Senior Engineering Manager

You will lead a team of strong backend and frontend engineers building the core systems that move money and run operations for 200+ dermatology practices. You will own delivery and quality for your team, grow the engineers on it, and help set the technical direction alongside global leadership teams.

A few of the systems your team works on:

• An event-sourced claims engine that is becoming the system of record for the practices we serve. A ground-up rebuild of how medical claims are created, validated, submitted, and reconciled. Greenfield, ambitious, and consequential.
• A modern payments platform, handling patient payments, surcharging, and practice payouts at scale.
• AI-native operations. We build with large language models as a first-class part of the stack, from client-health monitoring to internal agents that do real operational work. Not AI bolted on as a feature. Part of how the company runs

• →Lead, grow, and mentor a team of engineers, and help each of them reach their potential.
• →Own delivery for your team: plan well, ship value quickly, and keep momentum without sacrificing quality.
• →Stay close to the technology. Set technical direction for distributed systems, APIs, and modern web applications, and go hands-on when it unblocks the team or cracks a hard problem.
• →Push for the simplest path that works. Encourage healthy debate, push back on overly complex solutions, and once a decision is made, move forward together.
• →Raise the bar on the things that compound: code quality, testing, observability, and operational excellence.
• →Partner with product and design to turn business needs into clear engineering goals.

• Proven experience as an Engineering Manager or Tech Lead, with real ownership of a team's delivery and growth.
• Strong backend foundations in distributed systems (C#/.NET, Python, orchestration, cloud-native), with enough frontend fluency (React, Next.js, TypeScript) to lead engineers across the stack.
• A track record of mentoring engineers and growing senior contributors.
• A clear, direct communicator who can challenge assumptions, disagree well, and still build trust across teams and time zones.
• Comfort making trade-offs and simplifying to ship faster.
• Fluency with cloud infrastructure, CI/CD, and modern DevOps practices.

Clarity RCM is the nation's leading revenue cycle and practice operations platform in dermatology. We operate at the intersection of healthcare, fintech, and AI, building a next-generation operating system for independent practices: claims automation, patient payments, analytics, and compliance, all in one place.

We are profitable, growing fast, and have been ranked among the nation's fastest-growing private companies by Inc. Magazine for 4 consecutive years. We have more than $1B in revenue under management and teams across the US, Latin America, and India.

India is where we are making our biggest engineering bet. We are investing to build it into a flagship product-engineering hub, with strong leadership, real ownership of the product, and a team culture built on close collaboration and rapid iteration. This is a chance to do some of the best work of your career, on a product that matters, with a team you help shape.

Based in Chennai, hybrid, with genuine flexibility for exceptional candidates elsewhere in India.