---
title: 'Engineering Manager, Backend Team at Axle Health'
canonical: 'https://feeny.ai/job/engineering-manager-backend-team-axle-health-santa-monica-cfzd139zfmf8'
type: 'job'
last_seen: '2026-10-29'
---

# Engineering Manager, Backend Team at Axle Health

- **Company:** Axle Health
- **Location:** Santa Monica, CA
- **Employment:** full-time
- **Work type:** onsite
- **Posted:** 2026-10-28
- **Last confirmed live:** 2026-10-29
- **Apply:** https://jobs.ashbyhq.com/axle-health/37208d04-de58-4b4f-a6b0-ec29957f8be8

## Job description

## About Us

Axle Health builds AI scheduling and workforce management software to empower in-home healthcare providers to deliver exceptional, personalized care right where patients feel most comfortable—at home. Some of the biggest providers in the country use our software (like Cityblock Health and U Penn Health System) to improve the utilization of their field teams by 17%+, and automate the operational burden of scheduling and dispatching. Our platform includes proprietary logistics algorithms to optimize scheduling, a mobile app for field staff, an operations dashboard for office teams, engagement and booking tools for patients, and a wide range of integrations and external APIs for modular access. We’re a team of top-tier engineers and operators, backed by $14m from top investors such as Y Combinator, Pear VC, and F-Prime, applying our intellect and logistics experience to upend how home healthcare is delivered.

## About You - The Role

Axle Health builds AI-powered scheduling and workforce management software for home health organizations. The backend is what everything else depends on: the services and APIs behind every schedule, the infrastructure they run on, and the reliability our customers’ clinicians count on every day. We’re hiring a backend Engineering Manager to lead our backend team of six engineers. You’ll report to our CTO and own the technical direction, delivery, and production health of our backend systems and cloud infrastructure. This role is roughly 60% hands-on and 40% management. You’ll write, review, and ship code alongside your team while coaching engineers, running delivery across concurrent work streams, and making key hires in your first few months. The person who thrives here wants to stay close to the code and sees that as part of how they lead. You hold a high bar for reliability and code quality, and you’re comfortable making architectural calls quickly in a fast-moving startup environment. You’ve done this before. You’ve led a backend team of similar size while staying hands-on, owned systems in production through incidents and on-call, and been the person engineers look to for technical direction. You know how to balance shipping quickly with building systems that hold up as customer volume grows.

## What You'll Do

- Hands-On Engineering: Spend the majority of your time designing, writing, and reviewing backend code across our services and APIs, and set the standard for quality through your own work.
- Team Leadership and Development: Manage and grow a team of backend engineers through regular feedback, coaching, and clear expectations for what great work looks like.
- Hiring: Lead hiring for our backend and devops opportunities.
- Backend Architecture: Own architecture decisions for high-volume backend systems, including service design, data modeling, API and SDK design, and performance, so the platform scales reliably with our customers.
- Infrastructure and DevOps: Own our AWS infrastructure, CI/CD pipelines, and deployment automation, and drive DevOps maturity as the team grows.
- Reliability and Observability: Own production health for backend systems, including monitoring, alerting, on-call, incident response, and postmortems that lead to real fixes.
- Security and Compliance: Make sure backend systems and infrastructure meet healthcare data security standards, including HIPAA and SOC 2, from design through deployment.
- Project and Timeline Management: Scope, sequence, and track delivery across concurrent backend work streams, keep stakeholders informed, and keep commitments realistic.
- Cross-Functional Partnership: Work closely with product, front-end engineering, and our interoperability team to turn requirements into well-scoped technical plans and keep shared systems running smoothly.
- Engineering Standards: Raise the bar on testing, code review, and development process so the team ships quickly without sacrificing reliability.

## Requirements

Must Haves

- 10+ years of software engineering experience, including 2+ years managing a team of 4-8 engineers while staying hands-on in the code
- Deep backend expertise in Python/Django and/or Node.js + TypeScript, including relational database design and performance tuning in PostgreSQL or similar
- Production ownership: you’ve been accountable for systems in production, including on-call, incident response, observability, and postmortems
- A history of technical leadership: driving architecture decisions, setting engineering standards, and building consensus on hard technical tradeoffs
- Working knowledge of AWS, CI/CD, and infrastructure-as-code, enough to own infrastructure decisions directly
- Proven ability to hire, develop, and retain strong engineers
- Experience at an early or growth stage startup: comfortable building structure where none exists and making judgment calls without a playbook

## Nice to Have

- Experience building systems that handle HIPAA-protected data or operate in another compliance-heavy industry (SOC 2, fintech, etc.)
- Hands-on experience with Terraform, Docker/Kubernetes, and Datadog or similar observability tooling
- Background in scheduling, logistics, or optimization systems
- Experience building data pipelines or ETL into cloud data warehouses for analytics and reporting
- Experience using AI tools like Claude Code or Cursor to speed up development and review workflows

Tools You'll Use

- Django + Python 3
- Node.js / ExpressJS + TypeScript
- GraphQL
- PostgreSQL
- AWS
- Terraform, Docker / Kubernetes
- Datadog
- Git / GitHub / Graphite
- Claude Code and Cursor

## What We Offer

In addition to offering a competitive salary and equity, we want to ensure every team member has the tools they need to work to the best of their ability. To that end… We are committed to your Ownership:

- We cultivate an environment where team members feel ownership over the work they do. Everyone in an organization has big ideas and we want to hear them and implement them.
- All of our employees have equity compensation. We want you to benefit from all the hard work you do in helping patients and catalyzing this shift in healthcare.

