Senior Engineering Manager, Interoperability

Company Overview

b.well is solving healthcare's fragmentation problem with our FHIR-based health data management platform. The platform connects data from EHRs, wearables, portals, and other sources, while our intelligence engine personalizes the consumer experience. By simplifying the complex healthcare ecosystem, we make it easy and convenient for consumers to engage and take action—whether it's scheduling care, setting reminders, accessing health data, and more. For our clients, this means better health outcomes, operational efficiency, and stronger consumer engagement.

Position Overview

b.well is seeking a Senior Engineering Manager to lead our Data Interoperability team. This is a strategic leadership role for someone who can operate at both the organizational and technical level: building and scaling a high-performing engineering team, establishing the processes and culture that let that team execute at a high bar, and staying close enough to the technical details of FHIR, healthcare APIs, and data pipelines to make sound architectural calls and represent the team credibly with clinical, product, and executive stakeholders.

This leader will own the people and delivery strategy for the team responsible for building and maintaining real-time data pipelines and infrastructure that connect to thousands of healthcare data sources nationwide, bringing together a person's full health record in one place.

What You'll Do

Team Leadership & People Management

Build, scale, and lead a team of data and interoperability engineers, including hiring, onboarding, and structuring the team to match growing scope
Own performance management, career development, and growth planning for direct reports; create clear paths for ICs to grow into senior and staff roles
Coach engineers and any team leads on technical judgment, communication, and delivery ownership; run the cadence of 1:1s, performance conversations, and promotion advocacy that builds a strong bench
Establish team culture, working norms, and cross-functional processes that let a growing team scale without losing quality or velocity
Partner closely with Product, Clinical, Data Science, and other Engineering leaders to define priorities, resolve tradeoffs, and keep interoperability work aligned to company strategy
Technical & Architectural Ownership

Drive technical strategy and oversee delivery of Patient Access APIs, Provider Directory APIs, and Bulk FHIR APIs in compliance with the CMS Interoperability and Patient Access Final Rule
Oversee connections to national networks (Carequality, CommonWell, eHealth Exchange, TEFCA) and integrations across a wide range of EMR and HIE/HIN systems
Guide FHIR R4 and US Core Implementation Guide adoption across all integration points, setting technical standards and architectural patterns for the team
Oversee design of scalable, real-time data pipelines ingesting, transforming, and exchanging health data from EMRs, HIEs/HINs, wearables, IoT devices, and remote patient monitoring systems, built on Python, Spark, Prefect, Kubernetes, and applied LLMs
Lead evaluation and selection of interoperability platforms, tools, and vendor partnerships
Ensure security, compliance (HIPAA, HITECH), and scalability are built into every data and API solution from day one
Remain hands-on enough to unblock the team on hard technical problems, review key designs, and step in during critical incidents
What We're Looking For

8+ years of experience in healthcare interoperability or health IT, including 3+ years directly managing engineering or interoperability teams
A track record of scaling engineering teams and processes as an organization grows — hiring, structuring teams, and developing managers and ICs alongside the technical work
Demonstrated success developing direct reports, including supporting promotions and career growth for engineers and any team leads
Experience partnering cross-functionally with Product, Clinical, Data Science, and other stakeholders to translate business and regulatory requirements into engineering priorities
5+ years of direct experience with FHIR standards and implementations (FHIR R4 required); expert-level knowledge of the FHIR R4 specification and resource models
Direct experience implementing Patient Access APIs and Bulk FHIR APIs in compliance with CMS regulations, and with HIE/HIN integrations and national networks (Carequality, CommonWell, TEFCA, or similar)
Experience integrating with multiple EMR systems (5+ different platforms preferred)
Deep understanding of US Core Implementation Guide, USCDI, and ONC certification requirements
Proficiency with SMART on FHIR authorization (OAuth 2.0, OpenID Connect, SMART scopes) and strong knowledge of API security (OAuth 2.0, JWT, mTLS, rate limiting)
Strong knowledge of HL7 v2.x messaging (ADT, ORM, ORU, etc.) and experience with CDA/C-CDA documents
Proficiency with message queuing systems (Kafka, RabbitMQ, AWS SQS, Azure Service Bus)
Strong programming background in at least two of: Python, Java, JavaScript/TypeScript, Go, C#, with proficiency in SQL and NoSQL databases (PostgreSQL, MySQL, MongoDB, DynamoDB)
Comfort operating in ambiguity, driving alignment across diverse stakeholders, and balancing hands-on technical leadership with people management