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Senior Technical Program Manager - FuzeRx

Role overview

Qualifications

  • 5–8+ years across Technical Program Management, Technical Product Management, Engineering, or Engineering Management
  • Demonstrated experience running several substantial programs simultaneously
  • Proven governance skills and strong planning craft
  • Technical fluency with modern programming languages and cloud-native architecture

Responsibilities

  • Drive multiple concurrent technical programs from intake through launch
  • Facilitate work-breakdown across cross-functional teams and maintain integrated program schedules
  • Establish and run the governance model for the portfolio and maintain a durable, auditable record of scope and decisions
  • Own program budgets and partner with Engineering and Finance on resource allocation

About the company

Alto Pharmacy logo

Alto Pharmacy

Specialty Pharmacy

Alto is America’s leading digital pharmacy, transforming a $500 billion industry. Founded in 2015, Alto’s better pharmacy model is centered on the critical role of pharmacists as the final link in a person’s health journey. Alto combines expert pharmacist care with purpose-built technology to deliver a more convenient and affordable experience for those who need medication. To date, Alto has fulfilled more than three million prescriptions, expanded to twelve markets, and built a mobile app experience that makes it easier than ever to manage medications and chat with a pharmacist. As Alto continues its rapid growth, it remains customer obsessed, with an industry-leading NPS score of 86.

Company details

Company typeSME
IndustrySpecialty Pharmacy
Company size501 - 1000

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Job description

Job Summary
 

At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs.

Fuze Health’s foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future.

FuzeRx is running several of its most consequential programs at once: consolidating two heritage platforms onto a single stack, migrating to AWS, onboarding enterprise pharma and payer partners, scaling automation across pharmacy operations, and standing up offshore delivery capacity. Demand exceeds capacity, dependencies cross every function, and the cost of an unmanaged program is measured in partner commitments and revenue.

As Senior Technical Program Manager, you are the operating system for that portfolio. You drive multiple concurrent programs end to end, build the schedules and work breakdowns that make them executable, run the governance that keeps decisions moving, and give leadership a single credible view of what is on track, what is not, and what it would take to change that. You own how the work is planned, funded, staffed, sequenced, governed, and reported.

This is a technical program role, not a status-tracking role. You are expected to read the architecture, challenge an estimate on its merits, and hold your own in a design discussion. Equally, you work backward from the customer and structure deliverables by the value they create — which is why we look for people who spent part of their early career in product development or product management.



Job Description
 

WHAT YOU'LL OWN

Program Leadership & Delivery

  • Drive multiple concurrent technical programs from intake through launch — platform consolidation, cloud migration, enterprise partner integrations, pharmacy automation, and AI-enabled operations.

  • Own the cross-program dependency map. Identify synergies and duplicated effort across programs and consolidate them before three teams build the same capability three ways.

  • Run structured risk and issue management on a live RAID log: identify, quantify, assign, mitigate, escalate. Escalate early with an option set, not just a red status.

  • Define launch criteria and readiness gates with Engineering, Product, Pharmacy Operations, Compliance, and Partner teams, and hold the bar when a date is under pressure.

Planning, Scheduling & Work Breakdown

  • Facilitate work-breakdown across cross-functional teams — decompose ambiguous business objectives into epics, deliverables, and owned workstreams with clear entry and exit criteria.

  • Build and maintain integrated program schedules: milestones, critical path, sequencing, lead times, and the hard external dates that partner and regulatory commitments impose.

  • Run the planning events that make a quarter real — increment planning, sizing and estimation sessions, dependency negotiation between teams, and commitment setting.

  • Allocate people and capacity across programs in partnership with Engineering managers, including offshore vendor pods, and rebalance deliberately when priorities shift.

Governance & Operating Mechanisms

  • Establish and run the governance model for the portfolio: intake and triage, prioritization criteria, stage gates, change control, and clearly defined decision rights and escalation paths.

  • Own the operating cadence — program reviews, steering forums, and executive readouts — with pre-reads, decision logs, and tracked actions that actually close.

  • Maintain a durable, auditable record of scope, commitments, decisions, and changes, so that six months later the organization knows what was agreed and why.

  • Embed compliance, security, and quality gates into the program lifecycle so regulatory obligations are met in stride rather than discovered at launch.

  • Work with Engineering and Product management to improve delivery mechanisms continuously — estimation quality, intake discipline, and Agile practice that helps rather than taxes the teams.

  • Bring structure to unplanned demand so urgent partner requests are triaged against a known capacity model instead of interrupting whatever is closest at hand.

Stakeholder Communication & Reporting

  • Report at multiple altitudes: sprint and squad level for engineering, program level for the cross-functional core team, portfolio level for the CTO, CEO, and executive leadership.

  • Build trusted working relationships across Sales, Partnerships, Product, Engineering, Account Management, Pharmacy Operations, Compliance, and Finance — and keep each of them accurately informed without drowning them.

