Design Manager, Design Systems

Reimagine the infrastructure of cancer care within a community that values integrity, inspires growth, and is uniquely positioned to create a more modern, connected oncology ecosystem. We’re looking for a Design Manager, Design Systems to help us accomplish our mission to improve and extend lives by learning from the experience of every person with cancer. Are you ready to be the next changemaker in cancer care?

What You'll Do

You'll lead our Design Systems team and help define how Flatiron products look, feel, and function across every surface. As a player-coach, you'll split your time between managing and growing a team and contributing hands-on to the system itself. Your team's work enables product teams to rapidly prototype new ideas and ship high-quality, accessible, and consistent user-facing applications. You will serve as a connector between design and engineering, championing scalable front-end practices and AI tooling that make every designer and engineer at Flatiron more effective. In addition, you'll:

• Manage and mentor a team of 3–4 designers and design technologists, developing their technical skills, systems thinking, and ability to prioritize and deliver high-impact work
• Define and drive the roadmap for Atrium, Flatiron's design system, including component governance, breaking change management, and adoption across product teams
• Contribute directly to Atrium through code, documentation, and design, modeling the craft standards you set for your team
• Build and sustain cross-functional partnerships with engineering and product management to align on front-end standards, scalable UI patterns, and contribution models
• Communicate and prioritize design systems work based on org-wide impact, translating complex systems problems into a clear, sequenced backlog that stakeholders understand and trust
• At the end of your first year, success would mean Atrium is measurably adopted across core product surfaces, your team has a clear and trusted contribution model with partner engineering teams, and each direct report has grown meaningfully in their scope and ownership

Who You Are

You're a kind, passionate, and collaborative problem-solver who values the opportunity to think beyond the way things are. In addition, you're a systems thinker and hands-on leader with 6–9 years of experience in design systems or front-end development, including at least 1–2 years managing or mentoring others.

• You have led or significantly shaped a mature design system, including governance, documentation, contribution models, and breaking change processes
• You have managed or mentored 2–4 designers or technologists, with a track record of developing others' technical and strategic thinking
• Deep fluency in both design tooling (Figma, shared libraries, tokens) and front-end code (HTML, CSS, JavaScript, and frameworks like React), with the ability to contribute meaningfully in both
• You are a skilled communicator who can translate design systems strategy for engineering stakeholders and front-end constraints for design stakeholders, building trust and alignment across both
• You are experienced working in health tech, enterprise software, or other complex product environments where consistency, accessibility, and reliability are non-negotiable
• You are familiar with AI-assisted design and development workflows — such as code generation or design-to-code tooling — and thoughtful about where they create real leverage for a systems team

Where You’ll Work 

In this hybrid role, you’ll have a defined work location that includes work from home and 3 office days set by you and your team. For more information on our approach to hybrid work, please visit the how we work website. 

Life at Flatiron 

At Flatiron Health, we offer a full range of benefits to support you and your loved ones so you can focus your working hours on improving cancer care and accelerating cancer research, and your non-working hours on everything else life has to offer: 

• Work/life autonomy via flexible work hours and flexible paid time off
• Comprehensive compensation package
• 401(k) contribution to help you reach your retirement planning goals
• Financial health resources including 1:1 financial advice
• Mental well-being tools and services 
• Parental benefits and policies including family-building care and generous leave
• Path to parenthood programs supporting fertility, adoption and surrogacy
• Travel support for safe healthcare services

In addition to our robust benefit offerings, visit our Life at Flatiron page to learn how we support continuous learning and celebrate inclusion and belonging in the workplace.