[Hiring] Sr. Engineering Manager @Fuze Health

Role Description

As the Senior Manager of Engineering at Fuze Health/FuzeRx, you are a pivotal leader within our technology organization, bridging the gap between high-level strategic healthcare objectives and ground-level technical execution. This role sits within our core product engineering hierarchy, reporting directly to the Director/VP of Engineering. You will lead multiple engineering squads, driving the architecture, development, and delivery of secure, scalable software solutions that power our digital pharmacy and API-driven fulfillment platforms. By fostering a culture of operational excellence and engineering rigor leveraging AWS, PostgreSQL, Rails, and Python, this role directly contributes to our mission of simplifying access to medications, improving patient adherence, and streamlining the digital care journey.

Key Responsibilities

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

Qualifications

• 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.
• Strong understanding of complex logistical or transactional systems.

Requirements

• 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.
• Demonstrable expertise in Agile/Scrum methodologies, CI/CD pipeline optimization, and relational database architecture.

Preferred Qualifications

• 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.
• Leading major architecture modernization projects within an AWS ecosystem.

Benefits

• Dental, vision, and multiple group medical plans to choose from.
• 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.
• Flexible vacation time and accrued paid sick time.
• 10 paid holidays, including 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 and 4 weeks paid caregiver leave.
• Monthly Lifestyle Spending Account allowance.

Salary Range

Salary Range: $182,400 - $228,000 USD

Location Requirement

FuzeRx (Truepill / Fuze Care Services) is limited to individuals residing in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington (WA), Wisconsin.

Employment Authorization Requirement

Applicants must be authorized to work for any employer in the U.S. Alto Pharmacy, Fuze Health, LetsGetChecked, and Fuze Care Services cannot take over, transfer, or sponsor any visa type at this time.

Company Description

At Fuze Health, we are committed to fostering an inclusive environment that celebrates diversity in all its forms. We believe that the diversity of thought, background, and experience strengthens our teams and drives innovation. We are an equal-opportunity employer and do not discriminate on the basis of race, ethnicity, religion, color, place of birth, sex, gender identity or expression, sexual orientation, age, marital status, military service status, or disability status. Our goal is to ensure that everyone feels valued and empowered to thrive.