Platform Engineering Manager - Trust Infrastructure

About NexHealth Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room? NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem. Founded: 2017 Headquarters: San Francisco, CA Funding: $177M Series C Employees: 200+ Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs About the Role We are seeking an experienced Engineering Manager to help build and scale our foundational platforms. As NexHealth transforms how healthcare professionals deliver care and patients experience it, our internal systems must deliver top-tier quality and customer value at high velocity. As a leading health tech company, we need to ensure that our customers have only the highest levels of trust in us and our systems—which encompasses data infrastructure, engineering excellence, and product and data security. True innovation can only be sustained when the supporting systems encourage high-caliber engineering output and enable rapid iteration without incurring massive technical debt. Your team will be responsible for building these systems from first principles—prototyping, productionizing solutions, and creating the rising tide that lifts all boats. Delivering high quality features earlier and with safety and security is what truly makes our customers believe that we are the platform to be on. This role will be based out of Toronto or Vancouver and embraces a hybrid working model that balances remote and onsite work (the specifics of which are at the discretion of NexHealth management). It is an excellent opportunity for a hands-on leader who thrives in a fast-paced environment and is passionate about engineering fundamentals and operational excellence in a complex problem space. No prior experience in health tech is required. What You’ll Do You'll be NexHealth's first engineer based in Canada — setting the technical and cultural tone for what will become a larger team as we expand our footprint north of the border Hire and develop world-class engineers to build a high-performing team Support engineers in their career growth through mentorship, feedback, and leadership development Ensure high technical standards through sound processes (e.g., architecture reviews, testing) and a strong engineering culture Partner with engineering and product leadership to define and execute long-term platform roadmaps Coordinate execution and collaborate across teams to deliver cross-cutting, high-impact initiatives What You’ll Bring Proven track record (6+ years) leading high-performing engineering teams that thrive on innovation 8+ years of total industry experience in software engineering Exceptional people leadership skills with experience coaching engineers Deep experience delivering large-scale foundational infrastructure Strong judgment balancing engineering velocity with long-term technical quality Excellent collaboration skills with the ability to partner effectively across Product, Sales, and Customer Success Demonstrated ability to define and drive technical and organizational roadmaps A builder mindset with a history of scaling teams and systems in fast-paced environments Strong ownership and initiative in ambiguous, evolving contexts Bias for action and data-driven decision making First-principles thinking applied to both technical and organizational challenges Deep care for people development and team health Alignment with NexHealth’s core values and mission BS/MS in Computer Science or a related field, or equivalent practical experience Artificial Intelligence Notice Artificial intelligence may be used in the recruitment process for this position to assist in screening, assessing, and/or selecting applicants. NexHealth is committed to employment equity and creating an inclusive environment for all employees. We welcome applications from all qualified candidates. We are committed to providing accessible employment practices in compliance with the Ontario Human Rights Code and the Accessibility for Ontarians with Disabilities Act (AODA). If you require accommodation during the hiring process, please let us know. Compensation Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance. NexHealth Compensation Range $185,800 — $307,800 CAD Benefits Full Medical, Dental, and Vision (up to 100% covered) 401K and commuter benefits Flexible PTO High-impact work that directly improves the healthcare experience for millions Our Values Solve the customer’s problems, not yours When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. Do the things others are not willing to do As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. Take ownership Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. Say what’s on your mind, with positive intent Be direct, proactive, transparent, and frequent in your communication. Default trust As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. Think in first principles We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact [email protected] to request assistance.