As the Senior Director of Engineering at Alto, you will assume a pivotal role in propelling the organization's engineering operations forward as we embark on our scaling journey. Directly overseeing Engineering, IT, and Security, you will wield your expertise to foster innovation, streamline processes, and fortify our technological infrastructure. Reporting to the Chief Technology Officer, you will serve as a linchpin in shaping Alto's technological landscape, security protocols, and cultivating an enriching employee experience.

Accelerate Your Career as You

• Leadership: Chart a course of visionary leadership for the engineering team, cultivating a culture of collaboration, innovation, and continuous improvement. Define clear objectives and steer the team towards the attainment of strategic milestones.
• Technical Strategy: Craft and execute a comprehensive technical strategy harmonized with Alto's overarching business objectives. Remain vigilant of industry trends, emerging technologies, and best practices to sustain our position as a pioneer of innovation.
• Cross-functional Collaboration: Forge collaborative ties with other departments, such as product management, marketing, and sales, to synchronize engineering endeavors with broader business imperatives. Foster seamless communication and cooperation across multifunctional teams.
• Team Development: Spearhead the recruitment, mentoring, and advancement of a high-performing engineering cadre. Provide tailored coaching, constructive feedback, and avenues for professional growth to bolster the prowess of team members.
• Project Management: Oversee the seamless execution of engineering projects, ensuring punctual delivery within budgetary confines. Implement and uphold robust project management methodologies to streamline operations.
• Quality Assurance: Institute and uphold stringent quality standards and protocols to uphold the delivery of dependable, high-caliber products. Deploy testing processes and methodologies to safeguard product integrity.
• Resource Management: Astutely manage engineering resources, encompassing budgetary allocations, staffing initiatives, and technological provisions. Optimize resource distribution to maximize operational efficiency and productivity.

A Bit About You

Minimum Qualifications:

• Bachelor's or Master's degree in Engineering, Computer Science, or a related field.
• A minimum of 12 years of progressive Engineering experience.
• Demonstrated leadership experience in engineering and product domains for at least 8 years.
• Proficiency in managing highly scalable services.
• Proven track record of collaborating closely with product and business leaders to formulate strategies, roadmaps, and features.
• Strong technical acumen with a robust background in the startup ecosystem.
• Exceptional strategic thinking and problem-solving prowess.
• Superlative communication and interpersonal skills.
• Proven ability to foster innovation and navigate change.

Preferred Qualifications: 

• Deep understanding of cutting-edge technologies and engineering practices relevant to our industry.
• Expertise in Startups, Healthcare, AI/ML/Data Interoperability highly desirable.
• Proven experience in steering engineering teams towards the development of scalable systems.
• Proficiency in architecting and managing solutions adaptable to growth and heightened demand.
• History of driving innovation and surmounting complex engineering challenges.
• Keen awareness of industry trends, emerging technologies, and market dynamics.
• Track record of successful collaboration with cross-functional teams, including product management, marketing, and sales.

Additional Physical Job Requirements

• Read English, comprehend, and follow simple oral and written instructions.  The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.  Assessing the accuracy, neatness and thoroughness of the work assigned.
• Communicating with others to exchange information.  Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly.
• Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication, and making fine discriminations in sound.
• Frequent repeating motions required to operate a computer that may include the wrists, hands and/or fingers.
• Sedentary work: Sitting most of the time, exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Walking and standing are required only occasionally.

Salary and Benefits

Salary Range: $224,000 - $280,000

 Commission Eligible: No

Equity Eligible: Yes 

Travel: Yes - Required up to 25% of the time 

Location Requirement:Employment at Alto is limited to individuals residing in the following states: Washington, California, Nevada, Colorado, Texas, and New York.

Employment Requirement:Applicants must be authorized to work for any employer in the U.S.  At this time, Alto is unable to sponsor or take over sponsorship of an employment Visa.

Benefits: Full-time: Medical, Dental, Vision, 401(k), Group Life, AD&D, Employer paid STD/LTD, generous PTO and parental leave.  

Application deadline: May 14, 2024

#LI-Remote

We’re looking for a Business Operations Associate to join the Fertility Growth team and work across a large cross-functional organization to bring Alto to even more fertility patients. You will collaborate with Product, Engineering, Operations, Sales, Partnerships, Fulfillment, Finance, and Corporate Development to drive strategic initiatives and prioritization as well as assisting in company-wide strategy, planning, and operations. You will have high exposure to leadership and top strategic business questions. You will own projects that involve key growth and margin initiatives.

