Engineering Manager, Payments & Reconciliation

Ovii's Interpretation of the Role

We’re looking for an Engineering Manager to lead a ~6‑engineer team that builds and operates the end‑to‑end payments and reconciliation pipeline for healthcare revenue cycle management. You’ll own technical direction, hiring, and delivery while ensuring financial accuracy and reliability across insurer files, bank deposits, patient balances, and reporting.

Role Snapshot

• Lead a team of ~6 engineers
• Own the full payments‑to‑ledger flow
• Drive hiring and career growth
• Set technical direction for large‑scale financial systems
• Partner with claims, reporting, and operations teams
• Ensure reliability and accuracy of money‑in processes

Must-Have Requirements

• Managing software engineers
• Experience with financial/payments/billing/reconciliation systems
• software engineering management
• financial/payments system ownership

Nice-to-Have Signals

• Healthcare billing or insurance payments background
• File‑based integrations and high‑volume batch pipelines
• Improving on‑call quality and incident recovery
• Python (FastAPI)
• PostgreSQL
• Redis
• Background job processing
• healthcare billing
• fintech accounting platforms
• Healthcare

Work Setup

• Location: Mountain View, United States
• Work mode: HYBRID
• Remote scope: UNSPECIFIED
• Employment type: Full-Time

Eligibility Gates

• Visa sponsorship: unknown

Not Specified in JD

• Salary range
• Visa sponsorship
• Remote eligibility
• Equity
• Bonus
• Background check

What You'll Likely Work On

• Manage and grow a ~6‑engineer team focused on payment file ingestion, matching, ledger recording, and bank reconciliation.
• Set roadmap and technical direction for the money‑in path, balancing new feature delivery with system reliability.
• Collaborate with claims submission, denial handling, and financial reporting teams to ensure seamless handoffs and data consistency.
• Design and oversee large‑scale background pipelines, rule engines, and database changes while maintaining auditability.
• Improve on‑call processes, incident response, and automation testing to reduce recovery time and prevent balance errors.

Good Fit If You Have

• Enjoys solving high‑stakes financial accuracy problems.
• Thrives in a fast‑moving, AI‑driven healthcare environment.
• Values clear communication with ops, product, and leadership stakeholders.