Software Engineering Manager

Company Description
About VIVIO

VIVIO Health is rebuilding drug management from the ground up — with data, not dogma. As a Public Benefit Corporation, our mission is simple: the right drug, for the right person, at the right price. Since 2016, we've proven that evidence-based drug management can lower costs and improve outcomes — no smoke and mirrors, no hidden spread pricing. We're not tweaking the legacy Pharmacy Benefit Manager (PBM) model. We're replacing it.

Why Join VIVIO?

Build something that matters — Every decision you make touches real patient care, not just a dashboard metric
Ship, don't sit in meetings — We're a lean, autonomous, micromanagement-free team that trusts people to own their work
Work directly with leadership — This role reports straight to the CEO, with real influence over technical direction, not just execution
Grow as we grow — Early-stage impact with the stability of a company that's been delivering results since 2016
Join people who care — A team that chose healthcare because they want to fix it, not just work in it
Position Overview

We're looking for a mission-driven, hands-on Engineering Manager to help scale the technology powering VIVIO's data-driven pharmacy solutions. You'll lead a distributed engineering team while staying technical yourself — this isn't a purely administrative management role. You'll shape both the what and the how, working closely with the CEO to translate our mission into working software.

If you want your code and your leadership to actually change how healthcare works, this is that role.

Hybrid — in-office days at our Hayward, CA headquarters.

Job Description
Key Responsibilities

Lead by building — Drive software initiatives from the front, staying hands-on with architecture and code rather than managing from a distance
Architect data-driven systems — Design and build the software that produces and consumes the data powering VIVIO's pharmacy management model
Own quality end-to-end — Set the bar for well-designed, maintainable, unit-tested code across the team
Push the team's AI-driven workflow forward — Champion and expand our use of AI-assisted development tools to ship better software faster, and help the team continuously rethink how the work gets done
Run distributed applications at scale — Support and evolve complex web applications in a fast-moving environment
Own the full lifecycle — From design and development through deployment and monitoring, you're accountable for how systems perform in production
Grow your team — Lead and mentor a distributed engineering team, building both their technical skills and their judgment
Bridge tech and business — Partner across departments to make sure technical decisions serve real business and patient outcomes
Qualifications
Required Qualifications

BS or advanced degree in Computer Science, or equivalent practical experience
8+ years of software engineering experience, including 5+ years hands-on with Python
Deep familiarity with regulated environments — PCI DSS, ISO 27001, HIPAA, NIST — and what it actually takes to build compliant software, not just pass an audit
Strong relational database experience (MySQL)
Proven ability to design and build RESTful APIs and microservices architecture
Fluency with Atlassian tooling and Agile development in practice, not just in theory
A track record of successfully managing distributed engineering teams
Healthcare industry experience strongly preferred
Key Attributes

A "figure it out" mindset — you solve problems rather than escalate them
Clear, proactive communicator who over-informs rather than under-informs
Exceptional attention to detail, especially where it matters most: data integrity and patient outcomes
Comfortable operating as both a technical leader and an individual contributor — this role needs both
Genuine passion for mentoring and growing engineering talent, not just managing headcount
Additional Information
Compensation & Benefits

Base Salary: $170,000 – $200,000
Annual performance bonus
Comprehensive Benefits Package:
Medical, pharmacy, dental, and vision coverage
Life insurance
Stock options — share directly in VIVIO's success
401(k) with company match
Generous PTO
Additional Information

Full-time position
A dynamic, collaborative environment where your work directly shapes the product
The opportunity to make a real, measurable impact at a growing Public Benefit Corporation