Job Description

Who We Are - Motivated by Purpose. Powered by Clinical Expertise.

Founded in 1983, we’re a clinically driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.

Excellence starts with our people.

We Offer

• A competitive compensation package.
• Benefits include healthcare, vision, and dental insurance, a generous 401(k) match, paid vacation, personal time, and holidays.
• Growth and training opportunities.
• Remote work

Are you a hands-on Engineering Manager with the leadership skills to guide a team delivering and supporting business-critical applications across a diverse technology stack, including Node.js/React, Python, SQL Server, and cloud platforms like Microsoft Azure and Google Cloud Platform (GCP)?

In this role, you'll provide technical leadership for legacy platforms, specifically ColdFusion (CFML) and Windows C++ desktop and service-based applications, with a strong focus on reliability, maintainability, and pragmatic modernization.

Engineering Managers in our organization balance people leadership, delivery ownership, and technical strategy, while remaining close enough to the technology to unblock teams, resolve complex issues, and lead by example.

Key Responsibilities:



People Leadership & Team Execution

• Lead, coach, and mentor engineers; foster a culture of ownership, quality, accountability, and continuous improvement
• Drive predictable delivery through effective planning, execution, risk management, and cross-team coordination
• Remove blockers through active technical engagement, including debugging, design reviews, and rapid problem resolution

Technical Leadership (Hands-on “Player/Coach”)

• Provide architecture and design leadership to ensure solutions are scalable, reliable, secure, and maintainable
• Conduct code and design reviews, reinforcing engineering best practices and sound system design
• Deep dive into complex production issues across frontend, backend, and database layers to restore service and prevent recurrence

Modern Web Development (NodeJS / React / Python / SQL Server)

• Lead development and ongoing support of NodeJS services/APIs and React web applications with clean, extensible architecture
• Oversee SQL Server data design and performance, including schema design, complex queries, stored procedures, and tuning
• Ensure strong API integration patterns (RESTful and internal services), resiliency, and secure-by-design practices

Cloud Leadership (Azure & GCP)

• Lead engineering execution across Azure and GCP environments, including deployment readiness, operational reliability, and scalability
• Promote engineering practices aligned with hosted and cloud-native architectures, high availability, and operational excellence

Legacy Systems Leadership (ColdFusion & Windows C++)

• Provide technical leadership for ColdFusion applications (CFML, CFCs, custom tags, modular design), including integration with modern web stacks
• Lead support and modernization of Windows C++ desktop and service-based applications, including debugging, performance optimization, and reliability improvements
• Guide teams working within legacy codebases while implementing practical modernization steps and maintainable architectures

Delivery, Tooling, and Release Discipline

• Ensure structured engineering workflows using Git-based version control and disciplined release processes
• Partner closely with QA, Product, Infrastructure, and business stakeholders to maintain high quality and release readiness across environments

Key Competencies:

• Hands-on leadership: Engages directly in code, design, and production issues to unblock teams when needed
• Execution discipline: Manages delivery predictably while balancing risk, quality, and stakeholder expectations
• Pragmatic modernization mindset: Stabilizes legacy platforms while progressing toward cleaner, more maintainable architectures
• Strong communication: Clearly translates complex technical topics to both technical and non-technical audiences

Leadership & Project Management

• Proven ability to lead cross-functional teams, mentor engineers, and foster collaboration
• Strong project leadership experience managing multiple initiatives and complex service delivery aligned with business objectives
• Agile Product Management or Agile Leadership certification highly preferred

Work Environment:

Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).

Diversity Statement:

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.



Drug-Free Workplace:

This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.

California Consumer Privacy Act (CCPA) Information (California Residents Only):

• Sensitive Personal Info MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.
• Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.

Requirements

Hard Skills

• 8+ years of professional software engineering experience
• 2+ years of experience leading engineers
• Proficiency in NodeJS
• Proficiency in React
• Proficiency in Python
• Proficiency in SQL Server
• Proficiency in Microsoft Azure and Google Cloud Platform (GCP)
• Proficiency in ColdFusion
• Proficiency in Windows C++

Education

• Bachelor’s degree in Computer Science, Engineering, or Information Technology, or an equivalent combination of education and relevant experience.
• Master’s in Computer Science, Engineering, or Information Technology degree preferred