---
title: 'Engineering Manager at OneImaging'
canonical: 'https://feeny.ai/job/engineering-manager-oneimaging-remote-40ajhwy31nmf'
type: 'job'
last_seen: '2026-09-10'
---

# Engineering Manager at OneImaging

- **Company:** OneImaging
- **Location:** Remote
- **Work type:** remote
- **Posted:** 2025-10-09
- **Last confirmed live:** 2026-09-10
- **Apply:** https://job-boards.greenhouse.io/oneimaging/jobs/4022013009

## Job description

Radiology is the second most used healthcare service, used by over 51% of the workforce annually. Despite the critical role of radiology in healthcare, the process for undergoing a medical imaging exam has remained unchanged for decades. OneImaging is solving this with a concierge approach and a premium-quality radiology network of over 5,000 vetted providers across 48 states, which also reduces imaging costs by 60-80%. Our solution helps patients and families access essential radiology services at fair prices and without surprise bills, all while delivering immediate savings and ROI for employers and payers on every exam.

We are seeking an experienced Engineering Manager (player/coach) focusing on healthcare integrations, architecting the platform layer connecting provider networks, care navigator operations, and clinical workflows. This is a senior IC-first role where functions include writing production level code, building services, and owning critical systems while also setting architectural direction and mentoring other engineers.

The Engineering Manager will drive architecture decisions across services that interface with new and existing Postgres db’s, guide adoption of healthcare data standards such as FHIR/HL7 and DICOM, and ensure the platform can withstand the demands of healthcare at scale. This position emphasizes direct contribution, coding, system design, and problem-solving as the primary mode of leadership.

What you'll do:

- Architect and implement backend services that interface with Postgres and Databricks to support business verticals, ensuring scale, reliability, and maintainability. Write production-grade code and lead by example.
- Design and oversee data adapters to integrate with external imaging facilities, payers, and TPAs, adhering to health data standards (FHIR/HL7, DICOM)
- Conduct rigorous code reviews, set coding standards, and foster engineering best practices to ensure high-quality, secure, and compliant codebases.
- Design systems for reliability and graceful degradation as we scale from thousands to millions of orders. Extend considerations of fault-tolerance, error reporting, and load and stress testing to existing and new services. Establish recovery strategies and observability standards.
- Write clear engineering documentation that outlines architecture choices, technical milestones, and steps required to achieve epic/feature/service goals.
- Mentor backend and full-stack engineers, sharing tools and approaches to improve problem-solving. While mentorship is expected, the majority of your time will be spent coding and architecting systems.
- Partner with Product to translate business goals into efficient, value-driven technical solutions. Ensure tradeoffs are explicit and that the solution is optimized for the problem, pushing back on instances of incorrect scoping of a solution as needed providing the relevant evidence.
- Collaborate with DevOps to embed CI/CD, observability, security, and cost-transparency into every service.

About you:

- B.S./M.S. in Computer Science, Engineering, or related field, or equivalent industry experience.
- 8+ years of backend engineering experience with production level software development and architectural responsibilities.
- Strong expertise in Python, TypeScript/Node.js, PostgreSQL.
- Proven ability to design fault-tolerant, high-availability distributed systems and contribute hands-on in codebases.
- Hands-on experience with healthcare data standards (FHIR, HL7, DICOM) and compliance frameworks (HIPAA, SOC-II).
- Demonstrated ability to mentor engineers without direct management responsibilities.
- Excellent communication skills with the ability to influence both technical and non-technical stakeholders.
- Familiarity with cloud infrastructure (AWS preferred: S3, Fargate, App Runner, Route 53).
- Experience with CI/CD pipelines, observability platforms, and cost optimization.
- Experience with data pipelines and integrations with our Databricks layer (file ingestion, and BI integration), or equivalent large-scale data platforms.
- Familiarity with DICOM operations, processing, and interfacing with PACS systems
- Background in healthtech, insurance tech, or other regulated industries.
- Exposure to multi-agent systems (e.g., LLMs, OCR) to streamline workflows.

The base salary range for this position is $140,000 - $190,000.  Individual compensation will depend on various factors, including qualifications, skills, experience, location, and applicable laws. In addition to base salary, this role is eligible to participate in our equity incentive and competitive benefits plans. Fraud and Security Notice:

Please be aware of recent job scam attempts. Our team uses the oneimaging.com email domain exclusively. If you have been contacted by someone claiming to be a OneImaging recruiter or a hiring manager from a different domain about a potential job, please report it to law enforcement [here](https://www.ic3.gov/Home/ComplaintChoice) and to candidateprotection@oneimaging.com.

Equal Employment Opportunity:

OneImaging is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views, or other applicable legally protected characteristics.

OneImaging is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at talent@oneimaging.com.

