# Senior Engineering Manager (hands-on) - Alan Clinic **Company:** [Alan](https://scaleengineer.com/companies/alan) 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. **Role:** Engineering Manager **Seniority:** Manager **Locations:** Paris, France **Salary:** 90000–130000 EUR [Apply](https://jobs.ashbyhq.com/alan/f955359b-79f0-492f-bf54-fd72658fa663) Canonical: https://scaleengineer.com/jobs/alan/senior-engineering-manager-hands-on-alan-clinic --- ## 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. ## Requirements ### education - {"name":"Bachelor's Degree in Computer Science or Related Field","description":"Formal education in computer science, software engineering, mathematics, physics, or equivalent field demonstrating strong foundational technical knowledge."} ### technical - {"name":"Modern Software Development Practices","description":"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."} - {"name":"Full-Stack Development Understanding","description":"Solid understanding of backend, frontend, and infrastructure components. Ability to evaluate technology choices across the full stack and understand system-level architectural implications."} - {"name":"API Design and System Integration","description":"Experience designing scalable APIs, managing external integrations, and building systems that coordinate between AI services, medical practitioners, patient interfaces, and healthcare infrastructure."} - {"name":"Observability and Monitoring","description":"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."} ### experience - {"name":"Leadership Experience","description":"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."} - {"name":"Production AI/LLM Systems","description":"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."} - {"name":"Architectural Leadership","description":"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."} - {"name":"Real-Time Systems Development","description":"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."} - {"name":"Healthcare or Regulated Industry Experience","description":"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 - {"name":"Leadership and Team Management","description":"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."} - {"name":"Technical Vision and Architecture","description":"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."} - {"name":"Hands-On Coding","description":"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."} - {"name":"Product Collaboration","description":"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."} - {"name":"Problem-Solving and Debugging","description":"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 - {"name":"Founder or Entrepreneurial Experience","description":"Experience as a founder or early-stage team member brings valuable perspective on autonomous decision-making, resource constraints, and building products end-to-end."} - {"name":"Healthcare Technology Background","description":"Direct experience building healthcare products, understanding HIPAA compliance, working with medical data, or collaborating with healthcare professionals and regulatory bodies."} - {"name":"AI/ML Productionization","description":"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."} - {"name":"Conversational AI and NLP","description":"Familiarity with conversational AI systems, LLM fine-tuning, prompt engineering, RAG systems, or experience building chatbots and voice interfaces."} - {"name":"Telecommunications and Real-Time Systems","description":"Experience building real-time communication systems, voice/video infrastructure, or systems with millisecond latency requirements and 99.9%+ uptime SLAs."} - {"name":"Multi-Country Scaling","description":"Experience launching products across multiple countries, managing regional compliance requirements, localization challenges, and distributed team coordination."} ## Tech stack ### tools - {"name":"Kubernetes and Docker","description":"Container orchestration for deploying and scaling healthcare microservices with reliability and consistency. Essential for 24/7 uptime requirements and multi-region deployment."} - {"name":"OpenAI API or Anthropic Claude","description":"LLM service providers for building conversational AI. Understanding API capabilities, rate limiting, cost optimization, and fallback strategies for production healthcare systems."} - {"name":"Datadog, Prometheus, and Grafana","description":"Observability stack for monitoring, alerting, and debugging production systems. Critical for tracking latency, error rates, and system health for 24/7 healthcare services."} - {"name":"GitHub Actions or CI/CD Pipelines","description":"Continuous integration and deployment automation ensuring code quality, testing coverage, and rapid iteration in healthcare technology development."} - {"name":"AWS or Google Cloud","description":"Cloud infrastructure providers for scalable deployment, healthcare data compliance, disaster recovery, and multi-region healthcare service delivery."} ### others - {"name":"AI/LLM Evaluation Frameworks","description":"Tools and methodologies for evaluating LLM outputs in healthcare contexts including accuracy, safety, medical appropriateness, and bias detection. Experience with benchmarking and continuous improvement."} - {"name":"Healthcare Compliance and Standards","description":"Understanding of healthcare data regulations, audit requirements, security standards, and documentation necessary for regulated healthcare technology systems."} - {"name":"Agile and Product Development Methodologies","description":"Experience with agile processes, sprint planning, user story development, and rapid iteration cycles balanced with healthcare safety and regulatory requirements."} - {"name":"System Design and Scalability","description":"Deep understanding of distributed systems design, database scaling, caching strategies, and architectural patterns for building systems that scale from 1M to 100M+ users."} ### databases - {"name":"PostgreSQL","description":"Primary relational database for healthcare data storage, patient records, consultation history, and transactional consistency requirements in medical systems."} - {"name":"Redis","description":"In-memory data store for session management, real-time chat caching, teleconsultation state management, and low-latency operations critical for healthcare responsiveness."} - {"name":"Vector Databases","description":"Specialized databases like Pinecone, Weaviate, or Milvus for storing medical knowledge embeddings, enabling RAG systems that provide context-aware healthcare recommendations."} ### languages - {"name":"Python","description":"Primary language for AI/LLM development, backend services, and ML infrastructure. Essential for working with language models, building evaluation frameworks, and orchestrating AI workflows."} - {"name":"TypeScript/JavaScript","description":"Full-stack development language for web interfaces, real-time services, and modern application architecture. Commonly used in conversational AI frontends and cross-platform development."} - {"name":"SQL","description":"Required for healthcare data management, patient records, consultation history, and complex analytical queries. Essential for understanding data architecture in healthcare systems."} ### frameworks - {"name":"LLM Orchestration Frameworks","description":"Frameworks like LangChain, LlamaIndex, or similar for building agentic workflows, prompt management, and multi-step reasoning chains in healthcare contexts."} - {"name":"FastAPI or Django","description":"Robust backend frameworks for building healthcare APIs with security, validation, and comprehensive logging requirements. FastAPI for modern async services, Django for mature ecosystem."} - {"name":"React or Vue.js","description":"Frontend frameworks for building responsive patient and practitioner interfaces, real-time chat, and teleconsultation experiences."} ## Benefits ### benefits - {"name":"Equity and Stock Options","description":"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."} - {"name":"Comprehensive Health Coverage","description":"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."} - {"name":"Professional Development","description":"Investment in continuous learning including conference attendance, online courses, certifications, and mentorship programs. Budget for professional growth and industry engagement."} - {"name":"Flexible Work Arrangements","description":"Hybrid work options with flexibility to work remotely when effective. Balance between collaboration and focused deep work on complex engineering challenges."} - {"name":"Mission-Driven Culture","description":"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."} - {"name":"International Opportunities","description":"Alan operates across France, Spain, Belgium, and Canada with expansion plans beyond. Exposure to multi-country healthcare challenges and potential for international career growth."} - {"name":"Competitive Time Off","description":"Generous paid vacation days and paid leave policies supporting work-life balance and recovery, important for sustainable careers in high-stakes healthcare technology."} - {"name":"Leadership Development","description":"Structured mentorship from senior leadership, opportunities to influence engineering culture, and clear pathways for advancing into staff or director-level roles."} ## Compensation - **max:** 130000 - **min:** 90000 - **currency:** EUR - **stockOptions:** true ## Interview process ### steps ## Full description ## **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**](https://alan.com/en/careers). 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](https://arxiv.org/abs/2411.12808) 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](https://alan.com/about) and [Career](https://alan.com/careers) pages, as well as our [Medium](https://medium.com/alan), [blog](https://blog.alan.com/) and [Glassdoor page](https://www.glassdoor.com/Overview/Working-at-Alan-EI%5FIE1696043.11,15.htm) for more info.