Accelerate Your Career as You

• Partner with business owners across functions to deliver top priority strategic projects; from new growth initiatives and business models, to increasing operational efficiencies and improving the patient experience.
• Perform in-depth, high quality analysis and build dashboards to measure key business metrics.
• Develop a deep understanding of the fertility and pharmacy landscapes by becoming a trusted expert in patient, provider, and partner priorities to drive the health of the business. 
• Collaborate closely with senior leadership to define and prioritize initiatives and focus areas.
• Efficiently and effectively communicate insights and recommendations to cross-functional teams including senior leadership. 
• Support sales operations activities including sales quota development 

A Bit About You

Minimum Qualifications:

• 3+ years of experience in management consulting, investment banking, or a strategic operational role within a high growth company.
• Experience with Looker or Tableau or other similar business insights tools. Proficient with Excel/Google Sheets.
• You can operate “full stack” by asking your own questions and utilizing the necessary data to get the answer.
• You are able to visualize the data in high signal-to-noise ways making key insights clear, and compelling to executive audiences.
• Experience using insights to drive swift action by creating project structures, execution plans, and momentum for yourself and those around you.

Preferred Qualifications:

• SQL/R experience
• Experience supporting B2B sales teams

Additional Physical Job Requirements

• Reading English, comprehending, and following simple oral and written instructions.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Assessing the accuracy, neatness and thoroughness of the work assigned.
• Communicating with others to exchange information.
• Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly.
• Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication, and making fine discriminations in sound.
• Frequent repeating motions required to operate a computer or phone that may include the wrists, hands and/or fingers.
• Environmental Conditions: occasional exposure to low temperatures or high temperatures, outdoor elements such as precipitation and wind, and noisy environments.

Salary Range: $116,000 - $145,000

Commission Eligible: No.

Equity Eligible: Yes.

Travel: Yes. Up to 15% of the time. 

Location Requirement:Employment at Alto is limited to individuals residing in the following states: Washington, California, Nevada, Colorado, Texas, and New York.

Employment Requirement:Applicants must be authorized to work for any employer in the U.S.  At this time, Alto is unable to sponsor or take over sponsorship of an employment Visa.

Benefits: Full-time: Medical, Dental, Vision, 401(k), Group Life, AD&D, Employer paid STD/LTD, generous PTO and parental leave.  

Application deadline: May 10, 2024

#LI-Remote

At Alto, Principal Architects / Engineers are both visionary 10x strategic thought leaders and hands-on builders. You venture beyond the traditional and inspire new approaches to solve complex problems. We are seeking an architect and builders who are experienced at building and scaling high volume high throughput systems. You will have the technical judgment and influential skills to facilitate impactful discussions with technical reason. The ideal candidate will be able to operate at the Director, VP, and CTO level as a key technical adviser. They should be able to provide both architectural guidance and detailed technical direction while biasing for delivering customer value. 

Accelerate Your Career as You

• Serve as a technical leader on our most complex customer problems, across multiple systems, across the tech stack. 
• Decompose complex problems into autonomous independent implementable solutions.
• Understand and make aware of system dependencies and limitations, while relentlessly trying to reduce them.
• Possess expert knowledge in performance, scalability, enterprise system architecture, and engineering best practices.
• Actively mentor and advance the architecture community of practice and continuously raise the bar.
• Oversee the development of autonomous services exposed via APIs. 
• Design and guide the implementation of effective service communications through Event Driven Architecture using Cloud Well Architected Frameworks.
• Leverage cloud technologies to optimize data stores and retrieval.

A Bit About You

Minimum Qualifications:

• Bachelor's or higher degree in Computer Science, Engineering, or a related field.
• 10 years of hands-on experience in Enterprise Systems architecture, design, and build.
• Demonstrated success in driving projects from concept to launch.
• Ability to influence with sound technical judgment.
• Drive to build Proof of Concepts boldly leveraging new technologies that give outsized returns for our customers.
• Experience in high quality, highly scalable cloud native software development, modern programming languages, APIs, Event Driven Architectures, AI/ML mechanisms, Just enough UI frameworks, performant data models.

Preferred Qualifications: 

• Master's degree or higher in Computer Science, Engineering, or a related field.
• Experience in leading projects within the healthcare industry.
• Experience breaking down cloud native monolith high volume applications.
• Experience implementing machine learning or artificial intelligence solutions.

Additional Physical Job Requirements

• Read English, comprehend, and follow simple oral and written instructions.  The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.  Assessing the accuracy, neatness and thoroughness of the work assigned.
• Communicating with others to exchange information.  Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly.
• Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication, and making fine discriminations in sound.
• Frequent repeating motions required to operate a computer that may include the wrists, hands and/or fingers.
• Sedentary work: Sitting most of the time, exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Walking and standing are required only occasionally.

