Engineering Manager

Anterior is on a mission to transform healthcare administration, making it seamless and invisible so clinicians can focus on delivering care. We’ve built an AI-powered platform designed by clinicians, for clinicians, to simplify administrative workflows and improve patient outcomes. By combining clinical expertise with cutting-edge technology, we’re revolutionizing healthcare operations with responsible AI.

We're growing rapidly and are backed by world-class investors including Sequoia, New Enterprise Associates (NEA), and Neo along with notable angels including the founders of DeepMind, Google AI, and Inflection AI. You can learn more about us here.

At Anterior, engineers share a strong "sense of product" and solve meaningful problems that simplify healthcare workflows. We collaborate in multidisciplinary teams to deliver secure, scalable, and user-focused solutions guided by best practices and modular design.

We value diverse experiences and skill sets, continually expanding our team to tackle modern healthcare’s challenges with creativity and precision.

As an Engineering Manager at Anterior, you will own the technical direction and team growth for a group of exceptional engineers, fostering a culture of technical excellence, autonomy, and impact. You have a deep appreciation for infrastructure, AI, or cloud, and experience scaling engineering teams in startup environments.

You believe in doing things the Right Way—you value lean, pragmatic processes, clear metrics where they add value, and an obsession with solving the underlying problem rather than chasing proxies. You are highly collaborative, bringing out the best in both your team and cross-functional peers.

• Lead and scale a team of engineers, driving execution while maintaining a high technical bar.

• Architect and refine the infrastructure, backend systems, and cloud environments that power AI-driven clinical workflows.

• Guide technical decisions on distributed systems, high-throughput architectures, and multi-cloud environments (AWS, Azure, on-prem).

• Mentor and develop engineers, fostering a culture of deep technical excellence, curiosity, and impact.

• Work cross-functionally with Product, AI, and Design teams to build intuitive, scalable solutions.

• Set and refine engineering processes, ensuring efficiency without unnecessary overhead.

• Stay hands-on where needed, bringing experience in Terraform, Kubernetes, CI/CD pipelines, or modern backend infrastructure.

• 7+ years of engineering experience, including 2+ years leading teams in high-growth environments.

• Strong IC background – you’ve built and scaled complex systems before leading teams.

• Startup experience – you thrive in fast-paced, high-ownership environments.

• Big-tech or enterprise experience – you’ve learned from structured engineering teams and know how to apply best practices pragmatically.

• Technical depth in AI or cloud – hands-on experience with distributed systems, cloud-native architectures, or AI/ML infrastructure is a strong plus.

• Scalability mindset – deep understanding of backend infrastructure, message queues, and high-throughput architectures.

• Empathy for engineers and users – you know how to motivate teams and build with end-users in mind.

• Experience with data pipelines, enterprise integrations, or AI/ML-powered infrastructure.

• Background in high-compliance, security-sensitive industries (healthcare, finance, defense).

• Track record of hiring and mentoring top-tier engineers in fast-scaling teams.

• 📈 Early-Stage Equity

• 💰 Competitive, top-of-market salary

• 🫄 100% covered health, dental, and vision insurance

• 🍲 Catered lunches and a stocked kitchen

• 🚍 Commuter benefits

• 💻 Company Laptop along w/ tools you need to succeed

• 🧠 Learning & development budget

• 🎤 Team-building events

• 🌴 Flexible PTO

1. Review: Submit resume

2. Initial Screen (30 min): A call with one of our team members to talk through your current/past experience, your motivations and tell you more about Anterior

3. Coding Interview (45 min): Paired programming session to gain a baseline of your technical ability.

4. Final Round

   1. In-person technical interview (2x 45 min): You'll be given a task to complete in person with two of our engineers to showcase your technical skills

   2. Leadership Interview (30 min): You'll meet with a senior leader at Anterior to discuss your approach to leadership, team-building, and decision-making. We’ll explore how you empower engineers, drive technical excellence, and navigate challenges in high-growth environments. This is also an opportunity for you to ask questions about our vision, team dynamics, and leadership philosophy.

   3. Culture Interview (30 min): You'll have the opportunity to converse with members of the Anterior team, and help evaluate if you're someone we'd like to welcome aboard and if you also perceive us as a team you'd like to be part of

5. Founder Interview & References

6. Offer