Engineering Manager

Job Title: Engineering Manager

Department: Technology Delivery

Reports To: CTO

Employment Status: Full-Time

FLSA Status: Exempt

Effective Date: 8/10/2026

Location: Atlanta Metro Area - Hybrid/Remote

Role Overview

Meditology is seeking an Engineering Manager to own the day-to-day delivery of features and the technical operational maintenance of our product platforms.

This is the person who makes delivery happen week after week. You will run the build, keep the platforms healthy in production, and manage our internal offshore technical teams. Where the work is hardest or highest risk, you will do it yourself.

The role reports to the Chief Technology Officer and has real autonomy and real accountability: you will make the majority of day-to-day delivery and operational calls independently, escalating the ones that change cost, scope, or direction. Product Management owns what gets built and in what order. The CTO owns architecture, direction and technical strategy. You own getting it built, shipped, and kept running. Scope grows with demonstrated judgment.

This is a hands-on, execution-focused role. You will operate as both a technical leader and an individual contributor, personally reviewing and writing code while raising the engineering standard across the team.

Operating Model

• Acts as the central point of accountability for day-to-day feature delivery and technical operations

• Serves as the engineering counterpart to the Director of Product Management, providing sizing and feasibility input and owning delivery against the agreed priorities

• Participates in the architecture process led by the CTO, bringing implementation reality, constraints, and options to the decision

• Owns the operating relationship with our offshore engineering partner, including cadence, capacity, quality gates, and escalation

• Operates with high autonomy in partnership with CTO, escalating decisions that affect cost, scope, direction, or client commitments

• Enters initiatives at requirements, not after, sizing feasibility and flagging constraints before build begins

• Operates in a lean environment, leading through standards and influence rather than a large direct-report team

First 6 Months: What Success Looks Like

• Deliver committed features on a predictable cadence, with scope and schedule variance visibly trending down

• Establish a credible delivery picture: one set of numbers on progress, scope, and risk that leadership can act on without reconciliation

• Take full ownership of production support, with clear triage, severity definitions, and root cause follow-through

• Reduce deployment friction and cycle time from code complete to production, against a measured baseline

• Stand up quality and release gates that hold code review standards, test coverage expectations, release notes, and audit-ready sign-off

• Become the trusted day to day counterpart to our offshore engineering partner, with issues surfaced early rather than discovered late

• Quantify AI-first development productivity gains with a measurement process leadership can defend

• Deliver 3 to 5 high-impact technical wins that visibly improve reliability, performance, or delivery speed

Key Responsibilities

Feature Delivery

• Own day-to-day execution of the feature backlog set by Product Management

• Break down approved requirements into buildable work, sequence it, and drive it to done as a player-coach.

• Provide sizing and feasibility input during requirements so scope decisions are made with real constraints on the table

• Run sprint execution: planning support, daily progress, blocker removal, and demos at sprint close

• Confirm dev readiness before a sprint starts, including acceptance criteria, dependencies, and unresolved technical blockers

• Communicate delivery status, risk, and slippage early and specifically

Technical Operations & Maintenance

• Own the operational health of the platforms: uptime, performance, monitoring, and alerting

• Own production support: triage, severity definitions, on-call expectations, and root cause follow-through

• Keep the platforms current on patching, dependency upgrades, and environment hygiene

• Own release management end to end, including release notes, rollback plans, and change control

• Maintain integration health across the third-party systems the business depends on, including CRM, audit, and work management platforms

• Ensure the data flows behind operational reporting stay reliable

• Track and sequence technical debt paydown against feature delivery, and make the tradeoffs visible

Hands-On Leadership

• Personally build and review code on the highest-impact and highest-risk work

• Set and model engineering standards: code review, testing, documentation, and definition of done

• Mentor engineers and the partner team, raising capability rather than absorbing all the hard work personally

• Balance leadership responsibilities with hands-on execution in a lean environment

• Grow into broader technical leadership scope over time, with direct coaching from the CTO

Architecture Participation

• Participate in the architecture process owned by the CTO, contributing implementation options, constraints, and cost of change

• Surface architectural blockers early, with recommended paths rather than problems alone

• Implement and enforce agreed architecture and design patterns across the codebase

• Ensure implementation meets our security, scalability, and compliance obligations, including SOC 2 evidence requirements

Delivery Partner & Vendor Oversight

• Own the day-to-day working relationship with our offshore engineering partner, covering cadence, ceremonies, capacity, and staffing mix

• Manage capacity of the tech teams, hold them to agreed delivery, quality, and responsiveness commitments at the working level, and raise slippage early and specifically

• Validate reported progress independently, and reconcile conflicts between partner reporting and observed delivery before they reach leadership

• Formal escalation and commercial matters with the partner are owned by the CTO. You bring the evidence and the recommendation; the CTO carries the conversation

• Evaluate proposed process changes on evidence, confirming prerequisites are in place before adopting them

• Help ensure measurable return on engineering spend and third-party tooling

AI-First Development & Automation

• Drive adoption of AI-first development practices across in-house and partner engineering

• Support the productivity measurement process: instrument the metrics and report them honestly

• Identify and implement practical automation across build, test, deployment, and support workflows

• Focus on applied, high-impact use cases that reduce cycle time and manual effort, not experimentation for its own sake

Stakeholder Management

• Partner closely with the Director of Product Management, the Chief Services Officer, the COO and CEO through requirements, sprint execution, and release

• Serve as the bridge between product, business, and engineering, translating in both directions

• Drive honest alignment on tradeoffs and timelines, including saying no with a reason and an alternative

• Support client-facing commitments where engineering feasibility or timeline is in question

• Support named Operational Leads on platform-level technical questions