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Engineering Manager
Engineering Manager

Engineering Manager at Adia Health · Remote, Bengaluru (Bangalore) · 8 - 15 years · ₹70L - ₹90L / yr (ESOP available) · Bootstrapped · Remote friendly · Posted 1 Apr 2025

Adia Health's logo

Engineering Manager

Kavita Singh's profile picture
Posted by Kavita Singh
8 - 15 yrs
₹70L - ₹90L / yr (ESOP available)
Remote, Bengaluru (Bangalore)
Skills
Team Management
NodeJS (Node.js)
TypeScript
Amazon Web Services (AWS)
Problem solving
NOSQL Databases
PostgreSQL
Healthcare
Engineering Management
Team leadership

About the company

Adia makes clinicians better diagnosticians.

Adia is set to revolutionize the diagnostic process for both doctors and patients. Leveraging our extensive knowledge and experience in medicine, coupled with advanced technology and AI, we aim to improve diagnostic accuracy while also reducing and optimizing costs. This leads to more satisfied patients, efficient doctors, and less financial burden for all involved. 

Adia enables advanced clinical decision support (CDS) and guides lab test selection and result interpretation by using patient’s data and clinical context. On top of that Adia changes how healthcare providers get paid by combining predictive and guiding diagnostic decisions with medical claim factoring that advances payments to providers. The whole medical journey is getting automated. 

By effectively "underwriting" medical services to confirm payment eligibility from health plans, Adia ensures real-time payments to providers. This frees providers from the uncertainties of payer reimbursements, enabling predictable cash flow for better business management and patient care. 

Adia commits to building products with the latest technology, finest predictive models, LLMs, a comprehensive medical Knowledge Graph, and more.


Visit our website: https://www.adia.ai/


To achieve that we need to build a world-class Financial platform, which can perform financial projections for a lab order in matter of milliseconds and move money between all healthcare actors involved with traceability in place.


What you'll be doing

The ideal candidate will be responsible for managing and inspiring his or her team to achieve their performance metrics. Your collaborative attitude and interpersonal skills will help you thrive as an Engineering Manager.


You will be in charge of building the Financial platform team from scratch. This team will be responsible for covering “Revenue cycle management” and “Money movement” product areas.


Your first 90 days

  • Your first two weeks will focus on onboarding. You'll work on small coding tasks to learn our tech stack, system architecture, and medical domain basics.
  • Next month, you will collaborate with the Product Manager to develop a comprehensive team roadmap and initiate the recruitment process for essential team members.
  • By the end of your third month, you'll have a common managerial routine, including team rituals, one-on-one meetings, planning for future product cycles, and active participation in management team initiatives.


Primary Responsibilities

  • Hiring great talent and adjusting hiring process to meet team’s needs.
  • Planning together with the team a roadmap for product cycles.
  • Manage, coach, and support engineering team. Coaching and growing engineers to the point where they can take large, loosely defined projects, and deliver them with little intervention.
  • Providing feedback on product and technical specs to help engineers identify where to cut scope or improve quality.
  • Fixing small bugs or doing small improvements to our tech stack while staying off the critical path.
  • Communicate team goals and ensure project timelines are met


Requirements

  • At least 12+ years experience in Software development roles
  • 3+ years' experience as Engineering manager.
  • 5+ years experience as Lead Engineer.
  • Proficiency in Node.js, JavaScript, TypeScript, PostgreSQL, NoSQL and Cloud
  • Self motivated , thought leader with proven Engineering leadership skills
  • US Health care domain expertise is preferred
  • Fintech and exposure to payment gateway systems will be added advantage


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About Adia Health

Founded :
2024
Type :
Services
Size :
20-100
Stage :
Bootstrapped

About

Adia is transforming healthcare by combining proprietary clinical AI with instant provider payments, solving both the diagnostic accuracy crisis and the financial barriers that plague medical providers. In an era where traditional clinical decision support systems add complexity to clinicians' workflows, our platform orchestrates and automates the entire diagnostic journey while ensuring providers are paid the moment care is delivered.


