by Terrance Ellis | Jan 16, 2026 | Uncategorized
SmithRx is scaling fast, and this role is about making sure the database layer doesn’t crack under the weight. You’ll own reliability, performance, security, and growth strategy across AWS-hosted data systems, including PostgreSQL and key AWS database services, in a regulated environment handling sensitive PHI.
About SmithRx
SmithRx is a venture-backed health tech company rebuilding the Pharmacy Benefit Management space with modern infrastructure, real-time insights, and customer-first service. They’re growing quickly, with a user base doubling annually, and they’re investing in scalable, sustainable systems to match.
Schedule
- Full-time, remote
- Hands-on senior ownership of cloud database reliability, performance, and security
- Cross-functional collaboration with Security, Data Engineering, and Product/Engineering teams
What You’ll Do
- Manage and maintain PostgreSQL, DynamoDB, and Athena on AWS, ensuring high availability and reliability
- Monitor database health and performance, proactively identifying and resolving issues
- Design and implement scaling and growth strategies to support rapidly increasing demand
- Build and maintain strong security controls to protect sensitive PHI from internal and external threats
- Ensure compliance with privacy and security frameworks (HIPAA, SOC 2, etc.)
- Design and implement Business Continuity and Disaster Recovery plans (BCP/DR)
- Build and maintain a pipeline to restore anonymized production data into lower environments
- Partner with the Security team on risk analysis and incident response planning for data infrastructure
- Collaborate with Engineering, Architecture, and Release teams on database design recommendations for new features
- Work with Data Engineering to support ETL jobs and downstream applications
- Support dev teams on complex query development, tuning DML, and promoting strong database coding practices
What You Need
- 5+ years of Database Administration experience
- BS (or higher) in Computer Science or a related field
- Experience managing SQL and NoSQL databases (PostgreSQL, MySQL, Redis, Redshift, DynamoDB, BigQuery, MongoDB, Cassandra, Snowflake)
- Deep AWS database knowledge (RDS, Aurora, Redshift, DynamoDB, etc.)
- Strong performance tuning skills: identifying bottlenecks, optimizing queries and schemas
- Experience with monitoring/observability tools (CloudWatch, Datadog), dashboards, alerting, and metrics
- Experience with change management practices, policies, and procedures
- Background in infrastructure automation, reliability engineering, load balancing, monitoring, and logging
- Experience in regulated environments (HIPAA preferred; GDPR a plus)
- Strong scripting in SQL, Python, Shell, etc.
Benefits
- Medical, pharmacy, dental, vision
- Life and AD&D insurance
- Flexible Spending Accounts (FSA)
- 401(k) retirement program
- Short-term and long-term disability
- Discretionary PTO
- Paid company holidays
- Wellness benefits
- Commuter benefits
- Paid parental leave
- Employee Assistance Program (EAP)
- Professional development and training
- Well-stocked kitchens in office locations
Quick gut-check: this isn’t just “keep the database running.” It’s “keep the business running” while protecting PHI and staying audit-ready. If you’re the type who likes owning the whole reliability story end-to-end, this is your lane.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 16, 2026 | Uncategorized
If you’re the kind of QA leader who treats quality like a product feature, not a final step, this role is built for you. You’ll own test strategy inside a sprint team, push an automation-first culture, and build regression suites that catch defects before customers ever feel them.
About SmithRx
SmithRx is a venture-backed health tech company modernizing the Pharmacy Benefit Management space with a unified platform built for real-time insights, operational efficiency, and a better customer experience. They’re scaling fast and building tech that aims to outperform old-school PBM systems on both service and reliability.
