[Hiring] Engineering Manager @Carrum Health

Role Description

We are looking for a business-minded, hands-on engineering leader to lead a brand-new product pod (a small, cross-functional team with its own product manager, engineers, and business owner) that will take a new product area from zero to market.

This is a founding-leader role. You will start with a small founding team of senior engineers, a product manager, and a general manager who owns the business, and the team will expand as the product scales. Reporting to the VP of Engineering, you will have direct visibility with company leadership and real influence over how Carrum launches new products.

You’re excited about this opportunity because you will...

• Take a new Carrum product from an idea to paying clients and real members.
• Build and lead a team from the ground up.
• Work with a cross-functional group across product, other pods, network, care operations, finance, and client implementation to solve problems that directly affect members.

What You Will Do

• Take a new product from zero to market
  • Own the end-to-end technical delivery of a new Carrum product: the member-facing experience, internal tooling for our care team, partner integrations, and the data that proves the product works.
  • Make the early architecture calls: service boundaries, what lives in our existing Rails services versus new ones, and what we build versus buy.
  • Ship a credible, demo-ready front end, then turn it into a production system that real members and clients depend on.
  • Define "what's real when" and hold the line on it, so sales, marketing, and implementation teams promise only what the product can deliver by each client's start date.
• Obsess over the member experience and the funnel
  • Instrument the member journey from first touch to completed care, so the team can see drop-off, time to next step, and where members get stuck.
  • Partner with the product team on research and discovery: talk to members and care navigators, study the data, and bring opportunities to the roadmap rather than waiting for them.
  • Run a tight loop of ship, measure, learn. Treat conversion, time to care, and member satisfaction as engineering outcomes, not someone else's metrics.
• Build and lead the team
  • Hire, onboard, and coach a small team of senior engineers. Hold a high bar; we would rather hire slowly than hire wrong.
  • Create the operating rhythm for the pod: planning, delivery cadence, production ownership, and incident response.
  • Build a psychologically safe team where engineers do their best work, with clear ownership and room to grow.
• Stay hands-on
  • Write production code every week, especially early on. You are the tech lead as well as the manager.
  • Lead design reviews and code reviews, and set the standard for testing, observability, security, and documentation.
  • Use AI developer tools as a default part of how you and your team build, and help the team adopt agentic engineering practices responsibly.
• Work across the company
  • Partner closely with the pod's product manager and general manager to turn business goals into a sequenced technical plan with honest trade-offs.
  • Work closely with other Engineering Managers and Product leaders so your team's work aligns with the broader platform architecture and has impact beyond your pod.
  • Represent the pod to leadership: status, risks, and what you need, without surprises.

Success in the First Year Looks Like

• A sellable product: something sales can demo, price, and put in front of clients with confidence.
• The product live in production with its first clients, with integrations, billing flow, and member support working end to end.
• A fully instrumented member funnel, with baselines established and at least one measurable conversion improvement shipped from your team's own research.
• A clear plan and the right architecture to scale.
• A team of senior engineers hired and ramped, with a healthy delivery cadence and production ownership established.
• A reputation across the company as the leader who tells the truth about what will ship and then ships it.

Qualifications

• You have launched something from zero.
• You have been the technical lead or founding engineer on a 0→1 product that reached real customers, ideally inside a company that already had an existing platform to integrate with.
• You have done this at a growth-stage company.
• You have built and led at a company scaling from early product-market fit through rapid growth, where the team, the customer base, and the systems were all changing at once.
• You think like an owner of the business.
• You understand how the product makes money, who buys it, and what makes members use it.
• You obsess over user experience and measure it.
• You have instrumented a funnel, used the data to find the drop-off, and shipped the fix.
• You have management experience.
• You have 4+ years leading engineering teams, including hiring, performance management, and growing engineers' careers.
• You are a full-stack expert who wants to stay hands-on.
• You have 8+ years of engineering experience in a robust, highly available, multi-service environment, with production experience in Ruby on Rails, React, PostgreSQL, and Docker.
• You are comfortable in the cloud.
• You have built on core AWS services and are comfortable working in Azure as well.
• You have built on top of other people's platforms.
• You leverage AI for velocity.
• You are disciplined about scope and sequencing.
• You know how to build in a regulated space.
• You have strong interpersonal skills.

Benefits

• Stock option plan and performance bonus for eligible employees.
• Flexible schedules and remote work.
• Chicago and San Francisco offices available as an option.
• Flexible PTO, within reason.
• Summer Fridays (sign off @ 1pm local time).
• 15+ paid holidays, including Juneteenth, World Mental Health Day, and Carrum Health Day.
• Annual holiday shutdown in December.
• Paid parental leave.
• Health, vision, and dental insurance.
• Employee Assistance Programs (EAP).
• 401K retirement plan.

Company Description

Carrum Health’s mission is to change how we pay for and deliver specialty care. We offer self-insured employers and plan sponsors a value-based specialty care platform that connects their members with a rigorously vetted network of specialty care providers.

Since launching in 2014, we’ve partnered with top-quality providers across the nation including Cleveland Clinic, Johns Hopkins, Mayo Clinic, Stanford Health Care, and a growing network of 1,400+ COEs.

The impact of our platform has been validated by a landmark RAND Corporation study, honored with prestigious awards from institutions like Harvard Business School & Harvard Medical School, and featured as a Harvard Business School case study.

Carrum Health is an equal opportunity employer and encourages all applicants from every background and life experience.