Bellese is a mission-driven Digital Services Company committed to pioneering innovative technology solutions in civic healthcare. Our dedication lies in making a meaningful impact on public health outcomes.

Driven by service design, we strive to know the “Why” to understand the healthcare journey for patients, caregivers, providers, payers, and policymakers. Our goal is to design and build solutions that reduce confusion, provide clarity, support decision making, and streamline the process so that we and our partners can focus on providing better health outcomes by improving patient care and reducing costs and burden.

The team you will be joining:

HQR

Our team is charged with maintaining and improving the software at the Centers for Medicare and Medicaid Services (CMS) that supports the Hospital Quality Reporting program. Thousands of hospitals across the country depend on these systems to submit quality measure data that reflects the care beneficiaries receive in their facility. Our teams will continuously strive to modernize these systems, while improving them in ways that reduce provider burden and minimize costs to CMS. We do this through HCD and Service design practices, product thinking, and skilled engineering. At Bellese, we’re relentlessly focused on enabling and empowering providers to focus on improving the quality and safety of patient care.

The Senior Engineering Manager leads delivery, engineering quality, and team performance across multiple development teams. You own execution across complex, data-intensive systems and ensure teams deliver secure, scalable, and compliant solutions. You operate as both a people leader and a technical leader, driving outcomes in a high-stakes, regulated environment.

You partner with Product, Design, Security, and CMS stakeholders to align engineering execution with program priorities. You shape engineering practices, improve delivery predictability, and build high-performing teams.

Key Responsibilities:

People Management & Development:
- Manage engineering managers, senior engineers, and technical leads
- Set clear expectations and hold teams accountable to delivery outcomes
- Drive performance management, coaching, and career development
- Build and retain high-performing teams with strong ownership culture
- Ensure teams operate with autonomy while maintaining alignment
Technical and Delivery Leadership:
- Own end-to-end delivery across design, development, testing, and operations
- Ensure systems meet requirements for scalability, reliability, and security
- Drive adoption of modern engineering practices including CI/CD and DevSecOps
- Establish strong engineering standards for code quality, testing, and observability
- Improve delivery predictability through metrics, planning rigor, and dependency management
- Oversee cloud-native architectures, with focus on AWS-based systems and data platforms
Program Execution and Operational Excellence:
- Drive execution within Agile and SAFe frameworks across multiple teams
- Manage cross-team dependencies and reduce delivery risk
- Ensure compliance with CMS security and regulatory requirements
- Partner with ISSO and security teams to maintain zero high or critical findings
- Support incident response, root cause analysis, and continuous improvement
Stakeholder Management:
- Own relationships with program leadership and external stakeholders
- Translate technical decisions into clear business impact
- Provide proactive communication on risks, tradeoffs, and progress
- Align engineering execution with legislative and contractual priorities
Corporate Leadership:
- Contribute to Bellese’s engineering strategy, hiring plans, and org design
- Support standardization engineering practices across teams
- Lead initiatives such as Communities of Practice and knowledge sharing
- Drive continuous improvement across tooling, processes, and team structure
- Contribute to business development efforts, including proposal support and client-facing technical conversations

Required Qualifications

10+ years of software engineering experience
4+ years in engineering management roles
Experience leading multiple Agile teams in complex environments
Strong experience with cloud platforms, especially AWS
Experience delivering data-intensive systems and pipelines at scale
Deep understanding of CI/CD, DevSecOps, and modern engineering practices
Proven ability to improve delivery performance and team effectiveness
Strong stakeholder management and communication skills
Experience operating in regulated environments or government programs

Preferred Qualifications:

Experience with CMS or federal healthcare programs
Familiarity with healthcare data standards such as HL7 FHIR
Experience with Databricks, large-scale data processing, or analytics platforms
Experience with security compliance frameworks such as FedRAMP or NIST
Experience managing distributed teams
Familiarity with accessibility standards (Section 508)

Security Clearance Requirements

US Citizenship or Green Card only - we do not offer Sponsorship
US Residency for at least the past 3 years
Able to meet the requirements to hold a position of Public Trust, including successful completion of a US Government background investigation
Disclaimer: Medical or recreational marijuana use is considered illegal at the federal level, regardless of state laws allowing such, and may affect your ability to obtain Public Trust. See article

Work that matters, with perks that deliver. Discover how Bellese Technologies invests in you through a benefits suite that makes every day better

Remote First, Remote Only Culture
Four weeks paid time off yearly (prorated based on start date for the first year)
10 paid floating company holidays
Flexible schedule
Work from home setup including a Macbook
Collaborative, learning environment
Medical, dental, and company-paid vision insurance
Optional HSA account with some medical plans and a company contribution
Company paid basic life and AD&D insurance coverages
Company paid short and long term life insurance
Optional critical illness and accident insurance
401K plan with 3% safe harbor contribution
Wellness resources and virtual care
Perks Plus employee discounts

You will like it here if

You foster a collaborative ethos, driven by the mission to deliver exceptional customer service to clients. You are passionate about Healthcare and changing the healthcare landscape. You’re an out of the box thinker, always striving to know the “why” when it comes to building solutions. You excel in a team-oriented, remote-first environment characterized by mutual respect and open communication. Your adaptability and ability to navigate challenges ensure your success in any situation.