Schedule
- Full-time, remote
- Embedded with a sprint team as the primary quality advocate
- Owns test strategy, automation coverage, and quality metrics for the products you support
What You’ll Do
- Develop and maintain automated tests to expand coverage and speed up defect feedback loops
- Build and improve regression test suites with an automation-first mindset
- Own test strategy, planning, and execution within your sprint team
- Maintain and continuously improve test frameworks so they’re reliable, efficient, and easy to use
- Create test plans, test cases, and testing documentation
- Find, report, and track bugs through resolution with urgency
- Partner with Product to give quality-driven input that strengthens feature impact
- Share clear test results with Engineering and Product to keep progress and expectations aligned
- Create and maintain security and performance tests
- Build deep product knowledge across SmithRx systems
- Use AI tools like Playwright MCP, Claude, and Copilot to work faster and smarter
- Maintain and refine quality metrics to communicate overall product health
What You Need
- Bachelor’s in Computer Science or equivalent experience
- 5+ years in QA and automation testing, with a proven track record of team leadership
- Proficiency in one: Python, TypeScript, Java, or JavaScript
- Experience writing automated API tests in a scripting or programming language
- Experience with API automation frameworks (Pytest or REST Assured)
- Experience with UI automation tools (Selenium, Cypress, or Playwright)
- Familiarity with Page Object Model for UI automation
- Familiarity with CI/CD systems (GitHub Actions, CircleCI, or Jenkins)
Benefits
- Medical, pharmacy, dental, vision
- Life and AD&D insurance
- Flexible Spending Accounts (FSA)
- 401(k) retirement program
- Short-term and long-term disability
- Discretionary PTO
- Paid company holidays
- Wellness benefits
- Commuter benefits
- Paid parental leave
- Employee Assistance Program (EAP)
- Professional development and training
- Well-stocked kitchens in office locations
Real talk: the “Senior” here is less about writing tests and more about owning outcomes. You’re the person who says, “No, we’re not shipping like that,” and has the data and automation to back it up.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 16, 2026 | Uncategorized
This is a top-of-the-house technical leadership role. You’re not just shipping features, you’re steering multi-year, multi-team initiatives, shaping architecture choices, and keeping the whole platform healthy while the business scales. If you love setting the technical direction and bringing teams along with you, this is that seat at the table.
About SmithRx
SmithRx is a venture-backed health tech company on a mission to modernize the Pharmacy Benefit Management space with a next-generation drug acquisition platform powered by cutting-edge tech, cost-saving tools, and high-touch service. They’re fast-growing, mission-driven, and serious about building durable systems.
Schedule
- Full-time, remote
- Senior technical leadership partnering with Engineering, Product, and Design leadership
- Cross-team influence role driving multi-year initiatives and platform quality
What You’ll Do
- Define and align technical strategy for multi-year, multi-team initiatives tied to company goals
- Own major architecture decisions, including framework/tooling selection and build-versus-buy calls
- Design systems for reliability, scalability, and long-term maintainability with staged validation plans
- Run system “health” reviews and raise engineering quality through documentation and testing strategy
- Drive testing and validation frameworks for high-reliability systems
- Design platforms with embedded ML capabilities that are production-ready
- Collaborate with ML engineers on anomaly detection and NLP-related systems to meet SLAs
- Partner with Directors, PMs, and Design leadership to align technical direction with business objectives
- Influence product scope and trade-offs to maximize customer value without sacrificing quality
- Rally teams around a clear technical vision, especially when choices affect the whole org
- Step in when projects drift off-course and refocus efforts toward meaningful business impact
- Mentor engineers across levels and set the bar for engineering excellence
What You Need
- BS (or advanced degree) in CS or equivalent experience
- 15+ years of software engineering experience (or 12+ with an advanced degree)
- Deep expertise in system architecture: scalability, reliability, maintainability
- Strong build-versus-buy judgment and framework/tool evaluation chops
- Track record tackling ambiguous problems with research and validation plans
- Proven ownership of system quality: testing strategies, documentation, operational rigor
- Strong influence skills across teams and stakeholder groups
- Working knowledge of ML concepts, including NLP and anomaly detection in production contexts
- Excellent communication: you can simplify the complex and build alignment fast
Benefits
- Medical, pharmacy, dental, vision
- Life and AD&D insurance
- Flexible Spending Accounts (FSA)
- 401(k) retirement program
- Short-term and long-term disability
- Discretionary PTO
- 12 paid company holidays
- Wellness benefits
- Commuter benefits
- Paid parental leave
- Employee Assistance Program (EAP)
- Professional development and training
- Well-stocked kitchens in office locations
Quick gut-check: this is “architect + diplomat + quality sheriff.” If you don’t enjoy influencing without direct authority, this role will be miserable. If you do, you’ll be dangerous in the best way.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 16, 2026 | Uncategorized
If you’re a builder-turned-leader who can scale teams, drive platform roadmaps, and keep systems sane while the company grows fast, this is your lane. You’ll lead Platform Engineering teams working on high-impact domains like Claims and integrations, balancing delivery speed with architectural quality.
