This position will have an annual salary, plus equity and benefits. Please note the annual salary range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, and competencies.

The Opportunity

Join the team transforming how millions of people access musculoskeletal (MSK) care by building the financial engine that powers our operations. We are seeking a mission-driven Senior Engineering Manager to lead the engineering efforts behind our billing platform. In this role, you will partner closely with Product, Finance, Commercial, and Operations to model contracts, support accurate billing cycles, and apply automation and AI to improve accuracy and efficiency. You will lead a team of 6–10 engineers, establishing high standards for code quality while staying close to the code yourself.

What You'll Accomplish

• Build and empower a high-performing team: Manage the engineering team responsible for revenue-related billing systems. You will ensure strong performance through coaching, mentorship, and by fostering a collaborative, inclusive culture that prioritizes technical excellence and team health.

• Drive operational excellence: Oversee planning workflows—including backlog grooming, sprint prioritization, and retrospectives—to ensure consistent, high-quality delivery. You will continuously improve system reliability, developer velocity, and code quality.

• Bridge engineering and business strategy: Partner with finance, product, operations, and GTM teams to deeply understand revenue workflows. You will deliver systems that support accurate invoicing, compliance, and strategic business decisions, shortening month-end close cycles.

• Lead technical innovation: Direct hands-on involvement in data modeling and service design, establishing SLOs for correctness, timeliness, and availability. You will apply automation and AI where it measurably improves reconciliation, anomaly detection, and operator efficiency.

Who You Are

• Lead at all levels: You take owner-operator pride in your work. You are hands-on and stay close to the code through design reviews, code reviews, and periodic contributions, while also setting a clear vision for your team.

• A "Learn-it-all": You possess a growth mindset and are capable of leveraging AI and automation to solve complex problems. You understand that "how" we build is just as important as "what" we build.

• Effective Communicator: You can navigate complex organizational environments, effectively resolving conflicts and managing resource tradeoffs. You build trust with non-technical partners in Finance and Operations to align on shared goals.

• Accountable: You act in the company’s best interest, ensuring our security and compliance posture meets the highest standards of healthcare (HIPAA, HITRUST, SOC 2).

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.

Basic Qualifications

• Bachelor’s Degree (or equivalent) in Computer Science, Engineering, or related technical field

• 10+ years of experience in the technology industry, with a focus on SaaS products and large-scale, complex systems

• 5+ years of experience managing a team of 6+ engineers

• 4+ years of experience building and operating secure, highly available backend systems with modern languages (e.g., Go, Java, TypeScript/Node, Python)

• Experience building and operating financial systems at scale

Preferred Qualifications

• Hands-on experience scaling contractual variations and supporting financial systems in a SaaS or healthcare environment

• Proficiency in PostgreSQL, understanding data models, and experience with data pipelines

• Knowledge of healthcare billing practices and compliance requirements (e.g., HIPAA, HITRUST)

• Proven track record of leading technical projects and process improvements in complex organizational environments

• Effective conflict resolution and resource management skills to navigate challenging tradeoffs

• Ability to creatively leverage AI to solve complex problems and enhance billing operations

About Hinge Health

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 http://www.hingehealth.com

What You'll Love About Us

• 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.

Culture & Engagement

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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Compensation Range: $251.2K - $376.8K