  • Write clearly and concisely in a written-narrative culture. Produce the document that makes a hard decision easy to make.

  • Serve as the single point of truth for program status. When leadership asks whether a launch will hold, your answer is the one they act on.

Budget, Capacity & Resource Allocation

  • Own program budgets: build the estimate, track forecast against actuals, flag variance early, and explain the drivers in business terms.

  • Partner with Engineering leadership and Finance on headcount, vendor spend, tooling, and cloud cost as they roll into program economics.

  • Support build-versus-buy analysis with real numbers — cost, time to value, total cost of ownership, and the opportunity cost of the internal capacity consumed.

Technical & Product Judgment

  • Work backward from the customer. Structure deliverables around customer value rather than around internal team boundaries.

  • Partner with Product Managers on requirements quality — specifications precise enough that engineering can execute without a second round of discovery.

  • Assess technical feasibility, architectural risk, and integration complexity well enough to know which commitments are safe to make.

  • Instrument delivery with metrics that matter: predictability, cycle time, launch success, defect escape rate, and post-launch customer impact.

WHAT YOU BRING

Required

  • 5–8+ years across Technical Program Management, Technical Product Management, Engineering, or Engineering Management — including direct ownership of complex, multi-team programs.

  • Demonstrated experience running several substantial programs simultaneously, each with distinct stakeholders, dependencies, and delivery risk.

  • Proven governance skills: you have established intake, prioritization, stage gates, change control, decision rights, and escalation paths — and made them stick in an organization that did not have them.

  • Strong planning craft — work-breakdown facilitation, integrated scheduling, critical path and dependency management, estimation, and cross-team resource allocation.

  • Experience owning program budgets and allocating engineering capacity across competing priorities, with the judgment to say what will not get done and excellent stakeholder communication.

  • Advanced hands-on skill with program management tooling like Jira and Confluence— including dashboards, automation, and reporting that keep a portfolio visible without manual status collection.

  • Technical fluency: working knowledge of modern languages (JavaScript/TypeScript, Python, Ruby, Java, Go, C#, or similar) and PostgreSQL or comparable relational databases.

  • Working knowledge of cloud-native architecture, CI/CD pipelines, API-led integration, and structured Agile delivery practice.

  • Product experience earlier in your career — roadmaps, product vision, market and customer research, requirements definition — and the instinct to frame work by customer value.

  • Composure in a fast-moving, post-merger environment, and the discipline to hold structure when things are ambiguous.

  • Preferred

  • Experience in pharmacy, pharmacy services, or life sciences, with an understanding of the complexities of the pharmaceutical supply chain.

  • Experience delivering programs in a regulated environment — HIPAA, SOC 2, or HITRUST — including audit and evidence obligations.

  • Experience coordinating delivery across offshore or vendor engineering teams and time zones.

  • Experience with enterprise partner onboarding and integration programs, and with white-label or API-driven platform delivery.

  • Formal program or portfolio management credentials (PMP, PgMP, SAFe, or equivalent) — valued for the discipline, not required for the role.

Education & Working Arrangement

  • Education: Bachelor’s degree in Computer Science, Management Information Systems, Engineering, or a related technical field — or a Bachelor’s degree with comparable experience in a technical domain.

  • Working arrangement: Standard business hours, with overlap as needed across US time zones and offshore delivery partners.

TOOLS YOU’LL WORK WITH

  • Jira  ·  Confluence  ·  Jira Product Discovery or equivalent roadmapping tools  ·  Smartsheet or MS Project for integrated scheduling  ·  Slack  ·  Google Workspace  ·  BI and reporting dashboards (Looker, Tableau, or similar)  ·  AWS  ·  GitHub  ·  AI-assisted tooling for specification drafting, status synthesis, and program reporting



Additional Information
 

Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.

Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Fuze Health’s policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.

Salary and Benefits

Salary Range: $152,000-190,000

Commission Eligible: No

Travel: No 

Location Requirement: 

  • Fuze Health is limited to individuals residing in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington (WA), Wisconsin.

Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S. 

Benefits: Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD) and long-term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 10 paid holidays, (2 floating holidays for full time non-exempt employees) , and eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a Lifestyle Spending Account allowance each month.

Application deadline: September 17th, 2026

#LI-Remote 

Equal Opportunity Employer

Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at talent@fuzehealth.com


Fuze Health considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E-Verify participating company.


Use of Automated Decision Tools

Fuze Health recruiters and hiring managers may use automated decision tools to help identify candidates who match the stated job requirements, and to what extent. These tools are designed to help ensure fairness in all aspects of the hiring process by providing recruiters and hiring managers with data-backed insights based on information provided in your resume, including work experience, education, and other skills. Fuze Health does not use automated decision tools to make hiring decisions; hiring decisions always involve human review and input. If you have any questions or would like to request an alternative process, please contact us at talent@fuzehealth.com. 


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