Based in San Francisco, Arine is a rapidly growing healthcare technology and clinical services company with a mission to ensure individuals receive the safest and most effective treatments for their unique and evolving healthcare needs.

Frequently, medications cause more harm than good. Incorrect drugs and doses costs the US healthcare system over $528 billion in waste, avoidable harm, and hospitalizations each year. Arine is redefining what excellent healthcare looks like by solving these issues through our software platform (SaaS). We combine cutting edge data science, machine learning, AI, and deep clinical expertise to introduce a patient-centric view to medication management, and develop and deliver personalized care plans on a massive scale for patients and their care teams.

Arine is committed to improving the lives and health of complex patients that have an outsized impact on healthcare costs and have traditionally been difficult to identify and address. These patients face numerous challenges including complicated prescribing issues across multiple medications and providers, medication challenges with many chronic diseases, and patient issues with access to care. Backed by leading healthcare investors and collaborating with top healthcare organizations and providers, we deliver recommendations and facilitate clinical interventions that lead to significant, measurable health improvements for patients and cost savings for customers.

Why is Arine a Great Place to Work?:

Outstanding Team and Culture - Our shared mission unites and motivates us to do our best work. We have a relentless passion and commitment to the innovation required to be the market leader in medication intelligence.

Making a Proven Difference in Healthcare - We are saving patient lives, and enabling individuals to experience improved health outcomes, including significant reductions in hospitalizations and cost of care.

Market Opportunity - Arine is backed by leading healthcare investors and was founded to tackle one of the largest healthcare problems today. Non-optimized medications therapies which cost the US 275,000 lives and $528 billion annually.

Dramatic Growth - Arine is managing more than 18 million lives across prominent health plans after only 4 years in the market, and was ranked 236 on the 2024 Inc. 5000 list and was named the 5th fastest-growing company in the AI category.

The Role:

We are seeking an experienced Engineering Manager to lead our Document Engineering team. This is a role for a technically grounded leader who excels at building and developing high-performing teams, driving architectural strategy, and ensuring seamless delivery — without necessarily being in the weeds of day-to-day code. You'll partner closely with engineering leadership, product, and clinical stakeholders to translate complex business needs into scalable technical solutions.

This is the right role for someone who has strong engineering roots but finds their greatest impact through people, process, and strategy.

Key Responsibilities:

People Leadership & Team Development

Manage, mentor, and grow a team of engineers — fostering a culture of ownership, quality, and continuous improvement.
Partner with recruiting to grow the team and assess technical talent.
Run effective team rituals (standups, retrospectives, planning) that keep the team aligned and unblocked.
Act as a shield and advocate for the team, managing competing priorities and protecting focus.

Technical Strategy & Architecture

Serve as the technical voice of the team in cross-functional conversations — you don't need to write every line, but you must understand the systems deeply enough to guide decisions and challenge assumptions.
Oversee architectural decisions for document generation systems that integrate with our data science and clinical platforms.
Champion "Shift Left" engineering culture — driving adoption of static analysis, contract testing, security scanning, and pre-commit standards across the team.

Delivery & Stakeholder Management

Own the team's roadmap and delivery commitments, proactively communicating timelines, blockers, and trade-offs to non-technical stakeholders.
Bridge the gap between business needs and technical feasibility, ensuring engineers have clear context and stakeholders have realistic expectations.
Lead compliance efforts to ensure all document generation processes meet healthcare regulations (HIPAA) and data privacy standards.

Developer Experience & Process

Champion tooling and process improvements that reduce friction and improve team velocity.
Ensure local development environments, CI/CD pipelines, and deployment standards are robust, consistent, and well-maintained.
Identify systemic bottlenecks and drive initiatives to address them — from infrastructure to team workflow.

Required Qualifications:

8+ years of software engineering experience, with at least 3 years in an engineering management or technical lead role overseeing backend/systems teams.
Strong foundation in backend systems and architecture — you've built or overseen complex, scalable systems and can meaningfully evaluate technical approaches.
Familiarity with Python-based backend services and the architectural patterns that support them (you don't need to be writing Python daily, but you must be fluent enough to review, guide, and hire for it).
Experience working in AWS environments (Lambda, API Gateway, DynamoDB) and comfort with serverless and cloud-native architectures.
Proven ability to manage technical delivery in regulated industries (healthcare or finance preferred), with an understanding of compliance and security practices (HIPAA, OWASP, NIST).
Track record of driving engineering culture and process improvements — CI/CD, testing standards, developer experience.

What We're Looking For:

A leader who earns trust through clarity and follow-through, not just technical depth.
Someone equally comfortable in a 1:1 with an engineer and in a roadmap review with a VP.
A manager who gives their team room to own their work while staying close enough to catch risks early.
Someone with strong opinions on engineering quality and standards, who knows how to bring a team along rather than mandate from above.

Remote Work Requirements:

An established private work area that ensures information privacy
A stable high-speed internet connection for telephonic and/or remote work

Perks:

Joining Arine offers you a dynamic role and the opportunity to contribute to the company's growth and shape its future. You'll have unparalleled learning and growth prospects, collaborating closely with experienced Clinicians, Engineers, Software Architects, and Digital Health Entrepreneurs.

The posted range represents the expected base salary range for this position and does not include any other potential components of the compensation package, benefits, and perks. Ultimately, the final pay decision will consider factors such as your experience, job level, location, and other relevant job-related criteria. The base salary range for this position is: $170,000-$190,000/year.

Job Requirements:

Ability to pass a background check
Must live in and be eligible to work in the United States

Information Security Roles and Responsibilities:

All staff at Arine are expected to be part of its Information Security Management Program and undergo periodic training on Information Security Awareness and HIPAA guidelines. Each user is responsible to maintain a secure working environment and follow all policies and procedures. Upon hire, each person is assigned and must complete trainings before access is granted for their specific role within Arine.

Arine is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace where all employees are treated with fairness and respect. We do not discriminate on the basis of race, ethnicity, color, religion, gender, sexual orientation, age, disability, or any other legally protected status. Our hiring decisions and employment practices are based solely on qualifications, merit, and business needs. We encourage individuals from all backgrounds to apply and join us in our mission.

Check our website at https://www.arine.io. This is a unique opportunity to join a growing start-up revolutionizing the healthcare industry!

Job Offers: Arine uses the arine.io domain and email addresses for all official communications. If you received communication from any other domain, please consider it spam.

Note to Recruitment Agencies: We appreciate your interest in finding talent for Arine, but please be advised that we do not accept unsolicited resumes from recruitment agencies. All resumes submitted to Arine without a prior written agreement in place will be considered property of Arine, and no fee will be paid in the event of a hire. Thank you for your understanding.

Engineering Manager

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