• Leading team of developers & engineers to deliver high-quality software • Overseeing software development lifecycle incl. requirements gathering, design, implementation & deployment • Defining & owning application architecture • Evaluating & selecting appropriate technologies, frameworks & platforms • Establishing & enforcing architectural standards, patterns & best practices

• Recruit, coach, and develop a high-bar team; set crisp expectations and foster a culture of ownership, speed, and continuous improvement. • Shape the product and execution strategy for language clients to stay ahead of 10x growth. • Lead expansion from core client libraries into a broader ecosystem: integrations, SDKs, partner tooling, and community-built extensions. • Build productive relationships with product, developer relations, and sales engineering without losing engineering focus.

• Lead and develop a team responsible for ledger systems and reconciliation pipelines that underpin all money movement • Define architecture that prioritizes correctness, idempotency, and auditability over short-term convenience • Design and evolve double-entry ledger models, transaction lifecycles, and reconciliation workflows across products • Build systems that reconcile internal state with external partners (banks, processors, networks) with high confidence • Partner with Accounting to encode financial rules, reporting requirements, and controls directly into system design • Establish engineering practices focused on data integrity, observability, and reliable recovery

Who We Are  We are a fast-growing vertical SaaS company that leverages innovation and disruptive technologies to improve consumer experiences, outcomes, and predictability in elective medicine. Our team thrives on challenges, embraces change, and is dedicated to transforming our industry.  Who We’re Looking For  We are seeking a hands-on Senior Manager, IT & Engineering to build and lead Adoreal’s IT function from the ground up while providing technical leadership across a portion of our software engineering organization. This is a hybrid role that will own our security posture, compliance programs, and core infrastructure, shaping and executing the company’s overall IT and security strategy. You’ll directly hire and manage a small IT team and partner closely with engineering leadership on secure development practices and architectural decisions. The team needs a player/coach with .NET experience ready to grow as our product, teams, and revenue grow. In this role, you'll collaborate with team members and vendors to design, develop, and deploy top-tier healthcare software. You’ll provide technical leadership, work closely with architects and stakeholders, and ensure scalable, high-performance solutions. The ideal candidate brings strong technical depth, a strategic mindset, and the ability to clearly communicate complex topics to both technical and non-technical stakeholders—including executive leadership and the board.    US- Remote - Chicago, IL. The ideal preference is to have a candidate near Chicago, IL, where our future HQ will be located.   Key Responsibilities  Security & Compliance  - Own and execute the organization’s security strategy, including incident response, vulnerability management, and threat detection  - Lead HIPAA compliance initiatives by conducting risk assessments and implementing required security controls  - Develop and maintain security policies, procedures, and documentation, including the Security Incident Response Plan  - Conduct breach risk assessments and manage notification procedures in compliance with HIPAA requirements  - Maintain the Security Incident Register and ensure proper documentation of all security events  Infrastructure & Operations  - Oversee IT infrastructure including MDM, identity management, endpoint protection, and network security  - Manage the transition from BYOD to company-owned devices, implementing secure device lifecycle management  - Implement and manage SSO, MFA, and privileged access management across the organization  - Ensure business continuity through disaster recovery planning and regular testing  Vendor & Third-Party Management  - Develop and enforce contractor security policies and vendor security assessment frameworks  - Manage vendor relationships for security tools, MDM platforms, and IT services  - Conduct Business Associate Agreement reviews and ensure vendor HIPAA compliance  Leadership & Communication  - Report on security posture, incidents, and compliance status to executive leadership and the board  - Lead security awareness training programs for all employees  Engineering Partnership  - Coordinate with engineering leadership on secure development practices and DevSecOps integration  - Partner on architectural decisions for scalability, security, and performance of healthcare software systems  - Contribute technical guidance on CI/CD standards, quality metrics, and cloud infrastructure where security and engineering intersect  - Provide input on engineering best practices that affect compliance, data protection, and production stability  - Design, develop, enhance, triage, and debug Web APIs using C# and .NET Core.