Senior Engineering Manager

At Clarity RCM, we're building the operating system that independent medical practices across the US run on. And we're building the team that builds it, in Chennai. This is a role for an engineering manager who wants to lead a strong team on a real product, not run a maintenance queue. Not "keeping the lights on." Building the platform thousands of practices will run their businesses on. If you want your next chapter measured by what you shipped, not what you maintained, keep reading. WHAT YOU'LL LEAD You'll lead a team of strong backend and frontend engineers building the core systems that move money and run operations for 200+ dermatology practices. You'll own delivery and quality, grow the engineers on your team, and help set technical direction alongside global leadership. A few of the systems your team owns: An event-sourced claims engine 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, 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. WHAT YOU'LL DO Lead, grow, and mentor a team of engineers, and help each of them reach their potential. Own delivery: plan well, ship value quickly, and hold quality while you do it. Stay close to the technology. Set direction for distributed systems, APIs, and modern web apps, 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 needless complexity, and once a decision is made, move together. Raise the bar on what compounds: code quality, testing, observability, operational excellence. Partner with product and design to turn business needs into clear engineering goals. WHAT WE'RE LOOKING FOR 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 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. WHY THIS ROLE, WHY NOW Clarity RCM is the nation's leading revenue cycle and practice operations platform in dermatology. We work at the intersection of healthcare, fintech, and AI: claims automation, patient payments, analytics, and compliance in one place. We're profitable, growing fast, and ranked by Inc. among the nation's fastest-growing private companies four years running. We have more than $1B in revenue under management and teams across the US, Latin America, and India. India is our biggest engineering bet. We're building Chennai into a flagship product-engineering hub: strong leadership, real ownership of the product, a 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. At Clarity RCM, we're building the operating system that independent medical practices across the US run on. And we're building the team that builds it, in Chennai. This is a role for an engineering manager who wants to lead a strong team on a real product, not run a maintenance queue. Not "keeping the lights on." Building the platform thousands of practices will run their businesses on. If you want your next chapter measured by what you shipped, not what you maintained, keep reading. WHAT YOU'LL LEAD You'll lead a team of strong backend and frontend engineers building the core systems that move money and run operations for 200+ dermatology practices. You'll own delivery and quality, grow the engineers on your team, and help set technical direction alongside global leadership. A few of the systems your team owns: An event-sourced claims engine 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, 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. WHAT YOU