{"id":3375352,"url":"https://alion.io/job/axle-health-engineering-manager-backend-team","title":"Engineering Manager, Backend Team","company":{"id":669653,"name":"Axle Health","domain":"axlehealth.com","url":"https://alion.io/company/axlehealth","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":{"grade":"B","score":83,"open_postings":3,"ghost_share":0,"stale_share":0.667,"repost_share":0,"time_to_fill_p50_days":null,"computed_at":"2026-10-30T05:48:23Z"}},"role":"Leadership","role_family":"Leadership","seniority":"lead","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Santa Monica, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":200000,"max":250000,"currency":"USD","period":"year","gross":null,"usd_annual":250000},"salary_estimate":null,"experience_years_min":10,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[{"name":"AWS","optional":false},{"name":"CI/CD","optional":false},{"name":"Django","optional":false},{"name":"HIPAA","optional":false},{"name":"Node JS","optional":false},{"name":"PostgreSQL","optional":false},{"name":"Python","optional":false},{"name":"SOC 2","optional":false},{"name":"TypeScript","optional":false},{"name":"Claude Code","optional":true},{"name":"Cursor","optional":true},{"name":"Datadog","optional":true},{"name":"Docker","optional":true},{"name":"ETL/ELT","optional":true},{"name":"Express","optional":true},{"name":"Git","optional":true},{"name":"GitHub","optional":true},{"name":"GraphQL","optional":true},{"name":"JavaScript","optional":true},{"name":"Kubernetes","optional":true},{"name":"Terraform","optional":true}],"status":"live","first_seen_at":"2026-10-28T00:59:33Z","employer_posted_date":"2026-10-28","last_verified_at":"2026-10-30T06:39:32Z","board_verified":true,"closed_at":null,"days_open":2,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":2},"description":"About Us\nAxle 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.\nSome 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.\nOur 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.\nWe’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.\nAbout You - The Role\nAxle 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.\nThis 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.\nYou’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.\nWhat You'll Do\nHands-On Engineering: Spend the majority of your time designing, writing, and reviewing backend code across our services and APIs, and set the standard for quality through your own work.\n\nTeam Leadership and Development: Manage and grow a team of backend engineers through regular feedback, coaching, and clear expectations for what great work looks like.\n\nHiring: Lead hiring for our backend and devops opportunities.\n\nBackend Architecture: Own architecture decisions for high-volume backend systems, including service design, data modeling, API and SDK design, and performance, so the platform scales reliably with our customers.\n\nInfrastructure and DevOps: Own our AWS infrastructure, CI/CD pipelines, and deployment automation, and drive DevOps maturity as the team grows.\n\nReliability and Observability: Own production health for backend systems, including monitoring, alerting, on-call, incident response, and postmortems that lead to real fixes.\n\nSecurity and Compliance: Make sure backend systems and infrastructure meet healthcare data security standards, including HIPAA and SOC 2, from design through deployment.\n\nProject and Timeline Management: Scope, sequence, and track delivery across concurrent backend work streams, keep stakeholders informed, and keep commitments realistic.\n\nCross-Functional Partnership: Work closely with product, front-end engineering, and our interoperability team to turn requirements into well-scoped technical plans and keep shared systems running smoothly.\n\nEngineering Standards: Raise the bar on testing, code review, and development process so the team ships quickly without sacrificing reliability.\n\nRequirements\nMust Haves\n10+ years of software engineering experience, including 2+ years managing a team of 4-8 engineers while staying hands-on in the code\n\nDeep backend expertise in Python/Django and/or Node.js + TypeScript, including relational database design and performance tuning in PostgreSQL or similar\n\nProduction ownership: you’ve been accountable for systems in production, including on-call, incident response, observability, and postmortems\n\nA history of technical leadership: driving architecture decisions, setting engineering standards, and building consensus on hard technical tradeoffs\n\nWorking knowledge of AWS, CI/CD, and infrastructure-as-code, enough to own infrastructure decisions directly\n\nProven ability to hire, develop, and retain strong engineers\n\nExperience at an early or growth stage startup: comfortable building structure where none exists and making judgment calls without a playbook\n\nNice to Have\nExperience building systems that handle HIPAA-protected data or operate in another compliance-heavy industry (SOC 2, fintech, etc.)\n\nHands-on experience with Terraform, Docker/Kubernetes, and Datadog or similar observability tooling\n\nBackground in scheduling, logistics, or optimization systems\n\nExperience building data pipelines or ETL into cloud data warehouses for analytics and reporting\n\nExperience using AI tools like Claude Code or Cursor to speed up development and review workflows\n\nTools You'll Use\nDjango + Python 3\n\nNode.js / ExpressJS + TypeScript\n\nGraphQL\n\nPostgreSQL\n\nAWS\n\nTerraform, Docker / Kubernetes\n\nDatadog\n\nGit / GitHub / Graphite\n\nClaude Code and Cursor\n\nWhat We Offer\nIn 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…\nWe are committed to your Ownership:\nWe cultivate an environment where team members feel ownership over the work they do. Everyone in an organization has big ideas and we want to hear them and implement them.\n\nAll of our employees have equity compensation. We want you to benefit from all the hard work you do in helping patients and catalyzing this shift in healthcare.\n\nWe are committed to your Wellness:\nMedical, Dental, Vision\n\n401k plan\n\nFlexible PTO and sick days\n\nCommuter benefits\n\nSanta Monica HQ with 180 degree beach views and daily catered lunches\n\nWe are committed to your Growth:\nFast paced work environment geared towards professional growth\n\nGet the chance to move roles within the organization to learn new skills and continue to make an impact\n\nWe are committed to building Community:\nMonthly team events, dinners, & happy hours\n\nSpecial team outings - some past events have included: yacht cruises, visits to Universal Studios, Magic Castle, and Vegas","description_format":"text","description_chars":6696,"description_truncated":false,"requirements":{"experience_years_min":10,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["401k plan","Equity"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["HR & Payroll Software","Scheduling & Booking Software"],"lifecycle":[{"event":"open","at":"2026-10-28T02:34:32Z"}],"visa":[],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":2,"expected_fill_days":30,"reasons":["conf:3","win:early"],"computed_at":"2026-10-30T05:48:23Z"},"pay":{"stated_usd_annual":250000,"is_top_pay":true},"html_url":"https://alion.io/job/axle-health-engineering-manager-backend-team","json_url":"https://alion.io/job/axle-health-engineering-manager-backend-team.json","meta":{"generated_at":"2026-10-30T10:46:42Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":15581,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-31T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":669653},"rest":"https://alion.io/mcp/rest/get_company?id=669653"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Faxle-health-engineering-manager-backend-team"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Faxle-health-engineering-manager-backend-team"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Faxle-health-engineering-manager-backend-team"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/axle-health-engineering-manager-backend-team\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Faxle-health-engineering-manager-backend-team"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3375352}},{"tool":"search_jobs","arguments":{"company":"axlehealth.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3375352},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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