Adia's breakthrough lies in seamlessly integrating AI decision automation with instant payment solutions. This combination transforms the diagnostic process from a complex maze into a streamlined experience for both providers and patients. Clinicians can finally practice medicine without administrative constraints, improving diagnostic accuracy while boosting provider profitability.


Our platform increases provider revenue through AI-powered diagnostic recommendations. Adia's clinical intelligence identifies over 40% more medically appropriate tests than traditional practice patterns by analyzing patient data and applying clinically validated protocols. This proactive approach ensures comprehensive patient care while substantially increasing revenue per visit. Combined with instant payments, providers realize immediate financial benefits while delivering superior patient outcomes.

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Roles & Responsibilities

We’re looking for an Engineering Manager who treats engineering management as a systems problem, not a career milestone.

You’ll lead engineers while staying close to the technical core—owning architecture, modeling decisions, and execution quality in a domain where correctness matters as much as velocity.

Technical & Product Ownership

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  • Model complex financial workflows
  • Work deeply on pricing logic, proration, true-ups, multi-currency handling, approval workflows, and event-driven billing pipelines—where small decisions have long-term consequences.
  • Make architectural trade-offs
  • Balance “ship it now” against “live with it forever” while scaling systems that process high-volume usage data and real-time financial calculations.
  • Stay technically fluent
  • You won’t write code every day, but you’ll review PRs, catch subtle bugs, and guide design discussions with confidence.

Team Leadership & Management

  • Lead and grow the engineering team
  • Mentor and manage engineers across experience levels, setting clear expectations and raising the bar on ownership, execution, and quality.
  • Create high-output systems
  • Establish clear problem definitions, focused execution cycles, code reviews that actually catch issues, and enough slack for engineers to think—not just ship.
  • Debug team dynamics like software
  • Observe signals, form hypotheses, intervene deliberately, and measure outcomes—whether the issue is delivery, alignment, or collaboration.
  • Build the team intentionally
  • Design interviews that surface real problem-solving ability, not just pattern matching. At this stage, every hire shifts the average.

Cross-Functional Collaboration

  • Work closely with Product, Finance, and Customer Success to translate real-world contract terms into correct, scalable systems
  • Partner with stakeholders to solve ambiguous problems where requirements evolve and trade-offs are unavoidable
  • Ensure systems remain accurate, auditable, and compliant as the product scales

Ideal Candidate

1Strong Engineering Manager / Lead Profiles

2Mandatory (Experience 1) – Must have minimum 8+ years of overall Software Engineering / Development experience with a strong IC foundation.

3Mandatory (Experience 2) – Must have 2+ years of formal Engineering Manager experience with direct people-management responsibility (informal Senior Engineer / Tech Lead experience managing a team does not count)

4Mandatory (Experience 3) – Must have directly managed 4–6+ engineers, including 1:1s, performance management, growth plans, promotions, mentoring, and team development.

5Mandatory (Experience 4) – Must own technical direction and delivery for an engineering team/pod, including architecture, system design, code/PR reviews, execution planning, and engineering quality.

6Mandatory (Experience 5) – Must have strong backend/software engineering experience with hands-on technical depth in building APIs, services, integrations, and scalable systems; specific language/framework can vary.

7Mandatory (Experience 6) – Must have experience owning production operations, including on-call, incident management, debugging, and postmortems for their area.

8Mandatory (Experience 7) – Must have experience driving cross-functional alignment with Product and Design and translating ambiguous business/product requirements into scalable technical solutions.

