Senior Engineering Manager (hands-on) - Alan Clinic

Engineering Manager · Manager · Full Time

Paris, FranceEUR 90k – 130k1mo ago
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Role

What you'll do.

Lead the Alan Clinic engineering team as a hands-on Engineering Manager, overseeing the development of Mo, an intelligent LLM-based AI health companion, and the Clinic Platform that delivers chat, teleconsultation, and care programs at scale. This role combines technical leadership with product vision, requiring someone who can guide architectural decisions for AI systems while maintaining hands-on involvement in shipping healthcare technology. You'll build high-performing engineering teams focused on operational excellence, safety, and reliability in a mission-driven healthcare environment.

Responsibilities

  • Team Leadership and Talent Development: Build and scale a high-performing engineering team by managing hiring, onboarding, and continuous professional development. Establish talent density standards, provide honest feedback, and mentor engineers to develop technical and leadership capabilities. Ensure psychological safety and a culture of continuous learning that attracts and retains top talent in healthcare and AI.
  • Architecture and Technical Strategy: Guide architectural decisions for Mo's evolution and the Clinic Platform, including agentic framework design, context expansion, and multi-country scaling. Stay close to the codebase, participate in technical design reviews, and make informed decisions on system design that balance innovation with reliability. Lead the technical roadmap ensuring alignment with business objectives.
  • AI and LLM Product Delivery: Oversee the engineering teams building the conversational AI assistant and its integration with healthcare practitioners. Ensure safe, reliable production deployment of AI systems that handle medical triage, prescriptions, and patient follow-ups. Manage the engineering challenges unique to AI products including model evaluation, prompt engineering infrastructure, and continuous improvement cycles.
  • Clinical Platform Development: Lead engineering efforts for the Clinic Platform features including practitioner chat, teleconsultation at national scale, and healthcare professional tooling. Drive alignment between engineering, product, and medical teams to ensure seamless conversion of conversations into actionable care. Own technical requirements and implementation standards for healthcare service delivery.
  • Operational Excellence and Reliability: Establish and maintain 24/7 operational excellence standards for real-time healthcare services. Own latency optimization, error rate reduction, incident response protocols, and on-call rotation design that prevents team burnout. Implement monitoring, observability, and SLO frameworks appropriate for medical AI systems where reliability is a safety requirement.
  • Cross-Functional Collaboration: Partner with product, design, medical, and business teams as a technical equal. Participate in roadmap planning, articulate technical trade-offs, and help teams commit to realistic delivery timelines. Ensure engineering considerations are integrated into healthcare product decisions and compliance requirements.
  • Hands-On Engineering Contribution: Maintain active involvement in code development and review while managing team responsibilities. Contribute meaningfully to system design, code reviews, and shipping features to ensure technical credibility and staying current with implementation details. Demonstrate commitment to building alongside the team.

Qualifications

What we look for.

Technical

  • Modern Software Development Practices

    Mastery of version control, code review standards, continuous integration/deployment, testing strategies, and modern development workflows. Proficiency with AI-assisted development tools and their integration into development processes.

  • Full-Stack Development Understanding

    Solid understanding of backend, frontend, and infrastructure components. Ability to evaluate technology choices across the full stack and understand system-level architectural implications.

  • API Design and System Integration

    Experience designing scalable APIs, managing external integrations, and building systems that coordinate between AI services, medical practitioners, patient interfaces, and healthcare infrastructure.

  • Observability and Monitoring

    Experience with observability tools, metrics definition, logging infrastructure, and alert management. Understanding of SLI/SLO frameworks and their application to healthcare services where reliability is critical.

Education

  • Bachelor's Degree in Computer Science or Related Field

    Formal education in computer science, software engineering, mathematics, physics, or equivalent field demonstrating strong foundational technical knowledge.

Experience

  • Leadership Experience

    3+ years of proven experience leading engineering teams with a demonstrated track record of building high-performing, cohesive technical groups. Experience mentoring engineers, conducting performance management, and developing talent pipelines.

  • Production AI/LLM Systems

    First-hand experience shipping AI or large language model products to production environments. Understanding of challenges including model evaluation, inference optimization, safety considerations, and production reliability of AI systems.

  • Architectural Leadership

    Experience establishing engineering excellence standards, guiding architectural decisions, and maintaining technical vision across growing systems. Ability to balance innovation with stability and make informed trade-offs on technology choices.

  • Real-Time Systems Development

    Experience building and scaling systems with 24/7 uptime requirements, latency sensitivity, and high reliability standards. Understanding of monitoring, observability, incident response, and operational best practices for production services.

