[Hiring] Engineering Manager @Fullscript

Role Description

We’re looking for a hands-on Engineering Manager to lead our Patient Experience pod and help shape the technical and product foundations of Care Mode. This role blends engineering leadership, product thinking, and people leadership. You’ll stay close to the work—contributing to technical design and implementation, navigating difficult engineering decisions, and stepping in when deeper context or hands-on support is needed—while creating the conditions for a strong team to do its best work.

We believe great engineering leaders are builders at heart. You can zoom out to understand strategy and product intent, then zoom back into the implementation when it matters. You bring clarity to ambiguity, raise the bar through example, and create momentum through trust, context, and shared ownership. The product reflects the team that builds it. This role shapes both.

What You’ll Do

• Build and lead a cross-functional team on patient experience; set technical direction in a complex, evolving domain.
• Stay meaningfully hands-on through system design, code reviews, prototyping, and solving difficult technical problems.
• Set technical direction and evolve architecture in a complex, rapidly developing product domain.
• Lead design discussions where product, engineering, data, and clinical considerations intersect.
• Help evolve Fullscript from transactional patient experiences toward a longitudinal, person-centric model of care.
• Build systems that bring together clinical data, behavioral signals, and real-world patient context.
• Make deliberate tradeoffs across speed, quality, reliability, safety, and trust.
• Bring structure and momentum to ambiguous problems without waiting for perfect information.
• Establish a high bar for technical and product quality through how you build, review, and make decisions.
• Create an environment that combines psychological safety with meaningful accountability.
• Develop engineers through coaching, pairing, feedback, technical debate, and hands-on collaboration.
• Continually challenge the team to ask: Are we solving the right problem? Is the experience worthy of the people who depend on us?
• Partner closely with Product, Design, Clinical, Data, and Engineering leaders across Fullscript.
• Influence broader technical direction as Care Mode and patient experiences become increasingly foundational to the Fullscript platform.
• Champion patient trust, practitioner workflows, and long-term system health in product and technical decisions.

How We Expect You to Think

• Default to action. When something is unclear, narrow the problem, propose a path, and move — then adjust with data.
• Enforce a high bar on reliability and trust: bug discipline, instrumentation, dogfooding. Quality is non-negotiable; so is shipping.
• Take ownership beyond the boundaries of your formal scope.
• Are comfortable operating in ambiguity and moving forward with incomplete information.
• Challenge direction thoughtfully when something doesn’t feel right—and help create a better path.
• Care about outcomes, not simply output.
• You’re equally comfortable asking "What should we build?" and "How should we build it?"

What You Bring

• Significant experience building and leading software products end-to-end, from early concepts through iteration and operation at scale.
• Multiple years of engineering management experience, with a clear commitment to people leadership while remaining deeply technical and close to the work.
• A track record of owning difficult, non-obvious technical problems with meaningful product and user impact.
• Comfort moving between hands-on engineering and engineering leadership—sometimes within the same day.
• Strong technical judgment and an ability to communicate why a decision matters, not simply what should be built.
• Experience building and operating high-scale applications, with a strong appreciation for reliability, performance, maintainability, and user trust.
• Strong product instincts and the ability to connect engineering decisions to the experience they create for users.
• Deep experience building successful consumer-facing web and/or mobile products, where engagement, retention, usability, and product quality were central to the experience.
• Experience building consumer experiences that proactively give users a reason to return—through timely, relevant, personalized, or context-aware interactions that reduce effort and sustain engagement over time.
• Fluency with modern AI-assisted engineering workflows and tools, with strong judgment about how to use AI to explore options, challenge assumptions, accelerate implementation, and improve technical decision-making.
• Strong instincts around responsiveness, fast feedback loops, perceived performance, and the details that make software feel lightweight and intuitive.
• Experience designing for moments when users may be overwhelmed, disengaged, or uncertain about what to do next.
• Experience with React, React Native, Rails, GraphQL, Apollo. Specific technologies matter less than depth of technical thinking and craftsmanship.

Bonus signals we value

• Experience building products in regulated, safety-sensitive, or high-trust domains.
• A track record of raising quality bars, not simply increasing velocity.
• An ability to challenge people constructively and leave teams stronger and more energized as a result.

What We Can Offer You

• Generous PTO and competitive pay
• Fullscript’s RRSP match program for financial health
• Flexible benefits package and workplace wellness program
• Training budget and company-wide learning initiatives
• Discount on Fullscript catalog of products
• Ability to work Wherever You Work Well*

Why Fullscript

Great work happens when people feel supported, trusted, and inspired. At Fullscript, we stay curious and keep finding smarter ways to make care better. We grow together, take on new challenges, and focus on impact. We put people first, work as a team, and leave egos at the door.

What to Know Before You Apply

We’re grateful for the interest in joining Fullscript. To make sure your application reaches our hiring team, please apply directly through our careers page.

A quick note: Due to the high volume of applications, we’re not able to respond to phone or email inquiries about application status. If there’s a match, our team will reach out directly.

Fullscript is an equal opportunity employer committed to creating an inclusive workplace. Accommodations are available upon request at [email protected] .

All offers are contingent on successful background checks conducted in compliance with federal, state, and provincial laws.

We use AI tools to support parts of the hiring process, including screening and reviewing responses. Final hiring decisions are always made by people and follow all applicable privacy and employment laws in Canada and the U.S.

Learn More www.fullscript.com

@fullscriptHQ on instagram

Let’s make healthcare whole