Senior Engineering Manager

Proven experience in a senior frontend or full-stack engineering role, with deep hands-on expertise in React, Next.js, and TypeScript — ideally on data-dense or B2B/internal tooling where performance, state management, and accessibility matter.

Hands-on experience building SMART on FHIR applications — including the SMART/OAuth2 launch and authorization flow, working with FHIR R4 resources, and embedding apps within EMR workflows (CDS Hooks experience a plus).

Hands-on fluency with AI coding agents and AI-powered product development — using agents as a core part of the delivery workflow and ideally building UIs on top of LLM/ML outputs.

Full-stack range is a plus — familiarity with Python, SQL, and data pipeline tools like dbt is valuable for partnering with our data team, but deep backend/Python expertise is not required.

Familiarity with HL7 v2 messaging (e.g., ADT, ORU) and healthcare interoperability standards more broadly is preferred, but not required.

Compensation will be based on skills, experience, and performance.

Lead and manage a team of engineers, providing guidance, mentorship, and support to ensure the team's success.

Own the design and delivery of Sift's SMART on FHIR applications — embedded, standards-based, EMR-agnostic experiences (and CDS Hooks where applicable) that surface Sift's scores and recommendations directly within the EMR workflows.

Champion AI-driven development across the team.

Set standards for agent-assisted engineering (Claude Code, Cursor, Copilot), review of AI-generated changes, and keep the codebase legible and well-documented for both humans and agents.

Partner with data engineering on the Python, dbt, and SQL pipelines that feed the product, ensuring the frontend and data layers evolve together with quality and reliability.

Collaborate with cross-functional teams to gather requirements and prioritize engineering initiatives.

Sift is transforming healthcare payments by equipping healthcare organizations to fully leverage their payments data to work smarter, protect their margins and accelerate cash flow. Large health systems, leading HCIT vendors, payers and outsourced revenue management agencies use Sift's Payments Intelligence Platform, ML integrations and advanced analytics to optimize payment outcomes and enable data-driven decision-making within the revenue cycle.

We are a growing and dynamic team that is serious about technology. Based in Milwaukee, Wisconsin, Sift is thriving and looking for motivated team members who will help shape our culture. Sift offers competitive salaries and benefits. Learn more about Sift at

www.sifthealthcare.com

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