Senior Engineering Manager

At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in mental healthcare.

Thank you for taking the time to explore a career with us. As the fastest growing mental health practice group in the country, now is the perfect time to join our team!

LifeStance Health Values

• Belonging: We cultivate a space where everyone can show up as their authentic self.

• Empathy: We seek out diverse perspectives and listen to learn without judgment.

• Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.

• One Team: We realize our full potential when we work together towards our shared purpose.

ROLE OVERVIEW

We’re seeking an Senior Engineering Manager to lead and scale a team of skilled software engineers focused on building the core platform that powers the future of mental health technology at LifeStance. This role centers on creating scalable systems, ensuring seamless interoperability (with a strong focus on FHIR), and developing robust microservices that enable secure, real-time data exchange across clinical and operational systems.

You’ll be instrumental in defining technical strategy, cultivating a high-performance engineering culture, and delivering resilient platform capabilities that directly support clinicians, patients, and our internal teams.

This is a hands-on leadership position that combines technical depth with team management. You'll work closely with Product, Design, Data, DevOps, Security, and other stakeholders to drive platform delivery and quality at scale.

Consistent with LifeStance’s values, every member of the LifeStance team is expected to support each other and the mission, which may mean participating in projects and initiatives and performing functions and responsibilities not specifically outlined in this job description.

Key Responsibilities 

• Lead and develop a high-performing engineering team building event-driven microservices and APIs using Node.js, TypeScript, and AWS Lambda
• Define and champion the technical roadmap for key product initiatives, ensuring alignment with the overall business strategy and technology vision.
• Provide architectural guidance and lead the design of complex, scalable systems. Drive decisions on technology selection and best practices for cloud-native development, particularly with a focus on AWS Lambda and serverless architectures
• Accountable for driving the technical strategy to improve system performance by 20% and reduce infrastructure costs by 15% year-over-year
• Serve as a primary liaison between engineering and product, design, and clinical operations teams. Translate business needs into technical requirements and technical constraints into business risks and opportunities
• Establish and uphold engineering standards around observability, performance, and system health
• Own critical backend services from design to deployment, ensuring reliability and continuous enhancement
• Implement and enforce best practices for security, access control, and data governance
• Foster a culture of innovation and continuous improvement. Mentor teams in adopting new technologies and engineering practices (e.g., CI/CD, Infrastructure as Code, test automation) to increase efficiency and quality
• Lead incident response and foster a culture of continuous learning through blameless retrospectives
• Contribute to strategic planning, capacity management, and hiring to support team growth
• Encourage a culture of technical ownership, curiosity, and engineering rigor

REQUIREMENTS

• Bachelor’s degree in Computer Science, Engineering, or related field
• 12+ years of professional software engineering experience, with 5+ years in an engineering leadership or management role
• Strong proficiency in building APIs and microservices with Node.js, TypeScript, and modern communication protocols (REST, gRPC, GraphQL)
• Deep understanding of event-driven architectures, serverless computing, and AWS Lambda
• Extensive, hands-on experience with cloud computing platforms, specifically AWS, including deep knowledge of serverless technologies like AWS Lambda, API Gateway, and Step Functions. Experience with containerization technologies such as Docker and Kubernetes is highly preferred
• Familiarity with Infrastructure-as-Code, CI/CD tooling, and observability stacks (e.g., Terraform, Datadog, OpenTelemetry, Jenkins, GitHub Actions)
• Solid foundation in software design, testing strategies, and production resilience
• Excellent communication and stakeholder collaboration skills
• Strong sense of ownership and ability to drive initiatives across teams and domains
• Committed to fostering diversity, inclusion, and belonging in engineering environments
• Extensive, hands-on experience in the healthcare technology domain. A deep understanding of healthcare data standards like FHIR is a significant plus.
• Familiarity with FHIR and healthcare data interoperability
• Familiarity with Salesforce Health Cloud or health-focused CRM integrations
• Background in observability and distributed tracing/logging pipelines
• Qualified candidates must be legally authorized to be employed in the United States
• Demonstrates awareness, inclusivity, sensitivity, humility, and experience in working with individuals from diverse ethnic backgrounds, socioeconomic statuses, sexual orientations, gender identities, and other various aspects of culture.
• Qualified candidates must be legally authorized to be employed in the United States
• LifeStance is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability, or any other legally protected status.
• Demonstrates awareness, inclusivity, sensitivity, humility, and experience in working with individuals from diverse ethnic backgrounds, socioeconomic statuses, sexual orientations, gender identities, and other various aspects of culture.

PHYSICAL REQUIREMENTS

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to sit, stand, bend, talk and hear. The employee is frequently required to walk. The employee must be able to lift and/or move objects up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

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LifeStance is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees. Learn more about Diversity, Equity and Inclusion at LifeStance.

Benefits
As a full-time employee of LifeStance Health, the following benefits are offered: medical, dental, vision, AD&D, short and long-term disability, and life insurance. Additional benefits include a 401k retirement savings with employer match, paid parental leave, paid time off, holiday pay and an Employee Assistance Program.