Senior Engineering Manager, Outcomes

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.

• 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.

• 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

• 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

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.

At Hinge Health, we're using technology to scale and automate the delivery of healthcare — starting with musculoskeletal (MSK) conditions, which affect over 1.7 billion people worldwide. With an AI-powered human-centered care model, Hinge Health leverages cutting-edge technology to improve outcomes, experiences, and costs to help people move beyond their pain. The platform addresses a broad spectrum of MSK care — from acute injury, to chronic pain, to post-surgical rehabilitation — through personalized, evidence-based care. As the preferred partner to 50+ health plans, PBMs, and other ecosystem partners, Hinge Health is available to over 20 million people across more than 2,550 employers. The company is headquartered in San Francisco with additional offices in Montreal and Bangalore. Learn more at hingehealth.com.

• Inclusive healthcare and benefits: On top of comprehensive medical, dental, and vision coverage, we offer employees and their family members help with gender-affirming care, tools for family and fertility planning, and travel reimbursements if healthcare isn't available where you live.

• Planning for the future: Start saving for the future with our traditional or Roth 401k retirement plan options which include a 2% company match.

• Modern life stipends: Manage your own learning and development.

Hinge Health is an equal opportunity employer and prohibits discrimination and harassment of any kind. We make employment decisions without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran status, disability status, pregnancy, or any other basis protected by federal, state or local law. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. We provide reasonable accommodations for candidates with disabilities. If you feel you need assistance or an accommodation due to a disability, let us know by reaching out to your recruiter.

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