Senior Engineering Manager - Infrastructure (Permanent Remote, US)



Software Engineering, Other Engineering
San Francisco, CA, USA
Posted on Saturday, April 20, 2024
At Aledade, you will sit at the intersection of:
A huge problem; amounting to trillions of dollars of waste in U.S. Healthcare spending.
An approach that moves the needle; In the U.S., we wait until someone has a stroke, then are hospitalized. From there, no expense is spared. Using technology, Aledade changes that by enabling doctors to intervene with the proper preventive care, like blood pressure control, before it becomes a stroke.
A platform that works at scale; last year 11,000 physicians across 36 states served ~1.7M patients, saving 24,000 unnecessary hospitalizations and 120,000 visits to the emergency room using Aledade’s technology.
But the journey is only 1% done, come join us to build a world-class team that will not quit till it addresses the trillions of dollars of suffering in U.S. healthcare spending.
As the Senior Engineering Manager, you will lead by being a highly technical leader who delivers high business impact on projects of increasing dependencies and ambiguity. You will lead a team of individual contributors in the development of technology that saves lives and improves mental and physical health for millions of people.
About the Team: The Foundations Team at Aledade is responsible for all of the infrastructure and tools our engineering and product teams require to deliver exceptional Value Based Care software solutions. This team is foundational to the success of our other Engineering teams. Our tech stack includes Pulumi, AWS, Postgres Aurora and RDS, GitHub, Okta & Auth0, Python, and Vue3.


  • Build a high performing team by hiring and nurturing engineering talent.
  • Strong technical leadership - drive technical solutioning and building roadmaps.
  • Set aggressive and clear goals and remove all roadblocks for the team to achieve them.
  • Working seamlessly and collaboratively with stakeholders across Aledade to achieve business outcomes.
  • Work closely with engineering leaders to drive engineering excellence in our processes and systems


  • BS/BTech (or higher) in Computer Science, Engineering or a related field required
  • 10+ years of production-level experience as an engineer and technical lead building highly scalable and reliable software.
  • 5+ years of managerial experience building and leading technical engineering teams
  • Domain-specific experience
  • 5+ years on a team which manages Amazon Web Services (AWS) infrastructure that hosts multiple public-facing software-as-a-service (SaaS) applications running on both Windows and Linux platforms
  • Preferred Qualifications
  • Contribute to and shape product strategy
  • Participate in technical design
  • Experience with AWS infrastructure and technologies as well as Kafka, Databricks, Airflow, and Snowflake
  • DevOps Engineering: Proficiency in AWS configuration and infrastructure management, with hands-on experience in CloudFormation/Terraform, and CI/CD pipelines (e.g., GitHub Workflows), ensuring smooth deployment and operational workflow
  • Familiarity with building infrastructure-as-code solutions
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of payers, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives, and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners Robust time off plan 21 days of PTO in your first year 2 Paid Volunteer Days & 11 paid holidays
12 weeks paid Parental Leave for all new parents
6 weeks paid sabbatical after 6 years of service
Educational Assistant Program & Clinical Employee Reimbursement Program
401(K) with up to 4% match
Stock options
And much more!
At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop, and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance, and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
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