Engineering Manager, Operations
San Francisco, CA - USA
Job Summary
Health is the most important thing in life and the American healthcare system is completely broken - poor outcomes high cost bad patient experience. Were building a new system from the ground up.
Our mission is to improve peoples health by making it easy to live a healthy lifestyle.
Nourish is the countrys largest dietitian-led metabolic health clinic. Were an AI-native digital health system matching patients with 10000 Registered Dietitians physicians medications lab testing and AI agents to deliver insurance-covered care across all 50 states. Founded four years ago weve completed millions of appointments tripled year-over-year and partnered with health plans covering 200M Americans across 250 health systems.
In 2026 we raised a $100M Series C bringing total funding to $215M. The round was led by Menlo Ventures with participation from Thrive Capital Index Ventures J.P. Morgan Growth Equity Partners Maverick Ventures Y Combinator BoxGroup Atomico Daybreak and Operator Partners.
Learn more about our Series C here: Nourish Blog Bloomberg Fierce Healthcare Digital Native The Pulse Podcast.
This is not a job for everyone. We hold an extremely high bar because we believe talent density is our biggest competitive advantage. Were looking for people who actively choose hard ambiguous problems who run toward unglamorous work give and receive candid feedback and bring relentless resilience without the ego. Our work is important but we are not self-important. We do this because were solving one of the hardest problems in the world and the problem matters. If thats you we disproportionately reward it.
Nourish is seeking a hands-on Engineering Manager to lead Operations Engineering. Reporting to Senior Engineering Manager youll help build the technology and operating systems behind one of the largest healthcare operations in the country supporting more than 10000 clinicians across dietitians physicians and therapists.
Youll reimagine what an AI- and technology-native healthcare operation can look likeusing automation to scale unlike traditional healthcare companies and making notoriously complex workflows including billing and claims feel simple to patients and clinicians.
This is a full-time role. We strongly prefer candidates based in New York City or San Francisco with exceptions for truly exceptional candidates. Check out Engineering at Nourish to learn more about our team and what weve already built.
- Build lead and develop a high-performing team of 45 engineers with strong technical ownership.
- Coach engineers through regular feedback career development calibration and performance management.
- Scale the team through recruiting interviewing hiring and onboarding.
- Stay hands-on through architecture pair programming coding code reviews and on-call.
- Partner with product and design to write requirements shape roadmaps scope work plan sprints and deliver measurable outcomes.
- Drive thoughtful decisions around system design code quality observability reliability and scalability.
- Establish effective team rituals including sprint planning OKR planning and reporting quarterly planning and retrospectives.
- Operate with urgency and sound judgment in a fast-paced ambiguous environment.
- Set the technical direction for systems that support large-scale clinical and business operations.
- Automate manual workflows and design exception-handling systems that increase operational leverage without sacrificing accuracy or patient trust.
- Simplify billing claims eligibility scheduling and other complex healthcare workflows for patients clinicians and internal operators.
- Partner closely with business operations strategy finance clinical product and analytics teams to identify bottlenecks and measure business impact.
- Build reliable auditable systems that can safely scale through rapid growth and regulatory complexity.
- Have 6 years of professional software engineering experience with modern full-stack technologies and 2 years of hands-on engineering management experience.
- Have hired engineers and managed performance promotions and career development.
- Remain technical enough to pair program with your team and contribute directly when needed.
- Bring exceptional product judgment: you can write a PRD critique or mock a design size an opportunity and make progress without waiting on a PM.
- Are highly proficient with React TypeScript PostgreSQL or similar modern stacks.
- Have shipped and owned production systems in a fast-moving ambiguous environment.
- Balance people leadership with technical depth delivery focus and clear communication.
- Are energized by Nourishs mission to improve peoples health by making it easy to eat well.
- Backend and workflow-platform experience.
- Automation and AI-enabled operations.
- Healthcare billing claims or eligibility.
- Internal tools.
- Regulated systems.
- Experience designing for reliability audibility and complex edge cases.
Nourish is on a mission to improve peoples health by making it easy to eat well. Nutrition-related chronic disease is the largest and most overlooked crisis in the world and food can be medicine. Were building an AI-native patient-friendly healthcare system centered on nutritionlive in all 50 states with thousands of dietitians and hundreds of thousands of patients on the platform.
Weve partnered with national health insurers and provider groups raised substantial funding from top-tier investors and are rapidly scaling our teams to build technology that transforms how people engage with their health.
