Why FMH
Every day, someone receives a life-changing diagnosis. Getting the right medication should be straightforward - but too often it isn’t.

Specialty medications move through a complex network of providers, health plans, pharmacies, and manufacturers. Administrative delays, disconnected systems, and limited visibility can slow treatment when time matters most.

Free Market Health exists to make that process work better.

Our technology connects stakeholders across the specialty pharmacy ecosystem, helping prescriptions reach the right pharmacy while improving visibility, reducing friction, and keeping treatment moving forward for the patients who depend on them. We focus on the most important stakeholder of all: the patient.

Your impact

At Free Market Health, our mission is to never let the process fail the patient. We build the platform that connects payers and specialty pharmacies and routes specialty medication referrals, so patients get the therapy they need. We're looking for an Engineering Manager who loves building great teams and helping engineers do the best work of their careers.

You'll lead one or more software delivery teams. Your focus is people: hiring, coaching, growing, and supporting the engineers on your teams, and making sure they can deliver predictably. You'll still write code and pick up project work to stay close to the platform, but your teams' commitments won't depend on it.

What You’ll Do

• Lead, coach, and grow a team of software engineers, including the team leads who guide day-to-day delivery.

• Hold regular 1:1s, set clear expectations, and give specific, timely feedback.

• Own the performance and development cycle for your team: goals, reviews, and career growth plans.

• Recruit, interview, hire, and onboard engineers who raise the bar.

• Build a team culture of engineering excellence, continuous learning, and knowledge sharing.

• Partner with Product on planning, scope, and priorities, balancing new features, reliability, and a sustainable pace.

• Keep delivery on track: help the team break down work, spot risk early, and recover when something slips.

• Champion AI-assisted development and agentic coding across your teams, and give engineers time to improve the shared agents, skills, and tools they use every day.

• Hold the quality bar through design and code review.

• Take part in the triage and on-call rotation alongside your engineers, keep coverage scheduled, and follow through on what incidents surface.

• Contribute hands-on to projects, tooling, and improvements outside the critical delivery path.

What We’re Looking For

• 8+ years of software engineering experience, including 2+ years as an engineering manager, team lead, or tech lead.

• A track record of developing engineers and building healthy, high-performing teams.

• Experience leading Agile delivery and partnering with Product on roadmaps and planning.

• Enough technical depth to engage in architecture, design, and code review on a modern web and cloud stack.

• Hands-on experience with AI-assisted development tools such as Cursor or Claude Code, and the judgment to tell where they improve delivery and where they don't.

• Clear, direct communication with engineers, product partners, and business leaders.

Nice to Haves

• A track record of raising a team's proficiency with AI coding agents and establishing the practices that make them effective.

• Healthcare technology experience, especially specialty pharmacy, PBM, payer, or claims systems.

• Familiarity with HIPAA, HITRUST, or SOC 2 in a software environment.

• Experience with Python, React, SQL Server, or Microsoft Azure.

Life at FMH

We’re building more than a company. We’re building a team of ambitious, curious people who are passionate about solving meaningful problems, growing their careers, and genuinely enjoying the journey together. 

Based in Pittsburgh’s Strip District, FMH draws inspiration from the city we call home. Our value of Grit isn’t just a word on a wall. It’s a mindset inspired by the city around us: showing up, rolling up our sleeves, and finding a way forward no matter the challenge. 

As FMH continues to grow, so do the opportunities for our people to leave their mark. Guided by our core values  of Integrity, Adaptability, Grit, and Collaboration, we foster an environment where trust is earned, new ideas are welcomed, challenges are embraced, and success is shared.  You will be surrounded by people who care deeply about the work they do and the people they do it with.

Together, we’re building something special, and we’re just getting started. 

Benefits

• Unlimited PTO
• 100% employer-paid individual medical, dental, and vision premiums
• Employer HSA contribution
• Paid parental leave
• 401(k) match
• Transportation and parking benefits
• Flexible, collaborative work environment

 Benefit eligibility is based on employment status.



Build What’s Next With Us

Healthcare is evolving - and so are we.

If you’re excited by meaningful challenges, collaborative teammates, and the opportunity to help build a growing healthcare technology company, we’d love to hear from you.

Equal Opportunity Employer

Free Market Health is proud to be an Equal Opportunity Employer.

We believe that  a diverse and inclusive workplace makes us better teammates and problem solvers and we encourage all qualified individuals to apply. Employment decisions are based on business needs, qualifications, and merit.

FMH is also committed to providing reasonable accommodations throughout the hiring process. If you require assistance or accommodation due to a disability, we will work with you to meet your needs.