Startup Software Engineer Manager Jobs in California

Primefocus Health is a seed-stage healthtech startup headquartered in San Francisco, launched as a venture spinout from LG Electronics’ North America Innovation Center (LG NOVA). We’re building an innovative technology platform that enables healthcare providers and hospitals to create customized remote patient management solutions for chronic conditions. Our mission is to transform how healthcare providers deliver remote care, making it more efficient and personalized for each patient’s needs — with a particular emphasis on improving healthcare access in underserved and rural communities.

Primefocus Health is a seed-stage healthtech startup headquartered in San Francisco, originally launched as a venture spinout from LG Electronics' North America Innovation Center. We're building an innovative technology platform that enables healthcare providers and hospitals to create customized remote patient management solutions for chronic conditions. We're on a mission to transform how healthcare providers deliver remote care, making it more efficient and personalized for each patient’s needs.

We are seeking an experienced Engineering Manager to lead our engineering teams. This is a hands‑on leadership role focused on growing and supporting a team of engineers to develop secure, scalable microservices and mobile/web solutions for our healthcare platform. The ideal candidate will bring deep engineering expertise, strong people management skills, and a passion for driving technical execution in a mission‑driven startup environment. This position reports to the VP of Engineering and offers significant opportunity to influence product strategy and engineering excellence.

This is a full‑time hybrid position based in California, Illinois, or New York, with onsite presence as per the schedule proposed by the manager. Candidates should expect regular in‑person collaboration, and occasional travel (up to 15%) may be required across these states or to West Virginia for customer site visits, team offsites, or relevant industry events.

• Lead a team of 5–8 software engineers across backend and mobile app development
• Provide mentorship, technical direction, and career support for engineers at all levels
• Define engineering roadmaps and architectural strategy in partnership with the VP of Engineering
• Oversee development of platform microservices and Flutter‑based mobile applications
• Manage engineering delivery timelines, release planning, and sprint execution
• Ensure all solutions are scalable, secure, and compliant with HIPAA and HITECH
• Drive integration projects with EHR systems (e.g., Epic, Cerner, Allscripts)
• Collaborate with product, clinical, and regulatory teams to deliver cross‑functional outcomes
• Cultivate an inclusive, high‑performing team culture rooted in psychological safety and transparency

• Bachelor’s degree in Computer Science, Software Engineering, or related technical field
• 2+ years of engineering management experience leading remote or hybrid teams
• 5+ years of hands‑on software development experience with clear progression into technical leadership roles
• Experience in the U.S. healthcare technology sector, including EHR system integrations and regulatory compliance
• Expertise in microservices architecture, distributed systems, and cloud‑native technologies (e.g., Docker, Kubernetes, AWS)
• Familiarity with mobile development using Flutter and an understanding of secure software development practices

• Experience building and maintaining HIPAA compliant systems and solutions
• Experience building and maintaining CI/CD pipelines and DevOps workflowsBackground in implementing audit logging and data encryption protocols
• Fluency in agile delivery methods and cross‑functional stakeholder management
• Ability to coach and scale high‑performing engineering teams
• Strong emotional intelligence and systems thinking for team leadership and architecture
• Experience working with connected health devices or Remote Patient Monitoring (RPM) systems

Total compensation for this role is expected to fall within the range of $150,000 to $190,000 annually, depending on experience, qualifications, and alignment with the responsibilities outlined. Additional equity and performance‑based incentives may be available.

We offer a competitive compensation and benefits package designed to support your well‑being and growth. Benefits include:

• Equity participation in the company’s growth
• Health, dental, and vision insurance
• 401(k)
• Paid time off and hybrid work flexibility
• Professional development and certification support
• Home office setup allowance
• Structured onboarding and mentorship
• Regular team events, workshops, and learning opportunities

Primefocus Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application process, please let us know.