Salary and Benefits

Salary Range: $192,000 - $240,000

Commission Eligible: No

Equity Eligible: Yes

Travel: Yes - Required up to 15% of the time (Engineering on/off-sites, Leadership on/off-sites)

Location Requirement:Employment at Alto is limited to individuals residing in the following states: Washington, California, Nevada, Colorado, Texas, and New York. 

Employment Requirement:Applicants must be authorized to work for any employer in the U.S.  At this time, Alto is unable to sponsor or take over sponsorship of an employment Visa.

Benefits: Full-time: Medical, Dental, Vision, 401(k), Group Life, AD&D, Employer paid STD/LTD, generous PTO and parental leave.  

Application deadline: May 3, 2024

#LI-Remote

Navigating the complex landscape of the pharmacy industry, the Senior Director of FP&A at Alto takes on the pivotal responsibility of steering financial strategy amidst dynamic market forces. Challenges abound, from managing operational costs in the face of rising healthcare expenses to deciphering vast datasets for actionable insights. Strategic planning requires a keen eye for market trends and the ability to adapt to regulatory shifts while balancing the imperative for innovation against cost considerations.

In this role, you'll spearhead growth initiatives, leveraging financial analysis to guide expansion strategies and enhance market competitiveness. Collaborating across departments, you'll foster synergies that drive operational efficiency and enable swift adaptation to industry changes. Embracing innovation, you'll champion initiatives that position Alto as a leader in the Pharmacy industry, propelling us towards our mission of improving health outcomes for all.

Accelerate Your Career as You

• Financial Strategy Development: Lead the development and implementation of financial strategies aligned with the company's overall objectives and growth plans.
• Leadership Interaction: Interact closely with executive and senior leadership teams, providing strategic financial guidance and contributing to high-level decision-making processes.
• Budgeting and Forecasting: Oversee the annual budgeting process and collaborate with key stakeholders to develop accurate forecasts and financial models.
• Financial Analysis: Conduct in-depth financial analysis to evaluate business performance, identify trends, and recommend areas for improvement or optimization.
• Performance Reporting: Prepare and present comprehensive financial reports and analysis to senior management, providing insights into key performance metrics and variances.
• Business Partnership: Collaborate closely with cross-functional teams, including Operations, Sales, Marketing, and Supply Chain, to provide financial guidance and support decision-making.
• Risk Management: Identify financial risks and opportunities, develop mitigation strategies, and provide recommendations to senior leadership.
• Process Improvement: Drive continuous improvement initiatives within the FP&A function to enhance efficiency, accuracy, and effectiveness of financial planning and analysis processes.
• Team Leadership: Manage and mentor a team of FP&A professionals, fostering a culture of collaboration, accountability, and excellence.

A Bit About You

Minimum Qualifications:

• Bachelor's degree in Finance, Accounting, Economics, or related field; MBA or CPA preferred.
• 10+ years of progressive experience in financial planning and analysis, preferably in the healthcare or pharmaceutical industry.
• Strong proficiency in financial modeling, budgeting, forecasting, and variance analysis.
• Demonstrated leadership experience with a track record of effectively leading and developing high-performing teams.
• An understanding of SQL is a plus.
• An understanding of Looker is a plus.
• Thrives in a fast-paced, high-growth environment.
• Excellent analytical skills with the ability to translate complex financial data into actionable insights.
• Strategic thinker with a proven ability to influence decision-making at the executive level.
• Exceptional communication and presentation skills, with the ability to convey financial concepts to non-financial stakeholders.
• Advanced proficiency in financial systems and software, such as SAP, Oracle, Coupa, and or Sage Intacct

Preferred Qualifications: 

• Advanced degree (MBA, MS) in Finance, Accounting, Economics, or related field.
• Prior experience in the pharmaceutical or healthcare industry, with a deep understanding of industry-specific financial dynamics.
• Proven track record of leading successful cross-functional teams and driving transformative initiatives.
• Experience with advanced financial modeling techniques and proficiency in financial software such as SAP, Oracle, 

Additional Physical Job Requirements

• Read English, comprehend, and follow simple oral and written instructions.  The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.  Assessing the accuracy, neatness and thoroughness of the work assigned.
• Communicating with others to exchange information.  Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly.
• Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication, and making fine discriminations in sound.
• Frequent repeating motions required to operate a computer that may include the wrists, hands and/or fingers.
• Sedentary work: Sitting most of the time, exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Walking and standing are required only occasionally.

Salary and Benefits

Salary Range: $187,200 - $234,000

Commission Eligible: No

Equity Eligible: Yes

Travel: Yes. Up to 15% of the time.

Location Requirement:Employment at Alto is limited to individuals residing in the following states: Washington, California, Nevada, Colorado, Texas, and New York.

