About this role.
Nextiva is seeking a Senior Engineering Manager to lead a distributed healthcare engineering team of approximately 9–10 engineers across the United States and India. The role centers on people leadership, delivery accountability, and structuring customer- and business-critical healthcare technology initiatives. The successful candidate needs deep experience with U.S. healthcare systems, healthcare data privacy, and FHIR-based interoperability. This is a U.S.-remote role, with a four-day onsite expectation for employees located within 40 miles of the Scottsdale, Arizona headquarters.
Role DNA
A quick view of the complexity, pace, ownership and collaboration implied by the job description.
Job Complexity
5/5Pace & Pressure
5/5Autonomy Level
5/5Communication Load
5/5Salary analysis
Estimated compensation compared with the broader US market for similar roles.
Core skills
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Sample interview questions
I begin by clarifying the clinical, operational, and regulatory goals, then translate them into a phased technical plan with measurable outcomes. I ensure the team understands relevant standards such as FHIR, establishes integration and data-quality criteria early, and uses regular delivery reviews to surface risks before they affect customers.
I incorporate privacy requirements into architecture and planning from the start rather than treating them as a final review step. This includes data minimization, access controls, auditability, secure integration patterns, and early partnership with security and compliance stakeholders so the team can move quickly within well-defined guardrails.
I create clear ownership boundaries, shared operating rituals, documented decisions, and overlapping collaboration windows for high-value discussions. I also use outcome-based goals and regular one-on-ones to maintain alignment, ensure equitable participation, and remove blockers across locations.
I first identify the critical customer outcome, assumptions, dependencies, and compliance risks. I then define a minimum viable delivery path, assign accountable owners, communicate trade-offs transparently, and review progress frequently so that scope or sequencing can be adjusted without losing sight of the core objective.
I evaluate tools for concrete workflow value while applying strict controls around sensitive data, access, and vendor risk. I encourage low-risk uses such as documentation, planning support, and code-quality assistance, while ensuring human review, privacy safeguards, and responsible-use guidance are in place.
Redefine the future of customer experiences. One conversation at a time.
At Nextiva, we’re reimagining how businesses connect, bringing together customer experience and team collaboration on a single, conversation centric platform. Powered by AI, driven by human innovation.
Our culture is forward thinking, customer obsessed and built on the belief that meaningful connections drive better business outcomes. Whether it’s through our signature Amazing Service®, the technology we create, or the experiences we cultivate, connection is at the core of who we are.
If you’re ready to collaborate with incredible people, make an impact, and help businesses everywhere deliver truly amazing experiences, this is where you belong.
Location: While this role is open to remote candidates across the United States, team members located within 40 miles of our Scottsdale headquarters (9451 E. Via de Ventura, Scottsdale, AZ 85256) are expected to work onsite four days per week to support collaboration, speed, and execution. Specific scheduling and flexibility will be guided by your leader to support both team collaboration and individual productivity.
The Senior Engineering Manager – is a people leadership and engineering execution role for an experienced leader with deep healthcare industry knowledge. This role will lead a distributed healthcare engineering team while bringing the domain expertise required to navigate the nuances and complexities of U.S. healthcare technology.
As a Senior Engineering Manager, you will be responsible for a team of approximately 9–10 engineers spanning the United States and India. You will provide people leadership, structure healthcare engineering initiatives, and drive project execution while ensuring the team has the healthcare context needed to make effective decisions.
This role deliberately emphasizes healthcare domain expertise and people management. We are looking for someone who understands how healthcare systems operate, including the importance of data privacy and interoperability, and who can apply that knowledge while leading engineering teams and projects.
You will front-end the healthcare engineering team, provide execution leadership, and help the organization move important healthcare initiatives forward with greater speed and clarity.
This role is ideal for an experienced engineering people leader who has operated within healthcare technology and understands the domain well enough to guide teams through complex, U.S.-centric healthcare initiatives.
We are seeking a Senior Engineering Manager – Healthcare to lead Nextiva’s healthcare engineering team and help drive effective execution of customer- and business-critical healthcare initiatives.
Responsibilities
- Lead and manage a healthcare engineering team of approximately 9–10 engineers.
- Provide people leadership, direction, accountability, and execution support across the engineering team.
- Manage a distributed team spanning engineering resources in India and the United States.
- Front-end the healthcare engineering team and drive project execution.
- Structure, organize, and manage healthcare technology projects.
- Apply healthcare industry knowledge to engineering planning, decision-making, and execution.
- Help engineering teams navigate the nuances and complexities of U.S. healthcare technology.
- Bring practical understanding of healthcare data privacy into how projects and systems are structured.
