moving into management
Leading delivery of complex production systems—whether consumer/patient-facing applications across mobile and web, or backend and workflow-heavy services
A track record of instilling strong delivery fundamentals—small-batch and continuous delivery, feature flags, testing, and operational excellence—and coaching teams to adopt them
Partnering closely with product, design, and domain experts to shape execution plans
Communicating effectively across technical and non-technical stakeholders
Hands-on fluency with agentic, AI-native software development (e.g., Claude Code and similar tools)—you practice it yourself and can model and coach it into the team while maintaining strong engineering rigor
Experience in healthcare, clinical systems, consumer health, mobile applications, workflow tooling, AI-enabled products, or other regulated domains is a strong plus, but not required

Your leadership will directly shape how Form Health delivers care at scale. You'll help build systems that support:
Secure, HIPAA-compliant patient communication and care delivery
Reliable clinical and operational workflows
Accessible, reliable, high-performance patient experiences across mobile and web
Scalable revenue and infrastructure systems
Intelligent, adaptive product experiences
Safe, incremental experimentation and continuous improvement