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Senior Engineering Manager, Business Systems & Tools

NexHealth

NexHealth

Software Engineering, Other Engineering
San Francisco, CA, USA
Posted on May 9, 2025

Senior Engineering Manager at NexHealth - Business Systems & Tools

You’ll build and lead our Business Systems engineering team - a core pillar that links Product, Engineering, Sales, Customer Success, and Support. This team powers seamless experiences for our 190 employees and over 14,000 provider practices by owning our BackOffice Rails app, HubSpot CRM, Intercom support platform, and our middleware. Success means recruiting and mentoring top engineers, fully automating the customer journey from first-touch through continued support, and surfacing real-time insights that enable every team to move faster and smarter.

What You’ll Do

  • Lead and grow your team. Recruit and hire top-tier talent. Set the technical bar for the team and hold them accountable.
  • Technical and systems ownership. Drive and review the systems architecture and code solutions. Scale our middleware solutions to enable systems expansion.
  • Deliver cross-systems initiatives. Automate our GTM motions to manual onboarding, billing and handoffs. Partner with Product, CS, and Sales to translate needs into robust solutions.

What You’ll Bring

  • 8+ years of experience as a software engineer, with 2+ years managing or technically leading small teams.
  • Proven track record of hiring and coaching senior engineers
  • Deep experience in integrating SaaS Platforms (Hubspot, Intercom, Salesforce, Stripe) into custom apps
  • Expert in large scale production applications and their supporting technologies (we use Ruby on Rails, Sidekiq, PostgreSql (RDS/Aurora), AWS cloud infrastructure)
  • Strong systems thinker that thrives in ambiguous high-leverage projects.
  • A vision for what great software and great engineering looks like, and the technical expertise and leadership skills to make that vision a reality.
  • Excellent written and verbal communication skills. You can communicate technical concepts to business stakeholders, engineering, and our GTM teams.

Engineering Principles

As Nexers, we are strong owners and first principle thinkers who can execute and deliver fast, hungry for learning and personal growth, and we make sure the company succeeds above all else.

As such, our culture is shaped with the following principles:

  • Strong ownership: Knows what needs to be done, and gets it done with little or no oversight.
  • Bias for action: Outcome oriented. Delivers results fast.
  • Acts with first principles: Describes the ideal end state with first principles, and helps us get there fast.
  • Growth mindset. Hungry for learning and personal growth.
  • Company first: Does whatever is right for the company and our customers.