Women Impact Tech

Lead Software Engineer, FCM

    New York, NY, Remote

Full Time

About the Role:

Help lead a team of engineers—as both an individual contributor and a people manager—to
deliver value to care management agencies.

Foothold Care Management (FCM) is the leading software solution within New York State’s
Medicaid Health Homes program. We strive to make our system smart and friendly, in order to
let our users spend time on their real jobs: getting members the care they need. The idea of
bringing good software to a field known for crappy software excites us.

We’re looking for a lead software engineer to help grow and shape our FCM product, codebase,
and engineering culture through a combination of technical experience, management, and
process insights. If you are excited about our mission of improving health outcomes for
underserved populations, and passionate about building great software, we’d love to talk to


  • Team process: Our team is currently 7 engineers, but some of our processes haven’t changed much since we were just 2 or 3. You find ways to make our team happier and more productive, and go about this thoughtfully, from weighing tradeoffs to building consensus.
  • Management: As manager of 2–4 engineers, you empower individuals to identify and accomplish their goals. You give feedback effectively. And you manage with empathy, striving to understand where others are coming from and valuing different strengths and approaches. You are invested in the success of other engineers as much as your own.
  • Engineering: You serve as a thought partner on challenging problems, helping develop requirements and make hard decisions. You identify opportunities for large scale application improvements, and are instrumental in making them happen. You think like a product manager: mastering the domain, finding creative ways to reduce complexity and cut scope, and keeping our users’ interests in mind. In addition to technical leadership, you also roll up your sleeves to serve as a productive individual contributor, modeling best engineering practices for the rest of the team
  • Thinking big: As a leader, you understand our organization’s goals and capacities, and use this knowledge to make informed, forward-thinking decisions. You focus on delivering value, modeling how to make tradeoffs and prioritize what matters most. And you help our team thrive within our broader ecosystem: with the product & services teams, with the company as a whole, and with our customers.
  • Upholding our values: We’re proud to identify as a sustainable small business, not a startup seeking hyper-growth. We love that our tools are used by safety-net organizations that are fighting health disparities. And we're a friendly group of people who work together closely and care deeply about each other and our openness as a team. We are looking for a teammate who will thrive in this collaborative, mission-driven environment.

    Stack and Experience
    We use Rails, React, and Postgres. We don’t expect you to know these specifically, but
    experience with modern web development is a big plus. In general we believe that an excellent
    communicator who is excited by our mission, passionate about code as craft, and generally
    thoughtful, intellectually curious, and driven would thrive on our team, regardless of which
    technologies they’ve worked with before.

    As a rough ballpark of the experience we’re looking for, if you’ve worked at a tech company on
    a large, shared codebase for 4–5 years, great. But we are also open to other kinds of
    experience. If your background includes forays into product or design as well as
    engineering—or if you’ve got experience working in healthcare or social services—that’s great
    too. If you’ve managed people before, wonderful; but if you’ve worn the hat of mentor, coach, or
    advocate, and have thought critically about how to lead others in an effective and human way,
    get in touch!

    Working at Foothold
    FCM is part of Foothold Technology, a team of 75 mission-driven folks committed to building
    better technology for organizations that support underserved populations. We’ve been around
    since 2000, when we spun out of Community Access, a NYC-based non-profit that’s still a
    customer today!

    Foothold offers two products: an Electronic Health Record (EHR) called AWARDS, and a care
    management platform called FCM (recently acquired, and formerly known as Relevant Health
    Homes). Across our products, our customers support nearly 1.2 million individuals on a monthly

    ● Join a small team of passionate and kind people (currently, there are 14 of us on the FCM
    team) who love what we do.
    ● Work at a mission-driven company that values integrity, respect, and work-life balance.
    ● Competitive salary, excellent benefits, 401(k) with employer matching, generous and
    flexible vacation policy, and continual learning opportunities.
    ● Remote-friendly in the U.S, as in authorized to work in the U.S. with no restrictions. We
    have an office space in NYC, but most employees were remote even before the
    pandemic. Want to work from a cabbage farm? Excellent.

    About Health Homes
    Health Homes is a major initiative to intervene with high-risk Medicaid patients. The program
    was launched in 2012, as part of the Affordable Care Act, and spends approximately $500
    million per year in New York State.

    Health Home patients may have multiple chronic conditions, substance use challenges, or
    serious mental illness; they might be homeless or incarcerated. The goal is to improve health
    outcomes while also reducing total system costs, with a special focus on preventing
    unnecessary hospitalizations.

    Dozens of organizations, from large health systems like Sun River Health to community-based
    organizations like Housing Works and The Alliance, use our care management platform to
    collaborate on patient care and track progress for Health Home patients.

    How to apply
    Send an email to careers@footholdtechnology.com with the subject line “Lead Software
    Engineer, FCM”. When responding, please include a resume and a note in the body of the email
    briefly answering the following (a few sentences for each is fine):
    ● What do you look for in companies you consider joining?
    ● Summarize your experience/interest in mentoring or leading other engineers.
    We’re committed to building a diverse company. Applicants who identify with groups that are
    under-represented in the technology industry are strongly encouraged to apply.

    Meet Foothold Technology

    Foothold Technology offers web-based software for human service providers that eases the burden of documentation, providing the freedom to focus on their mission. More than 1,000 agencies nationwide count on Foothold’s AWARDS software to manage and bill for their services. AWARDS is ideal for virtually all human services, including Mental Health, Alcohol & Substance Abuse, Developmental Disabilities, Homeless & Housing, Employment & Training, Seniors, Youth & Family, and more.