  • Healthcare or Regulated Industry Experience

    Familiarity with healthcare technology requirements, compliance considerations, or experience in other highly regulated industries. Understanding of medical data sensitivity, audit trails, and compliance documentation is valuable.

Skills

Required

  • Leadership and Team Management

    Proven ability to hire, develop, and retain high-performing engineers. Strong communication skills, emotional intelligence, and experience providing constructive feedback. Ability to build inclusive teams with psychological safety.

  • Technical Vision and Architecture

    Capability to establish technical standards, guide architectural decisions, and communicate complex technical trade-offs to non-technical stakeholders. Experience shipping complex systems with quality and reliability.

  • Hands-On Coding

    Active coding capability with the ability to meaningfully review code, contribute pull requests, and stay current with implementation details. Comfortable with your primary backend language and willing to learn new technologies.

  • Product Collaboration

    Ability to partner with product, design, and business teams as a technical equal. Strong product sense and understanding of how technical decisions impact user experience and business outcomes.

  • Problem-Solving and Debugging

    Strong analytical and debugging skills with ability to decompose complex problems in healthcare AI contexts. Experience troubleshooting production systems under pressure and implementing systematic solutions.

Preferred

  • Founder or Entrepreneurial Experience

    Nice to have

    Experience as a founder or early-stage team member brings valuable perspective on autonomous decision-making, resource constraints, and building products end-to-end.

  • Healthcare Technology Background

    Nice to have

    Direct experience building healthcare products, understanding HIPAA compliance, working with medical data, or collaborating with healthcare professionals and regulatory bodies.

  • AI/ML Productionization

    Nice to have

    Specific experience with building infrastructure for deploying machine learning models, managing model training pipelines, A/B testing ML systems, and debugging model behavior in production.

  • Conversational AI and NLP

    Nice to have

    Familiarity with conversational AI systems, LLM fine-tuning, prompt engineering, RAG systems, or experience building chatbots and voice interfaces.

  • Telecommunications and Real-Time Systems

    Nice to have

    Experience building real-time communication systems, voice/video infrastructure, or systems with millisecond latency requirements and 99.9%+ uptime SLAs.

  • Multi-Country Scaling

    Nice to have

    Experience launching products across multiple countries, managing regional compliance requirements, localization challenges, and distributed team coordination.

Tech stack

Languages

PythonTypeScript/JavaScriptSQL

Frameworks

LLM Orchestration FrameworksFastAPI or DjangoReact or Vue.js

Databases

PostgreSQLRedisVector Databases

Tools

Kubernetes and DockerOpenAI API or Anthropic ClaudeDatadog, Prometheus, and GrafanaGitHub Actions or CI/CD PipelinesAWS or Google Cloud

Other

AI/LLM Evaluation FrameworksHealthcare Compliance and StandardsAgile and Product Development MethodologiesSystem Design and Scalability

Compensation

Pay and benefits.

Base·EUR 90,000 – 130,000

Equity·Stock options

Benefits

  • Equity and Stock Options

    Meaningful equity stake in Alan as a core team member building the future of healthcare. Stock options align your success with company growth and provide long-term value creation.

  • Comprehensive Health Coverage

    Full access to Alan's digital health insurance platform including preventative care, mental health support, telemedicine, and healthcare services. Demonstrates company's commitment to employee wellness.

  • Professional Development

    Investment in continuous learning including conference attendance, online courses, certifications, and mentorship programs. Budget for professional growth and industry engagement.

  • Flexible Work Arrangements

    Hybrid work options with flexibility to work remotely when effective. Balance between collaboration and focused deep work on complex engineering challenges.

  • Mission-Driven Culture

    Opportunity to work on meaningful healthcare technology with direct impact on millions of members' health outcomes. Purpose-driven work in a growing 800+ person company.

  • International Opportunities

    Alan operates across France, Spain, Belgium, and Canada with expansion plans beyond. Exposure to multi-country healthcare challenges and potential for international career growth.

  • Competitive Time Off

    Generous paid vacation days and paid leave policies supporting work-life balance and recovery, important for sustainable careers in high-stakes healthcare technology.

  • Leadership Development

    Structured mentorship from senior leadership, opportunities to influence engineering culture, and clear pathways for advancing into staff or director-level roles.

Full posting

Original listing.

Health can’t wait.

Not for symptoms to get worse. Not for a six‑month appointment. Not for a system to catch up. But that’s exactly how healthcare works today. You wait, until you can’t.

Alan exists to end the wait.

Health is a universal right, and we believe this right can only become real when it’s coupled with prevention. We need to stop treating health as something we repair and start treating it as something we build, every day. It’s not solely a question of willpower. It’s the healthcare system itself that needs to work for everyone, in a sustainable way.

