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.

US – Remote – Chicago, IL. The ideal preference is to have a candidate near Chicago, IL, where our future HQ will be located.

• Own and execute the organisation’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.
• 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 organisation.
• Ensure business continuity through disaster recovery planning and regular testing.
• 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.
• Report on security posture, incidents, and compliance status to executive leadership and the board.
• Lead security awareness training programmes for all employees.
• Coordinate with engineering leadership on secure development practices and Dev Sec Ops  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.

• 5+ years of progressive IT development experience with at least 2 years in a leadership or management role.
• At least 5 years writing and developing code with C#/.NET Core environments, Kubernetes, or microservices architectures.
• Deep expertise in information security, including incident response, vulnerability management, and security architecture.
• Demonstrated experience with HIPAA compliance in a healthcare or healthcare technology environment.
• Hands‑on experience with MDM solutions (Jump Cloud preferred), identity providers, and endpoint protection platforms.
• Strong understanding of cloud security (AWS preferred), network security, and modern threat landscape.
• Experience building and leading IT teams, including hiring and developing talent.
• Working knowledge of software engineering practices sufficient to partner effectively with engineering leadership on Dev Sec Ops , secure SDLC, and production system reliability.
• Experience with human resources‑related tasks including managing time‑off requests, performance reviews, and interviewing & hiring.
• Excellent written and verbal communication skills, with the ability to present to executive and board audiences.
• Enthusiasm for rapid advancement in a dynamic startup environment, with a readiness to invest additional hours to complete tasks effectively.
• CISSP, CISM, or equivalent security certification.
• Experience building IT/security functions from the ground up at a growth‑stage company.
• Familiarity with GDPR compliance (Adoreal has achieved GDPR compliance).
• Experience with security monitoring tools such as Datadog, Cloud Watch, and Cloudflare.
• Background in healthcare technology or regulated industries.

• Healthcare coverage for you and your family.
• Paid time off (PTO) and paid holidays.
• Performance‑based bonuses and company equity opportunities.
• F…