At Clarity RCM, we are building the operating system private medical practices in the United States, and we are building the team that builds it in Chennai. This is a role for an engineering manager who wants to lead a strong team on a real product, not run a maintenance queue. This is about building the platform that thousands of independent medical practices will run their businesses on. If you want your next chapter measured in what you shipped, not what you maintained, read on.

You will lead a team of strong backend and frontend engineers building the core systems that move money and run operations for 200+ dermatology practices. You will own delivery and quality for your team, grow the engineers on it, and help set the technical direction alongside global leadership teams.

An event-sourced claims engine that is becoming the system of record for the practices we serve. A ground-up rebuild of how medical claims are created, validated, submitted, and reconciled. AI-native operations. We build with large language models as a first-class part of the stack, from client-health monitoring to internal agents that do real operational work. Lead, grow, and mentor a team of engineers, and help each of them reach their potential.

Own delivery for your team: plan well, ship value quickly, and keep momentum without sacrificing quality.

Set technical direction for distributed systems, APIs, and modern web applications, and go hands-on when it unblocks the team or cracks a hard problem.

Raise the bar on the things that compound: code quality,



testing, observability, and operational excellence.

Partner with product and design to turn business needs into clear engineering goals.

Proven experience as an Engineering Manager or Tech Lead, with real ownership of a team's delivery and growth.

Strong backend foundations in distributed systems (C#/.NET, Python, orchestration, cloud-native), with enough frontend fluency (React, Next.js, TypeScript) to lead engineers across the stack.

Comfort making trade-offs and simplifying to ship faster.

Fluency with cloud infrastructure, CI/CD, and contemporary DevOps practices.

Clarity RCM ( is the nation's leading revenue cycle and practice operations platform in dermatology. We operate at the intersection of healthcare, fintech, and AI, building a next-generation operating system for independent practices: claims automation, patient payments, analytics, and compliance, all in one place.

We are profitable, growing fast, and have been ranked among the nation's fastest-growing private companies by Inc. India is where we are making our biggest engineering bet. We are investing to build it into a flagship product-engineering hub, with strong leadership, real ownership of the product, and a team culture built on close collaboration and rapid iteration. This is a chance to do some of the best work of your career, on a product that matters, with a team you help shape.

Based in Chennai, hybrid, with genuine flexibility for exceptional candidates elsewhere in India.

📌 Senior Engineering Manager (.NET) (Chennai)
🏢 Clarity RCM
📍 Chennai