9Mandatory (Company) – Must be from a Product Company / Startup, particularly B2B SaaS, Fintech, Payments, or similar technology product environments. (Refer Target Company List)

10Mandatory (Role Fit) – Role is 80% people/team management and 20% technical/IC involvement;

11Preferred (Education) - Tier 1 engineering college


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company logo
Hyderabad
7 - 12 yrs
₹12L - ₹26L / yr
AWS Lambda
Artificial Intelligence (AI)
DynamoDB
TypeScript
React.js
+8 more

Role- Sr Senior Engineer 

Location -Hyderabad 

Shift -Night Shift starts from 8:30 PM IST 


About The Role

As a Senior Engineer on the team, you will own systems end to end across a high-volume, event-driven surface. You'll build the APIs and services behind key initiatives including:


- The driver comms platform — the rules engine, cohorting, and scheduling that reach drivers across SMS, push, and email


 - The onboarding funnel and applicant tracking layer, architected to support Veho's move to an in-house system over time


 - Live selling workflows that turn live offer and market-clearing data into well-timed, well-targeted driver outreach



You'll partner closely with Product, Design, Operations, and Data Science to ship tooling that scales with Veho's growth.


Responsibilities Include:

- Design, build, test, and deploy features across the driver-facing apps (driver mobile app, onboarding and registration surfaces), our GraphQL APIs, and the event-driven services behind them


 - Own a problem end to end: write the design doc your team works from, build it, roll it out behind a feature flag, and stay on it after launch until it is stable


 - Own the driver comms platform — the rules engine, cohorting, and scheduling that decide when to reach a driver over SMS, push, or email, and the delivery services behind it


 - Build the onboarding funnel and applicant tracking layer: registration and set-password flows, consent and eligibility gating, and the integrations that track where every applicant sits in the funnel


 - Build live selling workflows that consume live offer data and market-clearing signals to notify the right driver cohorts only when routes are actually claimable


 - Contribute to architectural decisions and technical design for complex, distributed systems, and architect today's comms and onboarding infrastructure so it supports the eventual in-house replacement of our third-party ATS rather than becoming throwaway work


 - Break a project into milestones your product, design, ops, and data partners can plan against


 - Write correctness-first code in an event-driven system where delivery is at-least-once and no driver may be texted twice about the same route — and where a send must never fire when there is no offer to claim


 - Improve reliability and observability in the services you own, with alerts that fire on real problems and stay quiet otherwise, so an on-call engineer is paged for a broken send pipeline and not for noise


 - Propose the engineering work your team should be doing, including the reliability, data-quality, and compliance work nobody is asking for


 - Use AI-native development workflows and tooling (Claude Code, Cursor, Copilot, and similar) as part of how you ship


 - Mentor the engineers around you, keep the team's code review bar high, and write down what you learn



What You Bring:


- 5–7+ years of experience building, testing, and deploying applications in high-traffic production environments


 - Depth in AWS serverless, including Lambda, a managed GraphQL layer such as AppSync, DynamoDB, EventBridge, and SQS


 - Experience with event-driven systems and the idempotency work that comes with at-least-once delivery — especially in a comms context where duplicate or misfired messages reach real people


 - Strong full-stack experience with TypeScript, Node.js, GraphQL, and React


 - Experience with DynamoDB single-table design


 - Experience integrating with third-party platforms and their webhooks, and keeping the data they produce in sync and trustworthy across services


 - At least one project owned through production rollout, including what broke afterward and who fixed it


 - Experience operating a service in production long enough to own its failure modes


 - Judgment about what a design costs in engineering time, dollars, and vendor commitment


 - A self-starter mindset with the ability to move quickly and ship iteratively, including on migrations, compliance obligations, and the manual steps nobody has automated yet


 - Enthusiasm for working closely with product, design, operations, data science, and support partners


-Tech Stack: AWS, TypeScript, Node.js, React, React Native, GraphQL, DynamoDB, serverless event-driven architecture; 


multi-channel comms (SMS, push, email); Firebase Auth; Statsig for experimentation; Redshift/Databricks-backed data pipelines


Preferred:

 - Experience with applicant tracking / recruiting funnels or other funnel-driven onboarding systems, and the drop-off analysis that improves them


 - Experience with experimentation and analytics infrastructure (Statsig, Fivetran, Redshift, Databricks) to measure and tune what you ship


 - Consent modeling and compliance obligations (e.g., driver terms-and-conditions and messaging consent) that span services

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Shubham Vishwakarma

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