Axle Health

Engineering Manager, Backend Team

Santa Monica HQ. Posted 18 days ago

The role

You will lead a backend team of six engineers and own the technical direction, delivery, and production health of backend systems and cloud infrastructure. The role is roughly 60% hands-on and 40% management.

What you will do

  • Design, write, and review backend code across services and APIs.
  • Manage and grow a team of backend engineers through feedback and coaching.
  • Lead hiring for backend and devops opportunities.
  • Own architecture decisions for high-volume backend systems.
  • Own AWS infrastructure, CI/CD pipelines, and deployment automation.
  • Own production health including monitoring, alerting, on-call, and incident response.
  • Ensure backend systems meet healthcare data security standards like HIPAA and SOC 2.
  • Scope, sequence, and track delivery across concurrent backend work streams.
  • Work with product, front-end engineering, and interoperability teams.
  • Raise the bar on testing, code review, and development process.

Required qualifications

  • 10+ years of software engineering experience
  • 2+ years managing a team of 4-8 engineers while staying hands-on in the code
  • Deep backend expertise in Python/Django and/or Node.js + TypeScript
  • Relational database design and performance tuning in PostgreSQL or similar
  • Accountability for systems in production, including on-call, incident response, observability, and postmortems
  • History of technical leadership driving architecture decisions and setting engineering standards
  • Working knowledge of AWS, CI/CD, and infrastructure-as-code
  • Proven ability to hire, develop, and retain strong engineers
  • Experience at an early or growth stage startup

Nice to have

  • Experience building systems that handle HIPAA-protected data or operate in another compliance-heavy industry (SOC 2, fintech, etc.)
  • Hands-on experience with Terraform, Docker/Kubernetes, and Datadog or similar observability tooling
  • Background in scheduling, logistics, or optimization systems
  • Experience building data pipelines or ETL into cloud data warehouses for analytics and reporting
  • Experience using AI tools like Claude Code or Cursor to speed up development and review workflows

Benefits

  • Equity compensation
  • Medical
  • Dental
  • Vision
  • 401k plan
  • Flexible PTO and sick days
  • Commuter benefits
  • Santa Monica HQ with 180 degree beach views and daily catered lunches
  • Monthly team events, dinners, & happy hours
  • Special team outings

About the company

Axle Health builds AI scheduling and workforce management software to empower in-home healthcare providers. The platform includes proprietary logistics algorithms, a mobile app, an operations dashboard, and engagement tools.