Senior Manager, IT & Software Engineering

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.