Senior Manager, IT & Software Engineering

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. 

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. 

• 5+ years of progressive IT devlopment 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 (JumpCloud 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 DevSecOps, 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, CloudWatch, and Cloudflare 

• Background in healthcare technology or regulated industries 

At Adoreal, we believe in supporting our team’s well-being and growth through comprehensive benefits and a collaborative, people-first culture. As a globally remote company, we prioritize flexibility, inclusivity, and teamwork rooted in the Adoreal principles. 

Benefits & Perks: 

• Healthcare coverage for you and your family 

• Paid time off (PTO) and paid holidays 

• Performance-based bonuses and company equity opportunities 

• Fully remote work environment with flexible schedules 

• Collaborative and thriving team culture guided by Adoreal’s core values 

Why Adoreal? 

Joining Adoreal means becoming part of a high-performing, ambitious team that works hard, achieves extraordinary results, and enjoys the rewards that follow. Every employee receives equity, aligning us all in our shared success. Promotions and growth opportunities are limitless, driven only by your performance and dedication to our core principles: 

• We do what is best for the company, not what is best for individuals of the company—we take pride in our work, but not in pride itself—the success of Adoreal is more important than our egos. 

• We always share relevant information and admit our mistakes freely and openly (even when it is worrisome or uncomfortable to do so). Candid communication and a solution-oriented mindset is rewarded. 

• We innovate by finding the right problems, then solving them. We thrive on change that minimizes complexity and improves situations for our stakeholders. 

• We incentivize efficient results & people over process and focus only on the work that creates the most value for our stakeholders. 

• We are quietly confident and openly humble, being tenacious in our quest to perform and inspire others with our thirst for excellence. 

• We do not bow up and knock down—we care about our teammates and treat all of them with respect, regardless of their level within the company. 

• We are steadfast in our pursuit to better our company, our colleagues, and ourselves. When we hire, we only hire people who bleed our principles and who will hopefully be our replacement one day. 

At this time, Adoreal is not offering visa sponsorship for this position. Candidates must have current and valid authorization to work in the country where they are applying. We comply with all applicable employment and immigration laws, including U.S. regulations, and encourage applicants to verify their work authorization status before applying. 

Adoreal is an equal opportunity employer committed to fostering a diverse, inclusive, and fair workplace. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, veteran status, or any other protected characteristic under applicable U.S. law (EEOC) or local employment regulations where we operate. We encourage applications from candidates of all backgrounds. 

Accommodations for disabilities are available upon request throughout the recruitment process. 

*We are not working with search firms for this role, thank you*