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Nourish is an AI-native digital health platform and the country's largest dietitian-led metabolic health clinic. The company matches patients with 10,000+ Registered Dietitians, physicians, and therapists, delivering insurance-covered care across all 50 states. Founded four years ago, Nourish has completed millions of appointments, achieved 3x year-over-year growth, and partnered with health plans covering 200M+ Americans across 250+ health systems. In 2026, the company raised a $100M Series C (total funding: $215M) 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.
You will lead Operations Engineering, reporting to a Senior Engineering Manager. Your mission is to build the technology and operating systems behind one of the largest healthcare operations in the country, supporting 10,000+ clinicians. You'll reimagine what an AI- and technology-native healthcare operation can look like by using automation to scale beyond traditional healthcare companies and simplifying complex workflows including billing, claims, eligibility, and scheduling for patients and clinicians.
Key responsibilities include:
- Build, lead, and develop a high-performing team of 4–5 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 support
- 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 supporting 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
- 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
Requirements:
- 6+ years of professional software engineering experience with modern full-stack technologies
- 2+ years of hands-on engineering management experience
- Experience hiring engineers and managing performance, promotions, and career development
- Technical depth to pair program with your team and contribute directly when needed
- Exceptional product judgment: ability to write a PRD, critique or mock a design, size an opportunity, and make progress without waiting on a PM
- High proficiency with React, TypeScript, Node.js, PostgreSQL, or similar modern stacks
- Proven track record shipping and owning production systems in fast-moving, ambiguous environments
- Ability to balance people leadership with technical depth, delivery focus, and clear communication
- Alignment with Nourish's mission to improve people's health by making it easy to eat well
Nice to have:
- Backend and workflow-platform experience
- Automation and AI-enabled operations
- Healthcare billing, claims, or eligibility experience
- Internal tools development
- Experience with regulated systems
- Experience designing for reliability, auditability, and complex edge cases