- Guide engineering execution involving healthcare interoperability requirements.
- Work effectively with technical teams while maintaining primary accountability for people leadership and delivery.
- Drive execution for healthcare initiatives connected to external opportunities.
Requirements
Basic Qualifications
- 7–10+ years of relevant engineering experience, including engineering people-management experience and significant experience working within the healthcare domain.
- Significant professional experience working in the healthcare domain.
- Demonstrated experience leading and managing engineering teams.
- Experience managing teams of approximately 10 engineers or comparable scope.
- Strong people-management and team leadership capabilities.
- Demonstrated experience structuring and managing healthcare technology projects.
- Strong healthcare project execution experience.
- Experience with FHIR and healthcare-system interoperability.
- Understanding of healthcare data privacy considerations and how they influence technology projects.
- Technical knowledge sufficient to effectively lead engineering teams and participate in technical discussions.
- Experience operating within U.S.-centric healthcare environments.
- Ability to lead distributed engineering teams.
Preferred Qualifications
- Experience in healthcare, health insurance, or closely related healthcare technology environments.
- Experience managing engineering organizations distributed across multiple locations.
- Experience leading teams responsible for customer- or opportunity-driven healthcare projects.
- Experience helping engineering teams translate healthcare-domain requirements into effective project execution.
AI & Modern Engineering Expectations
- Use AI-assisted tools appropriately to improve management and engineering workflows where they create meaningful efficiency.
- Understand how AI and automation are influencing modern product and engineering organizations.
- Apply sound judgment when evaluating AI-assisted approaches in environments involving sensitive healthcare data and privacy considerations.
- Encourage responsible adoption of modern engineering practices while keeping healthcare-domain requirements and execution outcomes at the center of decision-making.
Additional Qualities
- Strong people leadership and team-management skills.
- Deep understanding of the healthcare domain.
- Strong ownership and accountability for execution.
- Ability to provide structure and clarity across complex projects.
- Strong communication and collaboration skills.
- Comfortable leading geographically distributed teams.
- Ability to connect healthcare-domain requirements with engineering execution.
- Strong focus on moving projects forward while anticipating healthcare-specific complexities.
Nextiva DNA (Core Competencies)
Nextiva’s most successful team members share common traits and behaviors:
- Drives Results: Action-oriented problem solvers who quickly bring clarity and simplicity to ambiguity, challenge the status quo, and lead meaningful change; celebrating wins to fuel momentum. They act swiftly and pragmatically, learning and improving as they go.
- Critical Thinker: Data-driven, forward-thinking individuals who identify key drivers, anticipate risks, and deliver clear recommendations. They confidently leverage AI and automation to reduce friction, improve decision-making, and focus on higher-value work.
- Right Attitude: Collaborative, competitive, and resilient team players who jump in to solve tough problems, learn from setbacks, and foster a culture of service, respect, and care for customers and teammates.
Total Rewards
Our Total Rewards offerings are designed to allow Nexties to take care of themselves and their families so they can be their best, in and out of the office.
Our compensation packages are tailored to each role and candidate’s qualifications. We consider a wide range of factors, including skills, experience, training, and certifications, when determining compensation. We aim to offer competitive salaries or wages that reflect the value you bring to our team. Depending on the position, compensation may include base salary and/or hourly wages, incentives, or bonuses.
The expected hiring range is $105,000 – $160,000. A different level in the job hierarchy may apply to a specific candidate, resulting in a different hiring range.
- 🍏 Health: Multiple health plan options to suit your needs, including medical, dental, vision, and telemedicine coverage
- 💼 Insurance: Life, disability, and supplemental indemnity plans
- ⚖️ Work-Life Balance: Flexible Time Off for salaried employees, PTO for hourly employees, Paid Sick Time, Paid Parental Bonding Leave, and holiday pay
- 💰 Financial Security: 401(k) with company match, Health Savings Accounts with company contributions, Dependent Care FSA
- 🤸 Wellness: Employee Assistance Program (EAP) and comprehensive wellness initiatives
- 🌱 Growth: Access to ongoing learning and development opportunities and career advancement
At Nextiva, we’re committed to supporting our employees’ health, well-being, and professional growth. Join us and build a rewarding career!
Nextiva is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Nextiva participates in the E-Verify Program where and as required by law. For additional information about E-Verify visit USCIS.
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Founded in 2008, Nextiva has grown into a global leader trusted by over 100,000 businesses and 1M+ users worldwide. Headquartered in Scottsdale, Arizona, and with teams across the globe, we’re the future of customer experience and team collaboration through our AI-powered, conversation-centric platform.
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