Technical Program Manager

Company Description

911 is the front door to American healthcare — and for millions of people, it's the wrong one. Americans place an estimated 240 million calls to 911 every year, and roughly 70–80% of EMS responses end in an ambulance ride to the emergency department — even when the patient doesn't need emergency-level care. The system was built to transport, not to navigate.

Crosswalk Health is building the navigation layer 911 was never designed to have. We partner with first responder agencies, community providers, and payors to route patients in crisis to the right care, in the right setting, at the right time.

EMS is one of the most critical entry points in healthcare, and one of the most underutilized. We're changing that — aligning incentives across payors and providers to drive down costs at every level of the system, improve outcomes, and get high-needs populations the care they actually need.

About the Role

Every day, people in crisis call 911. Many of them don't need an emergency room. They need the right care, in the right setting, at the right time. Instead, they're transported to ERs, costs compound, and outcomes suffer.

We're seeking our first Technical Program Manager to turn roadmap into sprint. You'll own how engineering work gets scoped, sequenced, and delivered, so engineers can open the backlog and execute rather than stay at the altitude of requirements gathering.

This is not a role for someone who wants a finished playbook to execute. On a lean team, you'll build the process yourself, work across departments, and be a trusted partner to engineering leadership. The TPM will report directly to our Director of Engineering, Carli Miller.

If you want to define how a role like this works from day one, in a space where nobody's built the right platform yet, keep reading.

What You'll Do

• Turn Roadmap into Sprint: Take the roadmap, break it into measurable pieces, and get it into sprints so the work is already taking shape when engineers pick it up.

• Run the Engineering Work Lifecycle: Own the mechanics of managing work, from scoping through delivery, so the team can focus on building.

• Manage Dependencies: Work with people across departments, often interdepartmentally, to make sure dependencies are accounted for and deliverables stay on track.

• Protect Scope: Set limits and boundaries to prevent scope creep, and be realistic and transparent about what we can deliver and what the tradeoffs are.

• Build the Process: Create the program management practices that fit a lean, fast-moving team rather than importing a heavy framework.

• Work AI-Native: Use AI tools, such as pointing an AI coding assistant at our repo, to quickly understand how we've modeled things and how our flow works, and to unblock yourself when you hit a wall.

• Navigate Healthcare Constraints: Account for compliance and data-sensitivity considerations, such as PHI, when scoping and sequencing work.

What We're Looking For

Requirements:

• Program Management Experience: 2-5 years of experience as a TPM or in a closely related role.

• Full Lifecycle Experience: Proven ability to take work from roadmap to scoped backlog to sprint, and to manage it through delivery.

• Cross-Functional Coordination: Comfort working with multiple stakeholders and departments to manage dependencies and keep commitments.

• Judgment on Scope and Tradeoffs: Ability to say what's realistic, hold boundaries, and communicate tradeoffs clearly.

• AI-Native Mindset: Comfortable using AI tools in how you reason about problems and get unstuck.

• Builder Mentality: Excited to create process from scratch on a lean team.

Preferred Qualifications:

• Healthcare or health tech experience, including familiarity with PHI, data sensitivity, and healthcare compliance. Not required for the right candidate.

Life at Crosswalk

Be the answer in someone’s most critical moment.

Our mission: Building healthier communities.
Our vision: To be the answer to the needs of all patients in their most critical moments.

Why Crosswalk

• Meaningful work, measurable impact. Your work reaches real people on some of the hardest days of their lives, and you can see the results.

• Build from the ground up. We’re a [seed-stage, Primary Ventures- and LRV Health-backed] team with a proven model and a lot of runway to build. You won’t inherit a system. You’ll shape one.

• Learn from operators who’ve done it. Our leadership has built value-based care and EMS programs at Strive Health, Evolent Health, and Oak Street Health, alongside a former chief of Indianapolis EMS.

• Grow with a category-defining company. 911 care navigation is a new category, and we’re helping define it.

What drives us

Integrity. We uphold honesty and accountability in everything we do.
Compassion. We bring empathy and understanding to our work and to each other.
Tenacity. We persist through challenges with resilience and determination.
Camaraderie. We build trusting relationships that create belonging and teamwork.
Disruption. We challenge the status quo to drive transformative change.

Benefits that support you

• Medical coverage with Crosswalk paying 100% of the premium for every tier of our HDHP, so you and your dependents are covered at no cost to you

• 401K with company match

• Remote-first team that makes time to be together: the whole company gathers twice a year, and you meet in person with your own team once a year.

• 12 weeks of parental leave

• Unlimited PTO + 10 company holidays

Help us give every 911 caller needs-matched care. We’d love to meet you.