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Home / Jobs / OneImaging

Engineering Manager

OneImaging

WorldwideremotePosted 13 days ago
OneImaging logo

Skill Required

Engineering-ManagementBackend-EngineeringHealthcare-TechnologyPlatform-EngineeringSoftware-ArchitectureEngineering-ManagerIT-Engineering-ManagerSoftware-Engineering-ManagerPrincipal-Engineering-ManagerEngineering-Management-JobsEngineering ManagerEngineeringSystem DesignDesign Systemrelated fieldObservabilityCD pipelinesTypeScriptDatabricksPostgreSQLNode.jssecuritybuildingTestNGPythondesignDevOpsCI/CDCloudISO 27001Generative AIAWSandCICDFulltime

Key highlights

  • $140,000 - $190,000 base salary range
  • 8+ years of backend engineering experience required
  • Eligible for equity incentive plans and competitive benefits
  • Familiarity with healthcare data standards (FHIR, HL7, DICOM) required

Role overview

OneImaging operates in the healthcare technology space, focusing on modernizing radiology services with a concierge approach and a premium-quality network of over 5,000 vetted providers. The company helps patients access essential radiology services at fair prices while reducing imaging costs by 60-80%. The Engineering Manager role focuses on healthcare integrations, architecting the platform layer that connects provider networks, care navigator operations, and clinical workflows. This is a senior IC-first role emphasizing direct contribution through coding, system design, and problem-solving as the primary mode of leadership.

Responsibilities

  • Architect and implement backend services that interface with Postgres and Databricks to support business verticals, ensuring scale, reliability, and maintainability
  • Write production-grade code and lead by example
  • Design and oversee data adapters to integrate with external imaging facilities, payers, and TPAs, adhering to health data standards (FHIR/HL7, DICOM)
  • Conduct rigorous code reviews, set coding standards, and foster engineering best practices to ensure high-quality, secure, and compliant codebases
  • Design systems for reliability and graceful degradation as we scale from thousands to millions of orders
  • Extend considerations of fault-tolerance, error reporting, and load and stress testing to existing and new services
  • Establish recovery strategies and observability standards
  • Write clear engineering documentation that outlines architecture choices, technical milestones, and steps required to achieve epic/feature/service goals
  • Mentor backend and full-stack engineers, sharing tools and approaches to improve problem-solving
  • While mentorship is expected, the majority of your time will be spent coding and architecting systems
  • Partner with Product to translate business goals into efficient, value-driven technical solutions
  • Ensure tradeoffs are explicit and that the solution is optimized for the problem, pushing back on instances of incorrect scoping of a solution as needed providing the relevant evidence
  • Collaborate with DevOps to embed CI/CD, observability, security, and cost-transparency into every service

Requirements

  • B.S./M.S. in Computer Science, Engineering, or related field, or equivalent industry experience
  • 8+ years of backend engineering experience with production level software development and architectural responsibilities
  • Strong expertise in Python, TypeScript/Node.js, PostgreSQL
  • Proven ability to design fault-tolerant, high-availability distributed systems and contribute hands-on in codebases
  • Hands-on experience with healthcare data standards (FHIR, HL7, DICOM) and compliance frameworks (HIPAA, SOC-II)
  • Demonstrated ability to mentor engineers without direct management responsibilities
  • Excellent communication skills with the ability to influence both technical and non-technical stakeholders

Nice to have

  • Familiarity with cloud infrastructure (AWS preferred: S3, Fargate, App Runner, Route 53)
  • Experience with CI/CD pipelines, observability platforms, and cost optimization
  • Experience with data pipelines and integrations with our Databricks layer (file ingestion, and BI integration), or equivalent large-scale data platforms
  • Familiarity with DICOM operations, processing, and interfacing with PACS systems
  • Background in healthtech, insurance tech, or other regulated industries
  • Exposure to multi-agent systems (e.g., LLMs, OCR) to streamline workflows

Benefits

  • Eligible to participate in equity incentive plans
  • Competitive benefits plans

Additional details

  • Radiology is the second most used healthcare service, used by over 51% of the workforce annually
  • The process for undergoing a medical imaging exam has remained unchanged for decades before OneImaging's solution
  • OneImaging's solution helps patients and families access essential radiology services at fair prices and without surprise bills
  • The platform delivers immediate savings and ROI for employers and payers on every exam
  • OneImaging is solving healthcare radiology access with a concierge approach and a premium-quality radiology network of over 5,000 vetted providers across 48 states
  • OneImaging reduces imaging costs by 60-80%
  • Base salary range: $140,000 - $190,000
  • Individual compensation depends on various factors, including qualifications, skills, experience, location, and applicable laws
  • Fraud and Security Notice: OneImaging team uses an email domain exclusively; job scam attempts have been reported
  • Equal Employment Opportunity employer with commitments to providing accommodations for qualified individuals with disabilities
  • OneImaging is committed to providing accommodations for qualified individuals with disabilities in the recruiting process

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LocationWorldwide
TypeFulltime
SalaryUSD 140000 - 190000
Posted8/25/2026
Apply by9/22/2026

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