Senior Engineering Manager, Outcomes

The Opportunity

Pain reduction isn't a vanity metric at Hinge Health - it's the mission. The Outcomes pod owns the member-facing surfaces that make clinical progress visible (pain logging, health assessments, outcomes visualization) and the Assessment Service, the company-wide platform that powers every structured survey and PROM across Migraine, Perisurgical, Women's Pelvic Health, and beyond.

As the Engineering Manager for this team, you'll lead 8 engineers at the intersection of consumer product craft, clinical measurement rigor, and platform engineering - turning clinical signal into product bets and operating the infrastructure the entire organization depends on.

In your first 3 months, you will

• Build trusted partnerships with your PM, Data Scientist, and cross-neighborhood engineering leads. Understand the full stack - from the React Native client (phoenix) through phoenix-bff to assessment-service - and complete your first code reviews and PR merges.
• Audit the current Assessment Service roadmap, catalog inbound requests from partner pods (Migraine, Perisurgical, Enrollment), and establish a transparent prioritization framework that balances internal roadmap with external partner needs.
• Immerse yourself in the team's experimentation culture: review active A/B tests on pain logging cadence and member engagement, and set expectations for rigorous go/no-go criteria going forward.

In your first 6 months, you will

• Ship at least one experiment that demonstrably moves a core clinical metric - pain reduction, survey engagement, or PSFS improvement - and build the analytical discipline so results are trusted org-wide.
• Define and publish contribution patterns for the Assessment Service so partner pods can extend the platform without creating bottlenecks, reducing ad-hoc cross-team coordination overhead.
• Deepen the pod's AI-native development practices - expanding use of autonomous agents, CI-enforced harness engineering patterns, and developer tooling that increases engineering throughput.

In your first year, you will

• Own the outcomes product surface end-to-end: pain logging UX, progress tracking, outcomes visualization, and health assessment experiences that members love and clinicians trust.
• Ensure Outcomes data is a durable company asset - well-modeled, well-documented, and wired into the clinical and commercial reporting stack - not just a sprint metric.
• Grow and develop a high-performing team, raising the engineering bar through hiring, mentorship, and career-ladder progression while sustaining a culture that values both clinical impact and platform reliability.
• Participate in the team’s weekly on-call rotation, helping ensure the reliability and timely support of the systems we build.

Who You Are

• A builder who stays close to the code. You're a hands-on engineering leader (~15% IC time) who reviews PRs, contributes architecture input, and earns trust through technical credibility - not just org-chart authority. You embody Hinge Health's Lead at All Levels principle.
• A systems thinker with product instincts. You can reason across service architecture, data modeling, and client-side UX tradeoffs - and you know when a platform decision will ripple across a dozen downstream consumers.
• An experiment-minded operator. You don't just ship features; you design bets, define success criteria, and hold the team accountable to outcomes. You exemplify Hustle - measuring yourself by results and impact, not actions or good intentions.
• A cross-functional partner. You communicate clearly across engineering, clinical, data science, and product teams to align on shared goals - demonstrating Effective Communication and Accountability.

Basic Requirements

• Bachelor's degree in Computer Science, Engineering, or a related technical field
• 3+ years of experience managing a team of 5+ engineers in a product or platform engineering environment
• Full-stack or backend-heavy engineering background, with the ability to reason about service architecture, data modeling, and client-side UX tradeoffs
• Experience owning a shared platform or service consumed by multiple internal teams - with the judgment to balance internal roadmap with external partner needs
• Track record of running experiments and reasoning about outcomes metrics - not just shipping features

Preferred Requirements

• Clinical or Health Data Experience: Familiarity with PROMs, clinical outcomes measurement, or regulated health data (HIPAA); ability to partner credibly with clinical stakeholders on what to measure and how
• Assessment or Survey Systems: Experience building or operating structured data collection systems - survey flows, configurable templates, response validation, and downstream data pipelines
• Server-Driven UI / Configurable Layouts: Familiarity with SDUI patterns for forms and assessment experiences; bonus if in a mobile context
• React Native / Mobile: Working knowledge of React Native or equivalent mobile development experience
• AI-Native Development Practices: Active use of Cursor, Claude Code, or equivalent tools as part of the engineering workflow; experience building or maintaining CI-enforced harness engineering patterns

Hinge Health Hybrid Model

• We believe that remote work and in-person work have their own advantages and disadvantages, and we want to be able to leverage the best of both worlds.
• Employees in hybrid roles are required to be in the office 3 days per week, for the full 8 hours of a typical business day.
• The San Francisco office has a dog-friendly workplace program.

Culture & Engagement

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