Employment Requirement:Applicants must be authorized to work for any employer in the U.S.  At this time, Alto is unable to sponsor or take over sponsorship of an employment Visa.

Benefits: Full-time: Medical, Dental, Vision, 401(k), Group Life, AD&D, Employer paid STD/LTD, generous PTO and parental leave.  

Application deadline: April 12, 20224

#LI-Remote

We are seeking a highly skilled and experienced Revenue Accountant to be a key member of our quickly growing Revenue Team. The Revenue Accountant will be proficient  working independently, coordinating with their accounting peers, and maintain strong relationships both internally and externally. The ideal candidate will possess strong organizational skills, and a deep understanding of best practices around processes, systems, and resourcing for revenue accounting. As a result, you will gain exposure to senior-level decision making and develop lasting relationships across the company.

The ideal candidate will have a forward-thinking approach to efficient accounting processes in a fast paced, high growth environment and the ability to clearly communicate deliverables and recommendations. This role reports to the Revenue Accounting Manager. 

Accelerate Your Career as You

• Perform month-end duties including account reconciliation, computation of revenue/deferred revenue, accrual estimates, and review of revenue trends.
• New systems implementation/integration work to enhance and automate our processes.
• Manage and monitor AR, create metrics/dashboards, internal and external communications.
• Maintain and update internal control design and documentation in the "order to cash" cycle.
• Perform daily, weekly, and ad-hoc duties related to incoming collections and billing.
• Daily monitoring incoming Accounts Receivable collections and GL applications.
• Weekly AR Aging review for identified payors.
• Review of cash collections.
• Daily/monthly invoicing and cash application for invoiced clinics.
• Monthly close journal entries and reconciliations.
• Identification of new revenue streams as needed- including sourcing required data support, appropriate GL application, journal entry/reconciliation ownership and completeness for financial review.
• Interact with external auditors to gather relevant support and ensure compliance with internal controls.
• Prepares period end close schedules and reporting for the Revenue accounting team.
• Interact with key stakeholders outside of accounting including- members of the Alto Finance Team, internal Project Managers for contractual invoiced clinics, and external invoiced customer billing teams.
• Maintain and review complex schedules to ensure accuracy of open Accounts Receivable balances.
• Review and enhance the monthly balance sheet account reconciliations on an ad-hoc basis for Revenue related accounts and assists the Finance Team in researching differences.
• Use financial and accounting experience and acumen to analyze and interpret data to make any recommendations on possible courses of action as appropriate.
• Effectively engage with the team to successfully complete multiple and diverse deliverables.
• Develop, implement and maintain desktop procedures for on-going revenue accounting activities.

A Bit About You

Minimum Qualifications:

• 4+ years as a revenue accountant or a similar role, demonstrating progressive responsibility and leadership in revenue accounting functions, preferred 2+ years in a public accounting role.
• Experience with Sage Intacct, Inmar, and Floqast.
• Thorough knowledge of accounting principles, financial systems, and best practices in accounts receivable processes and controls.
• Advanced proficiency in Microsoft Word and Excel.
• Very detail oriented, comfortable with large data sets, analytical thinker.
• Ability to effectively work across teams, both within the accounting functions, and across the organization.
• Ability to multitask and prioritize work; work well under pressure to meet deadlines – must be passionate about getting into the details to solve problems.
• A passion for Alto’s mission and values!

Preferred Qualifications: 

• Experience with ERP system implementation & integrations is a strong plus.
• CPA or equivalent.
• Healthcare experience.
• In-house GL management.
• Experience with G Suite and Microsoft Office.

Additional Physical Job Requirements

• Read English, comprehend, and follow simple oral and written instructions.  The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.  Assessing the accuracy, neatness and thoroughness of the work assigned.
• Communicating with others to exchange information.  Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly.
• Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication, and making fine discriminations in sound.
• Frequent repeating motions required to operate a computer that may include the wrists, hands and/or fingers.
• Sedentary work: Sitting most of the time, exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Walking and standing are required only occasionally.

Salary and Benefits

Salary Range: $92,850 - $123,800

Commission Eligible: No

Equity Eligible: Yes

Bonus Eligible: No

Travel: Yes. Up to 15% of the time.

Location Requirement:Employment at Alto is limited to individuals residing in the following states: Washington, California, Nevada, Colorado, Texas, and New York.

Employment Requirement:Applicants must be authorized to work for any employer in the U.S.  At this time, Alto is unable to sponsor or take over sponsorship of an employment Visa.

Benefits: Full-time: Medical, Dental, Vision, 401(k), Group Life, AD&D, Employer paid STD/LTD, generous PTO and parental leave.  

Application deadline: March 29, 2024