We are committed to your Wellness:

- Medical, Dental, Vision
- 401k plan
- Flexible PTO and sick days
- Commuter benefits
- Santa Monica HQ with 180 degree beach views and daily catered lunches

We are committed to your Growth:

- Fast paced work environment geared towards professional growth
- Get the chance to move roles within the organization to learn new skills and continue to make an impact

We are committed to building Community:

- Monthly team events, dinners, & happy hours
- Special team outings - some past events have included: yacht cruises, visits to Universal Studios, Magic Castle, and Vegas

## About Axle Health

## Company Overview
- **One-liner**: Axle Health provides a workforce management platform for home health care, using AI scheduling, route optimization, and patient engagement tools to boost clinician productivity.
- **Entity Type**: Private (Series A, raised $14.4M total)
- **Headquarters**: Los Angeles, California, United States
- **Founded**: Not publicly available (earliest funding round in 2021)
- **Founders**: Not publicly available

## Core Business
- **Primary industry**: Home health care technology / Information Technology & Services
- **Target customers**: Home health care and hospice providers (B2B, enterprise)
- **Mission**: Empower home health care providers with innovative technology that drives operational excellence [axlehealth.com](https://www.axlehealth.com/about)

## Products & Services
- **[AI Scheduling]**: Automatically matches patients with the optimal clinician, reduces manual scheduling work by 70%+ [axlehealth.com](https://www.axlehealth.com/)
- **[Route Optimization]**: Patented logistics engine minimizes windshield time and missed visits [axlehealth.com](https://www.axlehealth.com/about)
- **[Patient Engagement]**: Automated reminders and live ETAs via SMS or phone call, reduces missed visits [axlehealth.com](https://www.axlehealth.com/)
- **[Real-Time Visibility]**: Live tracking of clinician location and schedule adherence [axlehealth.com](https://www.axlehealth.com/)
- **[Advanced Analytics]**: Predictive forecasting and real-time data for smarter staffing decisions [axlehealth.com](https://www.axlehealth.com/about)
- **[Integrations & API]**: Pre-built integrations with major EMRs, plus flexible APIs for custom builds [axlehealth.com](https://www.axlehealth.com/)
- **Platform type**: SaaS (cloud-based, modular via API)

## Market Standing
- **Valuation**: Not disclosed
- **Key Metric**: Total funding $14.4M (Series A of $10M in June 2025) [linkedin.com](https://www.linkedin.com/company/axle-health)
- **Notable Investors/Partners**: F-Prime (lead Series A), Pear VC, Y Combinator, TRAC [linkedin.com](https://www.linkedin.com/company/axle-health)
- **Growth Signals**: Headcount grew 94.1% YoY (26 employees); 6 active job postings (up 500% YoY); SOC 2 Type II certified and HIPAA compliant [linkedin.com](https://www.linkedin.com/company/axle-health) [axlehealth.com](https://www.axlehealth.com/)

## Competitive Advantages
- **Patented logistics engine** for route optimization
- **Enterprise-grade security**: SOC 2 Type II, HIPAA compliant, regular penetration testing, data encryption in transit and at rest
- **Deep EMR integrations** ready on day one
- **Modular, API-first platform** that works alongside existing EMRs without disrupting downstream workflows
- **Clinician productivity gains**: 17%+ increase reported by customers [axlehealth.com](https://www.axlehealth.com/)

## Strategic Focus
- Continue scaling the platform for home health and hospice providers
- Expand AI-driven automation (scheduling, routing, patient engagement)
- Deepen integrations and interoperability with healthcare systems
- Grow sales and customer success teams to capture market share

## Why Work Here
- **Ownership**: Every team member receives equity [axlehealth.com](https://www.axlehealth.com/careers)
- **Wellness**: Top-tier medical, dental, vision coverage; 401k; flexible PTO; daily lunch at Santa Monica HQ [axlehealth.com](https://www.axlehealth.com/careers)
- **Growth**: Fast-moving, tight-knit team with meaningful work and skill development [axlehealth.com](https://www.axlehealth.com/careers)
- **Community**: Team lunches, offsites (e.g., Magic Castle, Vegas) [axlehealth.com](https://www.axlehealth.com/careers)
- **Culture**: Values include "seek the truth," "deliver for everyone," "build," "win by working together," "love what we do" [axlehealth.com](https://www.axlehealth.com/careers)
- **Work policy**: In-office at Santa Monica HQ (daily lunch provided)
- **Engineering culture**: Heavy technical team (42% of employees in technical roles); senior engineers sought for backend, DevOps, and interoperability roles [linkedin.com](https://www.linkedin.com/company/axle-health)

## Sources
1. [axlehealth.com](https://www.axlehealth.com/)
2. [axlehealth.com/about](https://www.axlehealth.com/about)
3. [axlehealth.com/careers](https://www.axlehealth.com/careers)
4. [linkedin.com/company/axle-health](https://www.linkedin.com/company/axle-health)
5. [jobs.ashbyhq.com/axle-health](https://jobs.ashbyhq.com/axle-health?embed=js)

## Other roles at Axle Health

- [Senior Delivery Manager](https://feeny.ai/job/senior-delivery-manager-axle-health-santa-monica-x733yhrvjyv0) — Santa Monica, CA
- [Senior User Experience Designer](https://feeny.ai/job/senior-user-experience-designer-axle-health-santa-monica-j8ef3jwdqcj7) — Santa Monica, CA
- [Senior Product Manager](https://feeny.ai/job/senior-product-manager-axle-health-santa-monica-yd4an9ptks6a) — Santa Monica, CA
- [Senior Software Engineer, DevOps and Infrastructure](https://feeny.ai/job/senior-software-engineer-devops-and-infrastructure-axle-health-santa-monica-assddezfykqn) — Santa Monica, CA
- [Senior Software Engineer, Interoperability](https://feeny.ai/job/senior-software-engineer-interoperability-axle-health-santa-monica-4zksbd98ncqc) — Santa Monica, CA