{"id":943677,"url":"https://alion.io/job/nexhealth-platform-engineering-manager-trust-infrastructure","title":"Platform Engineering Manager, Trust Infrastructure","company":{"id":678270,"name":"NexHealth","domain":"nexhealth.com","url":"https://alion.io/company/nexhealth","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Greenhouse","truth_index":{"grade":"A","score":87,"open_postings":47,"ghost_share":0.128,"stale_share":0,"repost_share":0,"time_to_fill_p50_days":90,"computed_at":"2026-11-03T05:54:40Z"}},"role":"Leadership","role_family":"Leadership","seniority":"lead","employment_type":null,"work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"explicit","locations":["Toronto, Canada"],"countries":["CA"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":114000,"max_usd":213000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":51},"experience_years_min":8,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[],"status":"live","first_seen_at":"2026-06-02T17:55:49Z","employer_posted_date":"2026-10-22","last_verified_at":"2026-11-04T05:05:44Z","board_verified":true,"closed_at":null,"days_open":154,"trust":{"level":"ok","repost_count":0,"flags":["company_stale"],"days_open":153},"description":"About NexHealth\nOur healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?\nNexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.\nFounded: 2017\nHeadquarters: San Francisco, CA\nFunding: $177M Series C \nEmployees: 200+\nTrusted by tens of thousands of providers and hundreds of health-tech developers - forging the infrastructure layer that modern healthcare needs\nAbout the Role\nWe are seeking an experienced Engineering Manager to help build and scale our foundational platforms. As NexHealth transforms how healthcare professionals deliver care and patients experience it, our internal systems must deliver top-tier quality and customer value at high velocity. As a leading health tech company, we need to ensure that our customers have only the highest levels of trust in us and our systems-which encompasses data infrastructure, engineering excellence, and product and data security.\nTrue innovation can only be sustained when the supporting systems encourage high-caliber engineering output and enable rapid iteration without incurring massive technical debt. Your team will be responsible for building these systems from first principles-prototyping, productionizing solutions, and creating the rising tide that lifts all boats. Delivering high quality features earlier and with safety and security is what truly makes our customers believe that we are the platform to be on.\nThis role will be based out of Toronto and embraces a hybrid working model that balances remote and onsite work (the specifics of which are at the discretion of NexHealth management). It is an excellent opportunity for a hands-on leader who thrives in a fast-paced environment and is passionate about engineering fundamentals and operational excellence in a complex problem space. No prior experience in health tech is required.\nWhat You’ll Do\nYou'll be NexHealth's first engineering manager based in Canada - setting the technical and cultural tone for what will become a larger team as we expand our footprint north of the border\nHire and develop world-class engineers to build a high-performing team\nSupport engineers in their career growth through mentorship, feedback, and leadership development\nEnsure high technical standards through sound processes (e.g., architecture reviews, testing) and a strong engineering culture\nPartner with engineering and product leadership to define and execute long-term platform roadmaps\nCoordinate execution and collaborate across teams to deliver cross-cutting, high-impact initiatives\nWhat You’ll Bring\nProven track record (6+ years) leading high-performing engineering teams that thrive on innovation\n8+ years of total industry experience in software engineering\nExceptional people leadership skills with experience coaching engineers\nDeep experience delivering large-scale foundational infrastructure\nStrong judgment balancing engineering velocity with long-term technical quality\nExcellent collaboration skills with the ability to partner effectively across Product, Sales, and Customer Success\nDemonstrated ability to define and drive technical and organizational roadmaps\nA builder mindset with a history of scaling teams and systems in fast-paced environments\nStrong ownership and initiative in ambiguous, evolving contexts\nBias for action and data-driven decision making\nFirst-principles thinking applied to both technical and organizational challenges\nDeep care for people development and team health\nAlignment with NexHealth’s core values and mission\nBS/MS in Computer Science or a related field, or equivalent practical experience\nArtificial Intelligence Notice\nArtificial intelligence may be used in the recruitment process for this position to assist in screening, assessing, and/or selecting applicants.\nNexHealth is committed to employment equity and creating an inclusive environment for all employees. We welcome applications from all qualified candidates. We are committed to providing accessible employment practices in compliance with the Ontario Human Rights Code and the Accessibility for Ontarians with Disabilities Act (AODA). If you require accommodation during the hiring process, please let us know.\nCompensation\nActual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.\nNexHealth Compensation Range\n$218,000—$263,000 CAD\nBenefits\nFull Medical, Dental, and Vision (up to 100% covered)\n401K and commuter benefits\nFlexible PTO\nHigh-impact work that directly improves the healthcare experience for millions\nOur Values\nSolve the customer’s problems, not yours When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers.\n\nDo the things others are not willing to do As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. \n\nTake ownership Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses.\n\nSay what’s on your mind, with positive intent Be direct, proactive, transparent, and frequent in your communication.\n\nDefault trust As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster.\n\nThink in first principles We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.\n\nWe are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact  to request assistance.","description_format":"text","description_chars":6745,"description_truncated":false,"requirements":{"experience_years_min":8,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":["401k plan","Dental insurance","Equity","Hybrid work","Stock options"],"hiring_locations":[{"name":"Canada","iso":"CA","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Data & Interoperability","Patient Access & Booking"],"lifecycle":[{"event":"open","at":"2026-09-15T19:42:11Z"}],"visa":[],"liveness":{"score":26,"band":"fade","label":"Fading","p_open":1,"p_active":0.72,"p_room":0.36,"age_days":153,"expected_fill_days":90,"reasons":["conf:1","win:tail","crowd:"],"computed_at":"2026-11-03T05:54:40Z"},"pay":null,"html_url":"https://alion.io/job/nexhealth-platform-engineering-manager-trust-infrastructure","json_url":"https://alion.io/job/nexhealth-platform-engineering-manager-trust-infrastructure.json","meta":{"generated_at":"2026-11-04T05:25:51Z","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":8457,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-05T00:00:00Z"}},"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":678270},"rest":"https://alion.io/mcp/rest/get_company?id=678270"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fnexhealth-platform-engineering-manager-trust-infrastructure"},{"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%2Fnexhealth-platform-engineering-manager-trust-infrastructure"},{"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%2Fnexhealth-platform-engineering-manager-trust-infrastructure"},{"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/nexhealth-platform-engineering-manager-trust-infrastructure\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fnexhealth-platform-engineering-manager-trust-infrastructure"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":943677}},{"tool":"search_jobs","arguments":{"company":"nexhealth.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":943677},"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. Docs: https://alion.io/developers"}}