Engineering Manager

Engineering Manager

Healthcare is broken at the first step: patients can't find the right care, understand what it costs, or access the medications they need. Mochi Health is fixing this.

We're building an AI-driven marketplace that makes healthcare discoverable—connecting patients to the right providers, transparent pharmacy pricing, and affordable medications. Over the past few years, we've grown rapidly by combining clinical expertise with technology that actually works for real people, not just hospital systems.

Our platform does what legacy healthcare can't: it gives patients transparent pricing before they pay, personalized medication management that follows them across providers, and long-term access to their own medical records. We're proving that healthcare can be more affordable, more human, and far more intuitive than what exists today.

Join a team that's rebuilding healthcare from the patient up. At Mochi Health, you'll work alongside people who value bold thinking, inclusive collaboration, and getting meaningful work into the world. If you want to do the most impactful work of your career, this is where to do it.

Location: San Francisco, CA (5 days/week onsite)

At Mochi, our engineering team operates with exceptional leverage. We believe in high talent density, where a focused, pragmatic team powers a profitable, nine‑figure ARR healthcare platform serving hundreds of thousands of patients. We are looking for an Engineering Manager to help us scale, align, and unblock this organization.

Mochi has already helped patients lose over 5 million pounds through metabolic care, and we are now rapidly expanding into the frontiers of preventative healthcare. To support this growth, we are actively leveling up our engineering maturity—pairing our ambitious, early‑career engineers with incoming Senior and Staff‑level talent to build our next generation of clinical systems.

At Mochi, engineering is deeply integrated with our clinical and operational teams. We do not operate in silos. We need an Engineering Manager who is a true collaborative partner: someone who excels at mentoring junior developers, recruiting senior talent, maintaining a culture of high technical craft, and working directly with clinical leadership to co‑design solutions for massive healthcare challenges. If you are a deeply technical leader who meets engineers where they are and cares profoundly about patient outcomes, this is the role.

• Mentor and Scale the Team:
  You will be a hands‑on technical leader who takes deep pride in team growth. While you won't be on the critical path for daily feature delivery, you will be in the codebase—reviewing PRs, pairing with junior engineers to unblock them, and actively recruiting top‑tier Senior and Staff engineers to raise the team's overall technical ceiling.
• Drive Alignment & Velocity:
  You will manage a team with a diverse mix of experience levels. Your job is to provide crystal‑clear business context, ensure technical efforts are perfectly aligned with the product roadmap, and proactively clear organizational roadblocks to maintain relentless shipping velocity.
• Co‑Design the Clinical Product:
  You will partner deeply with Operations, Product, and Clinical leadership. You will act as a collaborative translation layer—distilling complex medical realities and regulatory workflows into clear, pragmatic technical roadmaps for your team.
• Elevate the Craft & Govern AI:
  Mochi is an AI‑first engineering org where developers utilize frontier agentic models (e.g., Codex 5.3, Claude Opus 4.6) daily. You will manage the risks of this high‑speed environment, ensuring AI‑assisted output is rigorously audited for edge cases, performance bottlenecks, and HIPAA compliance, maintaining deep pride in the quality of the systems we build.
• Foster a High‑Ownership Culture:
  You will ensure context is shared fluidly across the entire platform. Through direct feedback, empathetic mentorship, and clear performance management, you will cultivate a team of low‑ego, versatile builders who care deeply about patient outcomes.

• You are a pragmatic team builder and mentor. You have a…