About SmithRx
SmithRx is a venture-backed health tech company working to modernize the Pharmacy Benefit Management space with a next-generation drug acquisition platform powered by modern technology, cost-saving tools, and high-touch service. They’re mission-driven, fast-growing, and values-led.
Schedule
- Full-time, remote
- Engineering leadership role over Platform Engineering teams
- Partners closely with Product, Principal Engineers, architects, and cross-functional stakeholders
What You’ll Do
- Lead and develop a team of engineers (up to Senior level) delivering high-quality software
- Build a high-performing culture rooted in accountability, innovation, and execution
- Run performance management, coaching, and growth planning for your team
- Define the team vision and roadmap aligned to company goals and OKRs
- Translate business needs into executable engineering plans with stakeholders
- Balance near-term shipping with long-term scalability and platform health
- Drive architectural and operational excellence with Principal Engineers and architects
- Identify and mitigate technical risks, including long-term architecture deficiencies
- Establish best practices for development, testing, and operational workflows
- Collaborate cross-functionally to reduce inefficiencies and improve delivery speed
- Represent your teams to senior leadership, customers, and stakeholders
What You Need
- 7+ years in software development, including 3+ years managing teams
- Strong grasp of software architecture, APIs, and scalable systems
- Proven ability to make smart trade-offs between short-term delivery and long-term health
- Demonstrated experience building, leading, and retaining high-performing teams
- Experience defining team mission/roadmaps aligned to broader OKRs
- Excellent written and verbal communication, including strategic documentation (narratives, proposals)
- Track record of delivering results in ambiguous, high-pressure environments
Nice to Have
- Experience managing backend teams
- Familiarity with domain-driven design and cross-functional development
- Experience leading geographically distributed teams and stakeholders
Benefits
- Medical, pharmacy, dental, vision
- Life and AD&D insurance
- Flexible Spending Accounts (FSA)
- 401(k) retirement program
- Short-term and long-term disability
- Discretionary PTO
- Paid company holidays
- Wellness benefits
- Commuter benefits
- Paid parental leave
- Employee Assistance Program (EAP)
- Professional development and training
- Well-stocked kitchens in office locations
This role is less “code every day” and more “protect the platform, unblock the team, and ship the roadmap without breaking production.” If you’re the calm adult in the room who still understands the tech deeply, you’ll fit.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 16, 2026 | Uncategorized
If you’re the kind of data scientist who can run experiments, argue with the numbers (politely), and move executives with a clean story, SmithRx is calling. This role sits at the center of product and strategy, shaping how a modern PBM measures impact and makes decisions.
About SmithRx
SmithRx is a venture-backed health tech company on a mission to disrupt the Pharmacy Benefit Management space with a next-generation drug acquisition platform powered by modern technology, cost-saving tools, and high-touch service. They’ve onboarded hundreds of thousands of members since 2016 and are focused on making healthcare more affordable and accessible.