So we are building the new standard in prevention insurance. Alan is the first company that integrates insurance, prevention, and care into a single, acclaimed user experience.

We are on an incredible journey to build a global leading company, with a unique culture. We already partner with 40K+ companies of all sizes, serving more than 1M+ members, and have reached €800M+ in ARR.

Prevention as the new norm. That's what we're building with our team of 800+ people. If it speaks to you: we're hiring across France, Spain, Belgium, and Canada. And beyond.

🤖 Who we are

Alan Clinic. A health companion and a digital clinic for everyone.

We're a small team within Alan, on a mission to redefine the future of care by democratizing access to medical expertise. The Clinic is two crews building one experience:

  • Mo. An intelligent, empathetic, multimodal LLM-based conversational AI assistant able to prescribe, triage, and proactively follow up on care. We kicked off in 2023 and launched Mo to all our French members (1M) in Q1 2026, making it the first safe AI health companion live at scale in Europe.

  • Clinic Platform. The medical services behind the conversation: chat with health practitioners, teleconsultation, and care programs across primary care, mental health, and physiotherapy.

Imagine giving every person in the world instant, 24/7 access to personalised medical expertise (through chat, voice, or video) with AI agents working in tandem with real doctors and the health system. That's what we are building 🤖🏥.

🚀 What you'll build and who you'll work with

We're building a medical experience that works reliably, safely, and at scale. An AI agent, and the clinic behind it. You'll lead the engineering team and you'll keep building alongside them.

The crews work at the intersection of product engineering, ML engineering, and medical expertise. As their engineering leader, you own:

  • 💬 The team behind the most memorable chatting experience. Hiring, onboarding, honest feedback, and the mix of skills Mo needs as it grows. Talent density is yours to own.

  • ➕ The architecture for Mo's next chapters. More context, new skills, new countries. You guide the calls on our architecture and agentic framework, and you stay close enough to the code to make them well.

  • 🏥 The platform that turns conversations into care. Chat with health practitioners, teleconsultation at national scale, and the tooling doctors and therapists use every day. You drive alignment with the crews and medical teams on the other side, so members get from words to actions.

  • 🛡️ Operational excellence. Mo and teleconsultation are real-time services that have to be live 24/7. Latency, error rates, incident response, and an on-call rotation that doesn't burn people out.

If you're excited by the idea of building the future of healthcare, this is the team for you. We're at the start of the journey. If you're curious, here is a paper we published recently.

⚡ Why this role is special

  • Dual impact: Shape both technical excellence and team growth - your engineers become better while building better products

  • Leadership growth: Influence engineering culture, mentor future leaders, and drive technical strategy that shapes the future of healthcare delivery

  • Startup speed, Alan's platform. Mo operates with the focus of a startup, on top of Alan's infrastructure, distribution, and health expertise. Small team, huge reach.

  • Stakes that make the work matter. In medical AI, reliability and safety are the product. Every call you make on quality, architecture, and evaluation is a call about our members' health.

🔍 What we're looking for

We're looking for an engineering leader who gets excited about building state-of-the-art AI systems and applying them to real-world, high-stakes problems in healthcare.

Leadership experience

  • 3+ years leading engineering teams, with a track record of building high performers.

  • You partner with other product functions as a true equal: you shape the roadmap, name trade-offs honestly, and help the team commit to what it can actually deliver.

Technical foundations

  • Experience establishing engineering excellence standards, with the ability to guide architectural decisions.

  • First-hand experience shipping AI or LLM products to production is a big plus.

  • You're excited and eager to keep writing code. You still review it, and you still ship some yourself.

  • Comfortable with modern development practices and AI-assisted development tools.

What we value

  • Curious, self-starting, humble, collaborative, and eager to grow.

  • You develop people as much as you develop products.

  • Ex-founders are typically a great fit in our team.

Mission alignment

  • Healthcare technology and innovation excite you

  • You understand that great engineering teams are built on psychological safety and continuous learning

But above all, we are looking for high potential and curiosity: make sure to show us this when you apply!

🎯 Important note: we hire people, not roles.

If you're excited about this opportunity but don't check every box, we'd love to hear from you. Everyone, no matter how underrepresented, should feel free to apply, as it can only bring learnings or success.

If you identify yourself as a woman: Did you know that research shows women often apply only when meeting 100% of requirements?

Remember, this is just a guide, not a checklist. We'll be thrilled to receive your application!

🔖 Check out our About Alan and Career pages, as well as our Medium, blog and Glassdoor page for more info.

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