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Engineering Manager, Growth Activation

Nourish


Job Location:

San Francisco, CA - USA

Monthly Salary: Not provided by the employer
Posted: 19 August 2026 (12 hours ago)
Application Deadline: 16 November 2026
Vacancies: 1 Vacancy

Job Summary

About Us

Health is the most important thing in life and the American healthcare system is completely broken - poor outcomes high cost bad patient experience. Were building a new system from the ground up.

Our mission is to improve peoples health by making it easy to live a healthy lifestyle.

Nourish is the countrys largest dietitian-led metabolic health clinic. Were an AI-native digital health system matching patients with 10000 Registered Dietitians physicians medications lab testing and AI agents to deliver insurance-covered care across all 50 states. Founded four years ago weve completed millions of appointments tripled year-over-year and partnered with health plans covering 200M Americans across 250 health systems.

In 2026 we raised a $100M Series C bringing total funding to $215M. The round was led by Menlo Ventures with participation from Thrive Capital Index Ventures J.P. Morgan Growth Equity Partners Maverick Ventures Y Combinator BoxGroup Atomico Daybreak and Operator Partners.

Learn more about our Series C here:
Nourish Blog Bloomberg Fierce Healthcare Digital Native The Pulse Podcast.

This is not a job for everyone. We hold an extremely high bar because we believe talent density is our biggest competitive advantage. Were looking for people who actively choose hard ambiguous problems who run toward unglamorous work give and receive candid feedback and bring relentless resilience without the ego. Our work is important but we are not self-important. We do this because were solving one of the hardest problems in the world and the problem matters. If thats you we disproportionately reward it.

About the Role

Nourish is seeking a hands-on Engineering Manager to lead Growth Activation. Reporting to our Director of Engineering youll own the team responsible for helping every new patient achieve their long-term health goals getting them matched with the right clinician excited about their care journey and engaged through habit formation retention and reactivation.

This is a hands-on leadership role for someone who enjoys developing engineers shaping products and remaining close to architecture and implementation. Youll work closely with clinical finance product design and data to navigate the multi-constraint optimization behind our clinician matching understand patient journeys and build the experiences that drive outcomes pairing deep product thinking with rapid data-driven experimentation to identify high-leverage opportunities ship quickly learn from results and scale what works.

This is a full-time role. We strongly prefer candidates based in New York City or San Francisco with exceptions for truly exceptional candidates. Check out Engineering at Nourish to learn more about our team and what weve already built.

Key Responsibilities:

  • Build lead and develop a high-performing team of 45 engineers with strong technical ownership.
  • Coach engineers through regular feedback career development calibration and performance management.
  • Scale the team through recruiting interviewing hiring and onboarding.
  • Stay hands-on through architecture pair programming coding code reviews and on-call.
  • Partner with product and design to write requirements shape roadmaps scope work plan sprints and deliver measurable outcomes.
  • Drive thoughtful decisions around system design code quality observability reliability and scalability.
  • Establish effective team rituals including sprint planning OKR planning and reporting quarterly planning and retrospectives.
  • Operate with urgency and sound judgment in a fast-paced ambiguous environment.
  • Build a high-velocity experimentation culture with short iteration cycles and clear measures of impact.
  • Improve patientprovider matching across patient goals and preferences clinician supply insurance constraints outcomes and business performance.
  • Move activation and retention metrics through rigorous analysis and iterative product improvements.
  • Own lifecycle experiences spanning first appointment notifications engagement habit formation retention and reactivation.
  • Partner closely with Acquisition Billing Provider Supply product design and analytics to deliver a seamless end-to-end patient journey.
Wed love to hear from you if:
  • Have 6 years of professional software engineering experience with modern full-stack technologies and 2 years of hands-on engineering management experience.
  • Have hired engineers and managed performance promotions and career development.
  • Remain technical enough to pair program with your team and contribute directly when needed.
  • Bring exceptional product judgment: you can write a PRD critique or mock a design size an opportunity and make progress without waiting on a PM.
  • Are highly proficient with React TypeScript PostgreSQL or similar modern stacks.
  • Have shipped and owned production systems in a fast-moving ambiguous environment.
  • Balance people leadership with technical depth delivery focus and clear communication.
  • Are energized by Nourishs mission to improve peoples health by making it easy to eat well.
Nice to Have:
  • Consumer growth or marketplace experience
  • Experimentation platforms
  • Matching or recommendation systems
  • Lifecycle engagement and retention
  • Amplitude or similar analytics tools
  • AI-powered products.
More Information
Please note that you must be legally authorized to work in the U.S. for this position.

Required Experience:

Manager


About Company

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Achieve your desired health and wellness through personalized nutrition counseling. Nourish is the easiest way to find a registered dietitian and get it covered by your insurance. Find a dietitian today and start your telehealth appointments.

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