Schedule
- Full-time, remote
- Partners closely with Product, Clinical, Customer Success, and GTM
- Collaborates with Data & ML Engineering on data modeling and governance
What You’ll Do
- Partner with stakeholders to define success states and set data-driven goals
- Design key metrics to track progress and identify opportunities for product and business improvement
- Design and run experiments to evaluate opportunities with statistical rigor and significance
- Influence data model design by collaborating with Data & ML Engineers (dimensional models, reliability, accessibility)
- Champion strong data governance and raise the bar on data and code quality
- Mentor and elevate the team through technical guidance, curiosity, and clarity in ambiguity
What You Need
- Bachelor’s degree in a quantitative field (math, stats, etc.); Master’s/PhD preferred
- 8+ years of hands-on experience influencing product and business decisions through experimentation and advanced analytics
- Healthcare and/or pharmacy experience (preferred)
- Deep technical strength in:
- SQL and dbt for querying, transforming, and validating complex datasets
- Python and/or R for advanced statistical modeling
- Building robust data models and enforcing data quality guardrails with engineering partners
- Designing and scaling causal inference and experimentation frameworks
- Data visualization and storytelling that drives action across technical and non-technical audiences
- Self-starter mindset with strong ownership, creativity, and follow-through
- Excellent communication, strong leadership instincts, and ability to align people around a vision
Benefits
- Medical, pharmacy, dental, vision
- Life and AD&D insurance
- Flexible Spending Accounts (FSA)
- 401(k) retirement program
- Short-term and long-term disability
- Discretionary PTO
- Paid company holidays
- Wellness benefits
- Commuter benefits
- Paid parental leave
- Employee Assistance Program (EAP)
- Professional development and training
- Well-stocked kitchens in office locations
This is a “science + influence” seat. The tech skills matter, but the real differentiator is whether you can translate experiments into decisions people actually make.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 16, 2026 | Uncategorized
If you want security work that actually matters, this is it. You’ll support U.S. Government programs, strengthen controls, respond to incidents, and keep regulated environments compliant with federal frameworks.
About [Company Name]
[Company Name] supports mission-critical U.S. Government operations with a security team built for high standards and high stakes. You’ll work alongside experienced InfoSec pros in a fast-paced environment focused on real impact. The work is regulated, meaningful, and built for people who like solving hard problems the right way.
Schedule
- Full-time, remote (US)
- May require travel as needed
- Flexible remote work environment
- U.S. Citizenship required (for clearance eligibility)
What You’ll Do
- Conduct proactive technical security assessments based on alerts, advisories, and research
- Hunt threats, review indicators of compromise, and support incident response with enterprise-grade tools
- Design and implement security controls aligned with NIST, FISMA, and DoD frameworks
- Monitor and respond to security incidents with rapid containment and remediation
- Partner cross-functionally to align enterprise policies to multiple federal cybersecurity mandates
- Develop and maintain security documentation including SSPs, POA&Ms, and audit reports
- Support accreditation and authorization efforts under RMF and DIACAP
- Stay current on emerging threats, regulatory changes, and security best practices
What You Need
- U.S. Citizenship (required for clearance eligibility)
- Bachelor’s in Cybersecurity, IT, Computer Science, or equivalent U.S. Government work experience
- 2+ years supporting cybersecurity work with or within the U.S. Government or U.S. Military
- Working knowledge of federal frameworks and mandates (NIST 800-53/171, RMF, FISMA, FedRAMP, CMMC)
- Experience with SIEM tools, endpoint protection platforms, and vulnerability management systems
- Strong communication skills, including presenting technical findings to non-technical stakeholders
- Certifications such as CISSP, CISM, CISA, CRISC, CGEIT (or similar risk-focused credentials)
- Bonus: Security+, CEH, SANS certifications
- Bonus: exposure to CMMC, PCI-DSS, ISO 27001, HIPAA and cloud security (AWS, Azure, GovCloud)
- Bonus: system administration experience across multiple platforms and applications
- Bonus: basic IT project management knowledge
Benefits
- Competitive compensation and benefits
- Growth opportunities with training and certification support
- Mission-critical work supporting federal, state, local, municipal, military, and intelligence-focused programs
Government-facing security roles move quickly. If you meet the citizenship requirement and you’ve got the framework experience, don’t wait.
Bring the rigor. Bring the curiosity. Protect what matters.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 16, 2026 | Uncategorized
This is a high-impact seat for an engineer who can still ship code, but also raise the bar for how the team builds. Steno is scaling fast, and they want a Staff-level builder who can architect solutions, mentor engineers, and keep the product moving with clean, pragmatic execution.
About Steno
Steno (founded in 2018) is modernizing the litigation and court reporting industry with cutting-edge technology and concierge-level customer service. They’re remote-first, growing quickly, and anchored by values like reliability, constant innovation, and a hospitality mindset. The team is distributed, collaborative, and product-driven.