In 2026 we raised a $100M Series C bringing total funding to $215M. The round was led byMenlo Ventures with participation fromThrive CapitalIndex VenturesJ.P. Morgan Growth Equity PartnersMaverick VenturesY CombinatorBoxGroupAtomicoDaybreak andOperator Partners.
Learn more about our Series C here: Nourish Blog Bloomberg Fierce Healthcare Digital Native The Pulse Podcast.
This is not a job for everyone. We hold an extremely high bar because we believe talent density is our biggest competitive advantage. Were looking for people who actively choose hard ambiguous problems who run toward unglamorous work give and receive candid feedback and bring relentless resilience without the ego. Our work is important but we are not self-important. We do this because were solving one of the hardest problems in the world and the problem matters. If thats you we disproportionately reward it.
Nourish is seeking a hands-on Engineering Manager to lead Provider Supply. Reporting to Sarah J youll own the team responsible for ensuring Nourish has the provider capacity to meet growing patient demand and that providers can build predictable rewarding careers on the platform.
Your team owns technology across the provider journey from application and onboarding through scheduling productivity earnings and retention. Youll grow provider supply through two primary levers: helping existing providers operate at their full potential and creating a seamless high-converting path for new providers to join and activate on Nourish.
This team is tackling a foundational challenge for Nourish: scaling our provider network to serve patients across the country. First were rebuilding the scheduling and capacity system so providers can set achievable caseload goals trust Nourish to fill their calendars and earn predictably. Second were transforming application through activation from a human-heavy recruiting process into a thoughtful product-led experience with data and automation handling repetitive work while people step in at the moments where they have the greatest impact on supporting providers in their onboarding at Nourish.
This is a hands-on leadership role for someone who enjoys developing engineers shaping products remaining close to architecture and implementation and the details of marketplace dynamics. Youll work closely with provider recruiting onboarding provider strategy product design data and finance to build systems that balance patient access provider experience and business performance.
This is a full-time role. We strongly prefer candidates based in New York City or San Francisco with exceptions for truly exceptional candidates. Check out Engineering at Nourish to learn more about our team and what weve already built.
- Build lead and develop a high-performing team of 46 engineers with strong technical ownership.
- Coach engineers through regular feedback career development calibration and performance management.
- Scale the team through recruiting interviewing hiring and onboarding.
- Stay hands-on through architecture pair programming coding code reviews and on-call.
- Partner with product and design to write requirements shape roadmaps scope work plan sprints and deliver measurable outcomes.
- Drive thoughtful decisions around system design code quality observability reliability and scalability.
- Establish effective team rituals including sprint planning OKR planning and reporting quarterly planning and retrospectives.
- Operate with urgency and sound judgment in a fast-paced ambiguous environment.
- Set the technical and product direction for Nourishs provider supply platform.
- Build scheduling and capacity systems that help providers set achievable caseload goals manage their availability fill open appointments and earn predictably.
- Improve the provider application-to-activation funnel through experimentation automation lifecycle-based referrals and thoughtfully designed recruiting and onboarding experiences.
- Create human-in-the-loop systems that automate repetitive operational work and direct recruiting and operations teams toward the highest-value interventions.
- Build the data foundations needed to understand provider capacity forecast supply measure funnel conversion and make effective marketplace decisions.
- Connect improvements in provider growth and productivity to patient access provider retention operational efficiency and Nourishs ability to scale.
- Partner closely with provider recruiting onboarding strategy operations product design data finance and clinical leadership.
- Have 6 years of professional software engineering experience with modern full-stack technologies and 2 years of hands-on engineering management experience.
- Have hired engineers and managed performance promotions and career development.
- Remain technical enough to pair program with your team and contribute directly when needed.
- Bring exceptional product judgment: you can write a PRD critique or mock a design size an opportunity and make progress without waiting on a PM.
- Are highly proficient with React TypeScript PostgreSQL or similar modern stacks.
- Have shipped and owned production systems in a fast-moving ambiguous environment.
- Are comfortable using data and experimentation to improve complex funnels workflows or marketplace systems.
- Balance people leadership with technical depth delivery focus and clear communication.
- Are energized by Nourishs mission to improve peoples health by making it easy to eat well.
- Backend and workflow-platform experience
- Automation and AI-enabled operations
- Healthcare billing claims or eligibility
- Internal tools
- Regulated systems
- Experience designing for reliability auditability and complex edge cases.
Required Experience:
Manager
About Company
Achieve your desired health and wellness through personalized nutrition counseling. Nourish is the easiest way to find a registered dietitian and get it covered by your insurance. Find a dietitian today and start your telehealth appointments.