## About OneImaging

## Company Overview
- **One-liner**: OneImaging is a comprehensive radiology network that reduces the cost of medical imaging by up to 80% by connecting employers, health plans, and members to a national network of accredited imaging centers with transparent pricing.
- **Entity Type**: Private (Series A)
- **Headquarters**: Miami, Florida, United States
- **Founded**: 2022
- **Founders**: Elan Adler (CEO)

## Core Business
- **Primary industry**: Healthcare IT / Medical Imaging / Health Tech
- **Target customers**: B2B — employers and health plans (membership is employer-sponsored); B2C — individual members who receive imaging services
- **Mission or purpose statement**: "To bring clarity, connection, and care back to medical imaging. No detours. No missing files. No surprise bills. Just imaging that works — for everyone." [oneimaging.com](https://oneimaging.com/about/)

## Products & Services
- **OneImaging Network**: A national network of 4,800+ accredited imaging centers offering MRIs, CT scans, ultrasounds, mammograms, X-rays, and more. Members get upfront pricing, online booking, and flexible payment options (HSA/FSA, credit/debit). [oneimaging.com](https://www.oneimaging.com/)
- **Employer/Health Plan Solution**: An integrated platform that orchestrates imaging appointments, manages prior authorizations, and provides cost transparency to reduce employer healthcare spend. Members see exact costs at booking and save an average of 72% per exam. [oneimaging.com](https://www.oneimaging.com/)
- **Care Navigation**: Dedicated care navigators provide hands-on support throughout the imaging process, from scheduling to post-exam follow-up. [oneimaging.com](https://www.oneimaging.com/)
- **Upcoming Features**: Real-time AI decision support, seamless image sharing, and frictionless onboarding tools for providers (as stated on their about page). [oneimaging.com](https://oneimaging.com/about/)

## Market Standing
- **Valuation/Market Cap**: Not disclosed (private company)
- **Key Metric**: Total funding of **$70.0M** raised across 5 rounds (Pre-Seed, Seed, and Series A) [linkedin.com](https://www.linkedin.com/company/oneimagingradiology)
- **Notable Investors/Partners**: Vy Capital (led Series A), XRC Ventures, Necessary Ventures [linkedin.com](https://www.linkedin.com/company/oneimagingradiology)
- **Growth Signals**: Headcount of 78 employees (+244.4% YoY); serves over 2 million members nationwide; operates in 5 countries (US, Mexico, Philippines, Canada, Turkey); 12 active job postings; LinkedIn followers grew +220.3% yearly [linkedin.com](https://www.linkedin.com/company/oneimagingradiology) [oneimaging.com](https://www.oneimaging.com/)

## Competitive Advantages
- **Transparent Pricing**: Members see exact costs upfront before booking, eliminating surprise medical bills — a major pain point in US healthcare.
- **National Network**: Access to 4,800+ accredited imaging centers with national coverage, giving members choice and convenience.
- **Insurance Integration**: Works with insurance plans so all exams count toward deductibles and out-of-pocket maximums.
- **Employer Value Proposition**: Average 72% member savings and 4,800% ROI for employers, making it a compelling cost-containment solution.
- **Technology Platform**: End-to-end orchestration from order to payment, with planned AI decision support and real-time image sharing.

## Strategic Focus
- **Network Expansion**: Continuing to grow the national network of imaging centers and provider partnerships.
- **AI Integration**: Building real-time AI decision support to improve diagnostic accuracy and workflow efficiency.
- **Provider Onboarding**: Developing frictionless tools to let any provider join the network in minutes.
- **Member Growth**: Scaling the employer-sponsored membership model to reach more organizations and their employees.
- **International Operations**: Already operating in 5 countries, suggesting global expansion ambitions.

## Why Work Here
- **Remote-First Culture**: OneImaging offers a full-time remote work program, with most engineering roles listed as remote (US-based). Some roles are hybrid or in-office in Miami. [builtin.com](https://builtin.com/company/oneimaging)
- **Engineering Stack**: Modern tech stack including TypeScript, React, React Native, Next.js, PostgreSQL, and Salesforce. [builtin.com](https://builtin.com/company/oneimaging)
- **Compensation & Benefits**: Offers employee stock purchase plan, performance bonuses, pay transparency, generous PTO (unlimited policy), and modern technology across teams. [builtin.com](https://builtin.com/company/oneimaging)
- **Culture Highlights**: Managers offer consistent feedback loops, encourages autonomy and ownership, and provides strong career growth opportunities. [builtin.com](https://builtin.com/company/oneimaging)
- **Rapid Growth Trajectory**: Headcount grew 244% YoY, indicating strong momentum and promotion/advancement opportunities.
- **Meaningful Mission**: Directly improving healthcare access and affordability — "Clarity in every image. Certainty in every decision." [oneimaging.com](https://oneimaging.com/about/)
- **Active Hiring**: 12 open positions across Engineering, Data Science, Product, Operations, and Sales, including remote roles. [job-boards.greenhouse.io](https://job-boards.greenhouse.io/oneimaging)

## Sources
1. [oneimaging.com - About](https://oneimaging.com/about/)
2. [oneimaging.com - Homepage](https://www.oneimaging.com/)
3. [linkedin.com - Company Profile](https://www.linkedin.com/company/oneimagingradiology)
4. [builtin.com - Company Profile](https://builtin.com/company/oneimaging)
5. [job-boards.greenhouse.io - Careers](https://job-boards.greenhouse.io/oneimaging)

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