Schedule
- Full-time, salaried (exempt), remote (United States)
- Flexible schedule culture in a remote environment
- Cross-functional collaboration with Product and Design
What You’ll Do
- Build production software hands-on across the stack (front-end through database)
- Architect, design, and implement scalable technical solutions aligned to product needs
- Establish and maintain sound software architecture and engineering best practices
- Improve engineering team processes based on real project learnings
- Mentor and coach non-staff engineers, leveling up the whole team
- Partner closely with Product and Design to execute new ideas and features
- Help grow Steno’s developer community and represent Steno externally when needed
What You Need
- 6+ years of software development experience
- Strong git skills and experience across multiple programming languages (static and dynamic)
- Strong relational database knowledge and comfort writing SQL
- Familiarity with multiple architectures (monolithic, n-tier, distributed) and cloud infrastructure
- Experience with cloud-based CI/CD pipelines
- Experience with unit and integration testing in real production environments
- Proven track record shipping well-engineered products with modern tech
- Full-stack fundamentals: you understand web apps from pixels to queries
- Familiarity with Steno’s stack: Node.js + TypeScript, React, PostgreSQL (strongly preferred)
- Bachelor’s in Computer Science or equivalent practical experience
Benefits
- Base salary: $205,000–$260,000 + yearly discretionary bonus (based on manager-set goals)
- Health, vision, and dental benefits (low-cost plans)
- Wellness and mental health benefits for employees and families
- Flexible PTO and flexible scheduling culture
- Equity options
- Company-provided 401(k)
- Home office setup support plus a monthly internet/phone stipend
Staff-level roles at fast-growing startups are rare because they’re the glue between “we have ideas” and “we ship great product.” If you’ve got the range, don’t overthink it.
Build, lead, and ship work you’ll actually be proud to put your name on.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 16, 2026 | Uncategorized
If you love building clean, scalable data models and get personally offended by copy-pasted SQL logic, this is your role. Steno wants a senior analytics engineer who can own the data model, raise the bar on quality, and help grow a real data culture across the company.
About Steno
Steno (founded in 2018) is modernizing the litigation and court reporting industry with cutting-edge technology and concierge-level customer service. They’re a remote-first, fast-growing team built on reliability, constant innovation, and a hospitality mindset. The work is high-impact, and the data team is small but mighty.
Schedule
- Full-time, salaried (exempt), remote (United States)
- Flexible schedule culture in a remote environment
- Fast-paced startup setting with cross-functional collaboration
What You’ll Do
- Own and evolve Steno’s analytics data model to support batch and real-time analytics needs
- Design and build dbt data models, including complex macros, packages, and scalable patterns
- Implement dbt tests and quality controls to ensure trusted, consistent data
- Build custom ingestion pipelines for nonstandard sources using external APIs
- Partner with Data Analysts and business stakeholders to translate needs into usable data products
- Enable stakeholders to use your models effectively through guidance, documentation, and support
- Optimize Snowflake performance and query cost efficiency
- Establish and document analytics engineering standards and best practices across the org
- Mentor other Analytics Engineers and Data Analysts, leveling up the whole team
- Continuously improve the data stack by tracking modern data trends and applying what matters
What You Need
- Advanced experience with dbt Core, git, Snowflake, and modern data stack tooling (including CI/CD)
- 5+ years writing SQL in an analytical environment
- 4–7 years of analytics engineering or data engineering experience
- Strong foundation in dimensional modeling and warehouse design patterns
- Proven track record delivering high-quality, well-engineered data solutions
- Strong communication skills across technical and non-technical stakeholders
- Pragmatic mindset: you know when to engineer deeply and when to keep it simple
- Bonus: experience in an early-stage startup environment
Benefits
- Salary: $160,000–$200,000
- Health, vision, and dental benefits (low-cost plans)
- Wellness and mental health benefits for employees and families
- Flexible PTO and flexible scheduling culture
- Equity options
- Company-provided 401(k)
- Home office setup support plus a monthly internet/phone stipend
If you want to build a data foundation people actually trust and use, this is the kind of seat that doesn’t open up often.
Bring your dbt brain, your Snowflake discipline, and your “let’s do this right” energy.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 16, 2026 | Uncategorized
If you know SOC 2 isn’t a vibe, it’s a lifestyle, this role is for you. Steno needs a detail-obsessed, process-driven GRC pro who can keep audits moving, controls tight, and compliance clean in a remote-first world.
