Application Engineering Manager - Medical Review Institute of America

Description

Who We Are - Motivated by Purpose. Powered by Clinical Expertise.

Founded in 1983, we’re a clinically driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.

Excellence starts with our people.

We Offer

• A competitive compensation package
• Benefits include healthcare, vision, and dental insurance
• A generous 401(k) match
• Paid vacation, PTO, and holidays
• Growth and training opportunities
• An award-winning remote work environment

Are you a hands-on Engineering Manager with the leadership skills to guide a team delivering and supporting business-critical applications across a diverse technology stack, including Node.js/React, Python, SQL Server, and cloud platforms like Microsoft Azure and Google Cloud Platform (GCP)?

In this role, you'll provide technical leadership for legacy platforms, specifically ColdFusion (CFML) and Windows C++ desktop and service-based applications, with a strong focus on reliability, maintainability, and pragmatic modernization.

Engineering Managers in our organization balance people leadership, delivery ownership, and technical strategy, while remaining close enough to the technology to unblock teams, resolve complex issues, and lead by example.

Key Responsibilities:



People Leadership & Team Execution

• Lead, coach, and mentor engineers; foster a culture of ownership, quality, accountability, and continuous improvement
• Drive predictable delivery through effective planning, execution, risk management, and cross-team coordination
• Remove blockers through active technical engagement, including debugging, design reviews, and rapid problem resolution

Technical Leadership (Hands-on “Player/Coach”)

• Provide architecture and design leadership to ensure solutions are scalable, reliable, secure, and maintainable
• Conduct code and design reviews, reinforcing engineering best practices and sound system design
• Deep dive into complex production issues across frontend, backend, and database layers to restore service and prevent recurrence

Modern Web Development (NodeJS / React / Python / SQL Server)

• Lead development and ongoing support of NodeJS services/APIs and React web applications with clean, extensible architecture
• Oversee SQL Server data design and performance, including schema design, complex queries, stored procedures, and tuning
• Ensure strong API integration patterns (RESTful and internal services), resiliency, and secure-by-design practices

Cloud Leadership (Azure & GCP)

• Lead engineering execution across Azure and GCP environments, including deployment readiness, operational reliability, and