Engineering Manager leading a backend team of six engineers, reporting to the CTO, with roughly 60% hands-on coding and 40% management. Owns backend architecture, AWS infrastructure, CI/CD, production reliability, and HIPAA/SOC 2 compliance. Stack includes Python/Django, Node.js with TypeScript, PostgreSQL, Terraform, and Kubernetes.
About Us
Axle Health builds AI scheduling and workforce management software to empower in-home healthcare providers to deliver exceptional, personalized care right where patients feel most comfortable—at home.
Some of the biggest providers in the country use our software (like Cityblock Health and U Penn Health System) to improve the utilization of their field teams by 17%+, and automate the operational burden of scheduling and dispatching.
Our platform includes proprietary logistics algorithms to optimize scheduling, a mobile app for field staff, an operations dashboard for office teams, engagement and booking tools for patients, and a wide range of integrations and external APIs for modular access.
We’re a team of top-tier engineers and operators, backed by $14m from top investors such as Y Combinator, Pear VC, and F-Prime, applying our intellect and logistics experience to upend how home healthcare is delivered.
About You - The Role
Axle Health builds AI-powered scheduling and workforce management software for home health organizations. The backend is what everything else depends on: the services and APIs behind every schedule, the infrastructure they run on, and the reliability our customers’ clinicians count on every day. We’re hiring a backend Engineering Manager to lead our backend team of six engineers. You’ll report to our CTO and own the technical direction, delivery, and production health of our backend systems and cloud infrastructure.
This role is roughly 60% hands-on and 40% management. You’ll write, review, and ship code alongside your team while coaching engineers, running delivery across concurrent work streams, and making key hires in your first few months. The person who thrives here wants to stay close to the code and sees that as part of how they lead. You hold a high bar for reliability and code quality, and you’re comfortable making architectural calls quickly in a fast-moving startup environment.
You’ve done this before. You’ve led a backend team of similar size while staying hands-on, owned systems in production through incidents and on-call, and been the person engineers look to for technical direction. You know how to balance shipping quickly with building systems that hold up as customer volume grows.
What You'll Do
Requirements
Tools You'll Use
What We Offer
In addition to offering a competitive salary and equity, we want to ensure every team member has the tools they need to work to the best of their ability. To that end…
We are committed to your Ownership:
We are committed to your Wellness:
We are committed to your Growth:
We are committed to building Community:
Compensation: $200K - $250K