Top Tech Jobs & Startup Jobs in San Francisco Bay Area, CA

Lead the Tools & Frameworks engineering team to build shared backend libraries, internal tooling, scalable APIs, and schemas. Define roadmap, balance technical and business priorities, drive architectural excellence (including FHIR translation, monorepo decomposition, data federation, event-streaming), mentor engineers, and collaborate cross-functionally to improve developer productivity and platform reliability.

Lead enterprise sales for employer groups of 20,000+ lives: develop and execute sales strategy, own full sales cycle, build C-level and broker relationships, forecast pipeline in Salesforce, collaborate with clinical, legal and pricing teams, represent the company at events, and close complex high-value PBM deals.

Lead and coach a team of Partner Relationship Managers to ensure post-go-live partner success with TPAs and data partners. Oversee partner governance, EDI/ETL/API data integrations, escalation management, cross-functional collaboration, KPI-driven performance, and risk mitigation to drive partner adoption and operational excellence.

As a Staff Software Engineer, you will develop backend architecture, collaborate with stakeholders, mentor juniors, and ensure software quality while leveraging various technologies and AWS platforms.

Lead month-end close activities including complex journal entries, reconciliations, and fluctuation analysis; perform technical accounting research and memos; design internal controls; coordinate audits; and identify process improvement and automation opportunities to ensure accurate financial reporting.

Lead development and execution of forward-looking drug spend forecasting models, quantify macro-market impacts, partner with clinical and pricing teams, translate analytical findings for executives and clients, build automated reporting with Data Analytics, support sales/proposals, engage brokers/consultants, and drive strategic growth projects.

Owner-operator for growth experiment architecture and execution: run weekly growth sprints in Asana, design and implement automated outbound plays across Cargo, Outreach, Salesforce, BenefitFlow, and ZoomInfo, manage AI tooling and integrations, track project timelines, analyze experiment results, and collaborate with BDRs and Marketing Ops to scale personalized outreach.

Serve as the first GTM finance business partner, building forecasting, KPIs (CAC, LTV, payback), pricing and P&L models, headcount and commission modeling, monthly and annual planning, and systems/tooling to support Sales and Marketing decision-making and ROI-driven growth.

Design, implement, and govern enterprise identity systems (Okta-first) including HR-driven provisioning with Workday, SSO/SCIM for SaaS, AWS identity architecture, OPA/Rego policy-based authorization, machine/non-human identity lifecycle, AI-agent identity governance, device trust via MDM integration, and mentor engineers while producing runbooks and compliance-ready documentation in a HIPAA-regulated environment.

The Proposals Pricing Analyst will conduct claims analysis and create deliverables to assist the sales team in demonstrating SmithRx's value. They will query large datasets, provide insights from historical data, and prepare client-ready reports while collaborating with internal teams.