Sr. Manager, Engineering

What You'll Do

Strive Health is building enterprise-grade technology to operate kidney care services at scale. The Sr. Manager, Engineering leads a high-performing, mixed-discipline team of Software Engineers and Data Engineers — driving delivery predictability, engineering quality, and adoption of AI-assisted development practices. This role reports directly to the VP, Engineering.

The Day to Day

• Lead and develop a team of Software and Data Engineers spanning multiple pods — providing regular coaching, performance feedback, and career development guidance across a range of seniority levels. Accountable for sustaining ≥80% on-time delivery against sprint commitments and initiative targets.
• Own engineering delivery process health across teams — including sprint goal stewardship, sprint capacity planning, and cross-team delivery accountability in the absence of dedicated Scrum Masters.
• Drive adoption of quality engineering standards including TDD, BDD, or spec-driven development, with a goal of reducing P0 through P2 production incidents.
• Accelerate the team’s AI-assisted development capabilities — including Claude Code and other AI tooling — to reduce overhead and improve engineering throughput in service of Strive’s goal of 2+ hours of weekly time savings per engineer.
• Partner with the VP, Engineering to co-create engineering strategy and translate it into actionable execution plans; represent the engineering function in cross-functional forums with Product, Clinical, and business stakeholders.
• Serve as the engineering owner for Health Cloud support triage — including Salesforce admin access management, ticket submission, and ensuring issues are routed, owned, and resolved within engineering.
• Manage hiring, headcount planning, and team structure for the engineering function in partnership with the VP, Engineering and People Business Partner.
• Meet in person with internal and/or external stakeholders to facilitate team and business priorities/opportunities. Business travel may be required for opportunities to connect with stakeholders, serve patients, and attend Strive-sponsored team events.

Qualifications

Minimum:

• 9+ years combined of related education, experience, or certification in software engineering, data engineering, or a closely related field.
• 3+ years of experience leading engineering teams, including direct accountability for performance management, career development, and hiring.
• High school diploma or GED equivalent.
• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.
• Ability to travel and be onsite to meet business needs.

Preferred:

• Bachelor’s Degree in Computer Science or related field.
• Experience leading mixed-discipline teams spanning both software and data engineering.
• Familiarity with healthcare data standards and systems (e.g., HL7, FHIR, EHR/EMR platforms, claims data).
• Hands-on experience with AI-assisted development tools (e.g., Claude Code, GitHub Copilot, Cursor) and a track record of driving team adoption of new tooling.
• Experience with Agile delivery models (Scrum and/or Kanban) and coaching teams on delivery discipline.
• Cloud-native engineering background, preferably on AWS.
• Working knowledge of the data stack: partner files, schemas, configs, dbt/models, and AWS services (S3, Bedrock, Step Functions, Redshift, RDS).
• Technical leadership in execution, meaning you unblock others by clarifying scope, priority, and next steps.

About You

• You find more satisfaction in seeing your engineers grow than in writing code yourself — people development is your primary lever.
• You give direct, timely performance feedback to your engineers — including hard conversations about gaps and growth edges — and you don’t wait for formal review cycles to do it.
• You’re comfortable operating without a Director layer between you and the VP — you take initiative, make decisions with appropriate autonomy, and bring the right level of signal upward.
• You hold yourself and your team to clear expectations and follow through — delivery discipline isn’t bureaucracy to you, it’s respect for the business and the patients we serve.
• You’re energized by the mission — you connect engineering craft to patient and clinician outcomes, not just technical metrics.
• You see Strive’s current scale as an opportunity to build the right patterns early, before they become harder to change.

Annual Base Salary Range: $130,000 - $163,000. This position is also eligible for a target annual bonus of 15%