About Steno
Steno (founded in 2018) is modernizing the litigation and court reporting industry with cutting-edge technology and white-glove customer service. They’re built on reliability, constant innovation, and a hospitality mindset. The team is diverse, distributed, and moving fast.
Schedule
- Full-time, salaried (exempt), remote (United States)
- Works cross-functionally in a remote environment (distributed teams)
- Flexible schedule culture with ownership and accountability
What You’ll Do
- Support governance, risk, and compliance programs across a remote-first organization
- Apply control frameworks and compliance requirements in daily work
- Help drive SOC 2 readiness, audit coordination, and controls/evidence management
- Maintain organized documentation and compliance records using evidence management systems
- Review and manage vendor security assessments (VSAQ, SIG, CAIQ) and third-party risk posture
- Track compliance metrics and trends using data analysis to inform decisions
- Draft and refine policies and procedures with clarity and precision
- Coordinate audit activities across distributed teams to keep timelines and deliverables on track
- Research regulatory updates and evolving compliance standards to keep Steno current
- Improve workflows and build templates/forms for Business Impact Analysis and Third Party Risk intake
What You Need
- 3–5 years of experience in a security compliance role
- Hands-on experience with SOC 2 audits, controls management, and reporting requirements
- Experience participating in a formal risk management program
- Business Impact Analysis experience
- Experience performing third-party vendor risk audits
- Strong project management skills and the ability to juggle multiple initiatives
- Excellent written communication skills, especially documentation and process writing
- High discretion and strong confidentiality instincts with sensitive compliance information
Benefits
- Salary: $100,000–$120,000
- Health, vision, and dental benefits (low-cost plans)
- Wellness and mental health benefits for employees and families
- Flexible PTO and flexible scheduling culture
- Equity options
- Company-provided 401(k)
- Home office setup support plus a monthly internet/phone stipend
Roles like this don’t stay open long, especially with SOC 2 experience attached. If this is your lane, make your move.
Help build a compliance engine that scales with a company moving fast.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 15, 2026 | Uncategorized
If you can lead the people and the plumbing, this is your lane. You’ll own Epic integration (Bridges, HL7, FHIR, APIs) and the BI strategy behind it, making sure data moves cleanly, reporting works, and leaders can actually trust what they’re looking at.
About Lifepoint Health
Lifepoint Health is a community-based healthcare network supporting hospitals and sites of care across the country. The Health Support Center team helps facilities run stronger by standardizing systems, improving operational efficiency, and enabling care teams with dependable technology.
Schedule
Full-time, Remote
Day shift
Up to 30% travel (moderate)
What You’ll Do
- Lead Epic interface development and integration strategy across the organization
- Oversee build, testing, deployment, and maintenance of Epic Bridges interfaces and HL7/FHIR-based integrations
- Manage and mentor a team of Epic Bridges analysts, setting standards and best practices
- Ensure reliable performance of interfaces and maintain data exchange between Epic and external apps via HL7, FHIR, and APIs
- Partner with IT and business stakeholders to gather requirements and deliver integration and reporting outcomes
- Own documentation, SOPs, change control, and continuous improvement for supported systems
- Manage vendors and third-party integrations to keep dependencies clean and accountable
- Drive Epic business intelligence deliverables: dashboards, reports, and data extracts within Epic
- Ensure data governance, security controls, and regulatory compliance are baked into the work
What You Need
- Bachelor’s degree
- Proven leadership experience managing technical teams
- Strong working expertise with Epic Bridges, HL7, FHIR, and interface engine technologies
- Advanced SQL skills plus experience with data warehousing and data modeling
- Experience with Epic Cogito tools (Clarity, Caboodle, Reporting Workbench)
- Familiarity with reporting/visualization tools like Crystal Reports and Power BI
- Background working in healthcare IT environments
- Strong communication skills, especially translating between technical teams and business leaders
Preferred
This is a “make it work and make it measurable” role. If you’re the person who can keep integrations stable while turning data into decision-grade reporting, you’ll shine here.
Move on it while it’s fresh.
Happy Hunting,
~Two Chicks…
