Fusion Health is seeking an experienced Engineering Manager to join our Application Development team. You will lead the people and processes behind the systems that clinicians depend on every day, balancing technical leadership with team development in an environment where the work is complex and the stakes are real. If you lead by example, take ownership seriously, and want to build something that truly matters, keep reading.
About Fusion Health
Most healthcare software is built for the easy cases. Fusion Health builds for the rest.
We support clinicians working in movement restricted communities, where care delivery is more complex and software reliability is critical. In these environments, systems need to work consistently because there is no room for failure. This has been our focus since 2006.
That is not an accident. It is who we hire.
Bryan Jakovcic(EY Entrepreneur of the Year) built this company and still personally interviews every single person who joins it. Because the people here are not a department or a headcount. They are the company. Fusion has been recognized by INC as one of the fastest-growing private companies in the United States for four consecutive years, including #8 in New Jersey and #38 in the NY Tri-State area, and by Deloitte on its Fast 500 list of fastest-growing technology companies in the United States. We are also proud to be certified as a Great Place to Work by Fortune!. That growth and recognition happened because the right people showed up and did something with it.
We are driven, self aware, and we own what we do. That is the culture. No more, no less.
If this is the kind of work you've been looking for, this is where you do the best work of your career.
What we offer:
- Medical, dental, and vision coverage
- 401K
- Generous PTO
Our teams are based in Woodbridge, NJ and Topeka, KS. We operate in a hybrid environment.
What You’ll Do:
- Lead and mentor a team of engineers through a pivotal stage of growth, elevating skills in architecture, code quality, and systems design
- Partner with product and QA to rearchitect key systems and drive complex initiatives from technical strategy through production readiness
- Establish and enforce engineering standards that raise the bar on reliability, scalability, and craftsmanship
- Stay close to the code through thoughtful reviews, sharp debugging, and leading by example
- Build a team culture where feedback flows freely, growth is intentional, and great work is the norm
Who You Are:
- 5-7+ years of hands-on engineering experience and 2+ years leading engineering teams
- Proven experience architecting, developing, and maintaining complex backend systems using C# across multiple versions of .NET
- Proficient in designing, optimizing, and troubleshooting relational data models including stored procedures, indexing strategies, and the nuances of running databases in production
- Comfortable with cloud platforms, particularly Azure or AWS, and the common components used to host and scale web applications
- Experienced in Agile or Kanban environments where product and engineering collaborate closely
- A coach at heart who leads with credibility because you have been in the trenches
- Bonus: experience with Datadog or New Relic, Bicep or Terraform, or Angular and Node.js
Additional Details:
- This is an on-site (hybrid), full time, salaried role.
- Our normal hours of operation are Monday – Friday, 8:00 AM – 4:00 PM.
- This position description is not intended to be exhaustive, and other duties may be assigned as they arise.
- It is not expected that applicants have any familiarity with Fusion’s proprietary applications, Healthcare software, or Corrections/Public Health business processes. Qualified candidates will be able to demonstrate related experience and transferable skills that will work well with the Fusion team.
- At this time, this position is not eligible for employment sponsorship.
- Fusion is an equal employment opportunity employer.
Compensation:
- Salary Range: $150-170K
- At Fusion, our salary ranges are designed to be competitive within our size and industry. Compensation is just one component of a comprehensive total rewards package that also includes benefits, flexibility, and growth opportunities.
- Individual pay decisions are informed by several factors, including location, experience, qualifications, skillset, and internal equity across the organization. While we expect most offers to fall within the stated range, each compensation decision is made thoughtfully, with consideration for both the candidate’s unique profile and our commitment to pay parity.
For Internal Use only: In reference to our Employee Referral Program, this opening is: Level 4
Skills Required
- 5-7+ years of hands-on engineering experience
- 2+ years leading engineering teams
- Experience architecting, developing, and maintaining complex backend systems using C#
- Proficient in designing and troubleshooting relational data models
- Comfortable with cloud platforms, particularly Azure or AWS
- Experienced in Agile or Kanban environments
- Bonus experience with Datadog or New Relic
- Bonus experience with Bicep or Terraform
- Bonus experience with Angular and Node.js
What We Do
Fusion is the largest Electronic Health Record (EHR) vendor for State and County Department of Corrections and Juvenile Justice Agencies in the United States, managing over 300,000 detainees in over 250 justice institutions throughout the country. For nearly 15 years, Fusion has worked exclusively with these Agencies in adopting EHR and Health Information Technology Systems. With 4 offices and over 100 specialists nationwide, Fusion continues to grow and offer the future of Correctional EHRs – today. Our services are tailored to fit the needs of each client and cover a comprehensive set of milestones that will ensure a smooth transition from paper-to-electronic or electronic-to-electronic environment. Fusion breaks through the barrier of conventional companies, providing not only their expertise in EHRs but also having the capacity and manpower to act and implement solutions for the recommendations and findings they provide the client. Our clients choose Fusion as their EHR vendor of choice because Fusion delivers. We are unwavering in our commitment to bring creative, yet practical solutions to our clients. We provide our best information, best analysis, best counsel and best possible results every time. Simply put, no one knows Correctional EHRs and Correctional HIT like we do. Contact us today to discuss how a partnership between your Agency and Fusion will allow you to retain the most capable, experienced and thorough team to provide EHR services.








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