- Fullscript is evolving from a platform patients use to access care into one that helps them actively follow through on it

- What we call Care Mode is at the center of that evolution. It is designed to create a continuous connection between patients and their care teams—helping patients turn recommendations into sustainable actions while giving practitioners greater visibility into what happens between visits

- Our goal is to close the loop from recommendation → engagement → adherence → outcomes, using technology to deepen the connection between patients and their care teams at scale

- This is not engagement for engagement’s sake. It’s about building thoughtful, trusted experiences that help people take the next right step in their care

- We’re looking for a hands-on Engineering Manager to lead our Patient Experience pod and help shape the technical and product foundations of Care Mode

- This role blends engineering leadership, product thinking, and people leadership

- You’ll stay close to the work—contributing to technical design and implementation, navigating difficult engineering decisions, and stepping in when deeper context or hands-on support is needed—while creating the conditions for a strong team to do its best work

- We believe great engineering leaders are builders at heart. You can zoom out to understand strategy and product intent, then zoom back into the implementation when it matters. You bring clarity to ambiguity, raise the bar through example, and create momentum through trust, context, and shared ownership
- The product reflects the team that builds it. This role shapes both

- Cross-functional team on patient experience; set technical direction in a complex, evolving domain

- Stay meaningfully hands-on through system design, code, reviews, prototyping, and solving difficult technical problems

- Set technical direction and evolve architecture in a complex, rapidly developing product domain

- Lead design discussions where product, engineering, data, and clinical considerations intersect

- Help evolve Fullscript from transactional patient experiences toward a longitudinal, person-centric model of care

- Build systems that bring together clinical data, behavioral signals, and real-world patient context

- Make deliberate tradeoffs across speed, quality, reliability, safety, and trust

- Bring structure and momentum to ambiguous problems without waiting for perfect information

- Establish a high bar for technical and product quality through how you build, review, and make decisions

- Create an environment that combines psychological safety with meaningful accountability

- Develop engineers through coaching, pairing, feedback, technical debate, and hands-on collaboration

- Continually challenge the team to ask:



Are we solving the right problem? Is the experience worthy of the people who depend on us?

- Partner closely with Product, Design, Clinical, Data, and Engineering leaders across Fullscript

- Influence broader technical direction as Care Mode and patient experiences become increasingly foundational to the Fullscript platform

- Champion patient trust, practitioner workflows, and long-term system health in product and technical decisions

- This is an opportunity to help establish how Fullscript builds and engages patients on mobile. You’ll join an experienced team, strong product leadership, and the opportunity to shape the technical approach, product experience, and engineering practices that take it forward. It combines the scope and ambiguity of a new product with the resources and scale of an established company

Advantages

- Reach your wellness goals with our benefits plan, discount on practitioner-grade supplements, and company-wide health and wellness programs

- Our dedicated DEIB Council ensures we advocate for equality and encourage positive change within ourselves and the community. We value the unique qualities and perspectives of our team

- You choose your own office with our Wherever You Work Well approach. Whether that’s in-person or at home, teams aren’t defined by geography. Output, not location, is our success metric so we also offer a flexible approach to your working hours, vacation, and personal days

- We empower each other to grow with lunch and learns, lean in circles, show-and-tells, and more. Everyone has something to learn and something to teach so we pride ourselves on growing as a team

- We’re not just a company — we’re a community. Team lunches, weekly town halls, birthdays, parties, and clubs are an essential part of our community and culture
- The health of our people relies on the health of our planet. We are certified carbon-neutral, taking our first big step in creating a more sustainable future- We’re looking for a builder with high agency, strong judgment, and a fundamentally optimistic view of what technology can make possible

- Default to action. When something is unclear, narrow the problem, propose a path, and move — then adjust with data

- Take ownership beyond the boundaries of your formal scope

- Challenge direction thoughtfully when something doesn’t feel right—and help create a better path





- You’re equally comfortable asking “What should we build?” and “How should we build it?”

- Enforce a high bar on reliability and trust: bug discipline, instrumentation, dogfooding. Quality is non-negotiable; so is shipping

- Care about outcomes, not simply output

- Are comfortable operating in ambiguity and moving forward with incomplete information

- Experience building and operating high-scale applications, with a strong appreciation for reliability, performance, maintainability, and user trust

- Strong technical judgment and an ability to communicate why a decision matters, not simply what should be built

- Strong product instincts and the ability to connect engineering decisions to the experience they create for users
- A track record of owning difficult, non-obvious technical problems with meaningful product and user impact

- Significant experience building and leading software products end-to-end, from early concepts through iteration and operation at scale

- Comfort moving between hands-on engineering and engineering leadership—sometimes within the same day

- Multiple years of engineering management experience, with a clear commitment to people leadership while remaining deeply technical and close to the work

- Experience designing for moments when users may be overwhelmed, disengaged, or uncertain about what to do next

- Strong instincts around responsiveness, fast feedback loops, perceived performance, and the details that make software feel lightweight and intuitive

- Experience building consumer experiences that proactively give users a reason to return—through timely, relevant, personalized, or context-aware interactions that reduce effort and sustain engagement over time

- Fluency with modern AI-assisted engineering workflows and tools, with strong judgment about how to use AI to explore options, challenge assumptions, accelerate implementation, and improve technical decision-making

- Deep experience building successful consumer-facing web and/or mobile products, where engagement, retention, usability, and product quality were central to the experience

- Experience with React, React Native, Rails, GraphQL, Apollo. Specific technologies matter less than depth of technical thinking and craftsmanship
- A track record of raising quality bars, not simply increasing velocity

- Experience building products in regulated, safety-sensitive, or high-trust domains
- An ability to challenge people constructively and leave teams stronger and more energized as a result- A quick note: Due to the high volume of applications, we’re not able to respond to phone or email inquiries about application status. If there’s a match, our team will reach out directly

📌 Engineering Manager (Patient Experience) (Toronto)
🏢 Fullscript
📍 Toronto