At 1upHealth, we’re on a mission to unlock health data and empower the future of healthcare through modern, cloud-native data infrastructure and interoperability. We build a platform that enables payers, providers, and digital health companies to ingest, normalize, and exchange clinical and claims data at scale; securely, reliably, and with strong compliance foundations. We are a remote-first U.S. company with a culture focused on collaboration, transparency, and meaningful impact.
Role Summary
We are seeking an experienced Engineering Manager with experience in scaling startups to lead highly skilled and driven development teams to deliver on product and platform excellence. In this role, you will drive people leadership, delivery excellence, and technical strategy alongside Tech Leads, Product partners, and cross-functional teams. You will ensure execution of our product roadmaps, and balance that with technical debt cleanup.
People & Team Leadership
- Lead, mentor, and develop engineers through regular 1:1s, coaching, performance reviews and performance management.
- Foster an inclusive, collaborative, and high-performance engineering culture.
- Hire, onboard, and retain exceptional engineering talent.
Process & Delivery
- Partner with Product and Engineering leadership to build clear, achievable roadmaps and OKRs, and deliver with predictability
- Lead and propose ways to continuously improve our Agile practices and delivery processes across the team
- Track and improve engineering metrics such as code quality, and technical debt.
- Promote strong SDLC practices, including testing, CI/CD, security scanning, and operational readiness
Architecture & Technical Strategy
- Provide technical direction and participate in architectural decision-making for product and platform.
- Collaborate with Tech Leads to design systems that scale with high-volume healthcare data workloads.
- Champion reliability, observability, security, and cost-efficient architecture across services and products
- Ensure alignment with compliance, privacy, and secure development standards.
Cross-Functional Collaboration
- Work closely with Product, Compliance, Operations, and internal engineering teams to understand requirements and define priorities.
- Communicate effectively with both technical contributors and senior leadership.
- Help integrate platform roadmaps and technical strategies with company-wide initiatives.
What We’re Looking For
Core Qualifications
- 5+ years of engineering management experience in cloud-native, data-intensive, or SaaS environments.
- Experience leading exceptional engineers and teams in early-to-mid-stage startups
- Hands-on background as a software engineer or technical lead, with the ability to contribute to technical discussions and trade-offs.
- Strong familiarity with modern cloud infrastructure and infrastructure as code (e.g., AWS, serverless, containers, IaC frameworks).
- Experience leading teams building platform services, data ingestion systems, or large-scale data processing pipelines.
- Demonstrated ability to enforce secure SDLC and DevSecOps best practices.
- Excellent communication skills and cross-functional collaboration abilities.
Nice-to-Haves
- Experience with healthcare data standards (e.g., FHIR, HL7) or compliance frameworks (e.g., HIPAA, HITRUST, SOC2).
- Experience working on products with compliance requirements, ideally for CMS/HHS or other governmental agencies
- Familiarity with data engineering technologies (e.g., Spark, data lake/lakehouse architectures, workflow orchestration).
- Experience working in a remote-first environment and distributed teams.
Why 1upHealth
- Help shape the foundation of a cloud-native healthcare data platform used across the industry.
- Work with modern tooling, distributed systems, and scalable architectures.
- Remote-first culture, flexible work arrangements, and strong benefits.
- Mission-driven work with real impact in healthcare interoperability and data access.
Security Alert: 1upHealth only uses email domains of First Name. Last [email protected] or [email protected] to communicate with prospects. You will never receive an email from a third-party email service such as gmail. In addition, we will never ask a candidate for employment to share personal information (such as banking information, social security numbers, passport, etc), purchase their own equipment, or pay to apply to an open position.
Top Skills
1upHealth Boston, Massachusetts, USA Office
Our headquarters is in the Fort Point neighborhood of Boston. As a distributed company, we designed our office with visitors in mind. With an open floor plan and plenty of space, we encourage our team to use the office for collaboration that is just not the same over video.
Similar Jobs
.png)
What you need to know about the Boston Tech Scene
Key Facts About Boston Tech
- Number of Tech Workers: 269,000; 9.4% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Thermo Fisher Scientific, Toast, Klaviyo, HubSpot, DraftKings
- Key Industries: Artificial intelligence, biotechnology, robotics, software, aerospace
- Funding Landscape: $15.7 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Summit Partners, Volition Capital, Bain Capital Ventures, MassVentures, Highland Capital Partners
- Research Centers and Universities: MIT, Harvard University, Boston College, Tufts University, Boston University, Northeastern University, Smithsonian Astrophysical Observatory, National Bureau of Economic Research, Broad Institute, Lowell Center for Space Science & Technology, National Emerging Infectious Diseases Laboratories
