Lead Support Engineer Jobs
Lead Support Engineer jobs are open across enterprise software, cloud infrastructure, fintech, and healthtech, at every level from mid-level to staff and principal, with specializations in technical escalations, incident management, and customer-facing platform support. Scan the live roles below and apply to whichever ones fit.
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Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Role Summary
Join our innovative team as a Lead Software Engineer in Boston, MA, where you will play a pivotal role in shaping the future of CDS (Clinical Decision Support). This hybrid position offers the opportunity to lead technical execution for a cross-functional engineering team in delivering high-quality software that enhances healthcare outcomes. You will report to an Engineering Manager.
Team Summary
Our CDS engineering team builds mission-critical solutions that help healthcare providers make informed, evidence-based decisions at the point of care. We empower providers with timely, actionable clinical guidance integrated into their workflows to support preventive care, disease management, and patient safety. Our collaborative, mission-driven team is passionate about making a meaningful impact on healthcare outcomes, leveraging technology to improve care quality and streamline workflows. We foster an environment of continuous learning and innovation, encouraging team members to share ideas and drive improvements.
Essential Job Responsibilities
- Lead the design, development, and delivery of high-quality software within an agile cross-functional team.
- Own technical designs and help guide implementation in alignment with architectural standards and business goals.
- Build scalable, maintainable, well-tested software using modern engineering best practices.
- Provide technical leadership through code reviews, mentoring, and support for sound design decisions.
- Regularly leverage AI-assist software tooling in ways that increase throughput, effectiveness, and quality.
- Evaluate and propose opportunities for generative AI as part of delivering solutions to delight customers.
- Develop strong knowledge of the CDS domain, including clinical rules, patient data, and point-of-care workflows, to act as a technical subject matter expert.
- Partner closely with product, design, clinical stakeholders, and adjacent engineering teams to deliver practical, scalable solutions that translate clinical requirements into actionable guidance.
- Take ownership of deliverables and coordinate cross-team efforts to ensure successful execution.
Additional Job Responsibilities
- Mentor engineers, provide technical guidance, and foster a culture of learning and continuous improvement.
- Clearly communicate complex technical concepts to both technical and non-technical audiences.
- Foster strong collaboration between product, clinical stakeholders, and engineering by creating clarity, surfacing risks early, and helping the team make informed, timely decisions.
Expected Education & Experience
- 6+ years of software engineering experience and a strong product development background.
- Proven experience leading full-stack development teams, including technical mentoring and design oversight.
- Proficiency in React, modern frontend architecture, core web technologies—HTML, CSS, JavaScript and Java.
- Experience with generative AI and AI-assist software engineering tooling.
- Solid experience with relational databases and data modeling.
- Experience designing and supporting APIs and working across distributed systems and evolving system architectures, including monolith and microservices environments.
- Nice to have: Experience with CDS, rules engines, or healthcare interoperability standards such as FHIR and Clinical Quality Language (CQL).
- Nice to have: GraphQL, Unix/Linux experience, and exposure to legacy technologies in large-scale production environments.
- Strong communication, ownership, accountability, and a track record of adopting new technologies.
Expected Compensation
The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture: Our talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces — some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here: athenahealth.com/careers
https://www.athenahealth.com/careers/equal-opportunity
Lead Support Engineer Jobs by Experience Level
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Who's Hiring



Top Industries Hiring
- Banking & Financial Services
What Employers Look For
The qualifications that appear most often in lead support engineer jobs.
- 5 or more years of technical support or software engineering experience
- Proven experience owning or leading a support team or tier
- Proficiency with ticketing and incident management platforms
- Strong troubleshooting skills across APIs, databases, and cloud infrastructure
- Experience writing runbooks, postmortems, and internal technical documentation
- Bachelor's degree in computer science, information systems, or a related field
Tips for Your Lead Support Engineer Job Search
Quantify your escalation resolution metrics
Lead support engineer resumes that stand out show measurable outcomes: mean time to resolution, ticket deflection rates, or the size of the queues you owned. Hiring managers want to see the operational scope you managed, not just that you resolved issues.
Highlight cross-functional leadership experience clearly
Lead roles require more than technical depth. Call out moments when you coordinated between engineering, product, and customer success to resolve incidents. Vague mentions of teamwork won't land as well as a specific cross-team project you drove to completion.
Apply early to roles that fit
Migrate Mate lists lead support engineer openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings that match your tooling stack
Lead support engineer job descriptions often specify observability tools, ticketing systems, and cloud platforms. Filter for postings that match the tools you've used in production. Applying with direct hands-on experience in the listed stack gives you a concrete edge over generalist candidates.
Prepare a war story about a high-severity incident
Interviewers for lead support roles almost always ask about a major incident you owned. Prepare a detailed narrative covering how you diagnosed the issue, coordinated responders, communicated to stakeholders, and ran the postmortem. Vague answers here are a common reason strong candidates don't advance.
Negotiate scope alongside compensation
Lead support engineer offers often come with undefined team ownership boundaries. Before you sign, clarify which products or tiers you'll own, how on-call rotations are structured, and whether the role has a path to staff or principal. These terms affect your day-to-day far more than a small salary difference.
Lead Support Engineer Jobs: Frequently Asked Questions
Which companies are hiring the most lead support engineers?
The most active employers for lead support engineers right now are JPMorganChase, Technology, Automation, and Management, and L3Harris, and the most openings are in Texas, Illinois, and New Jersey, based on current listings on Migrate Mate as of November 2026. Enterprise SaaS companies and cloud platform providers consistently post the highest volume of lead-level support roles.
How many lead support engineer jobs are remote?
About 82% of lead support engineer openings are fully remote or hybrid as of November 2026, reflecting strong demand for distributed support leadership. Roles focused on asynchronous customer escalations and internal tooling tend to be the most remote-friendly, while positions requiring on-site incident command or hands-on hardware troubleshooting are more likely to be in-office.
How do you become a lead support engineer?
Start by building deep technical support experience at the individual contributor level, owning complex escalations end to end. Develop skills in incident command, root cause analysis, and cross-functional communication. Take on informal mentorship of junior support engineers, then pursue roles with explicit team lead or tier ownership responsibilities to formalize that leadership experience.
Can you get hired as a lead support engineer with no prior lead experience?
Yes, but you need to demonstrate readiness through the work you've already done. Emphasize situations where you informally led incident response, trained newer colleagues, or owned a product area without a formal title. Smaller companies and fast-growing startups are more likely to promote strong individual contributors into lead roles than large enterprises with structured leveling.
What does the lead support engineer interview process look like?
Most processes include an initial recruiter screen, a technical interview covering systems troubleshooting and incident diagnosis, and a behavioral round focused on leadership and cross-functional collaboration. Many companies also include a live incident simulation or case study where you walk through how you'd triage and resolve a production issue, then present findings or a postmortem to the panel.
Where can I find and apply to lead support engineer jobs?
You can find and apply to lead support engineer jobs on Migrate Mate, which lists current openings from across the United States. Search the roles available, find the ones that match your experience and preferences, and apply directly to each listing that fits.
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