Engineering Structures Jobs Full Time Jobs in Pacifica, CA

UCSF Department of Neurological Surgery is seeking a HS Clinical Instructor or Assistant, Associate, or Full rank Professor in the HS Clinical, Clinical X, or In Residence series. We are particularly interested in neurosurgeon candidates with academic research interests, either basic or translational in focus. This is a full-time UCSF Neurosurgery Position with clinical duties at the San Francisco Veterans Affairs (SFVA) hospital and UCSF Medical Center (Parnassus) campus. Responsibilities include clinical service, research, and teaching residents and medical students. Candidate must possess an MD, MD/PhD, or an equivalent degree.

Applicants must apply with a curriculum vitae, cover letter, statement of research, statement of teaching, and three reference contacts.

For positions that are 50% effort or more:

The posted UC salary scales set the minimum pay determined by rank and step at appointment. See [Table 5](). The minimum base salary range for this position is $134,500 - $405,900. This position includes membership in the [health sciences compensation plan]() which provides for eligibility for additional compensation.

For positions that are less than 50% effort:

See [Table 2]() for the salary range for this position. A reasonable estimate for this position is $81,500 - $246,000.

For positions exclusively/ partially funded by the affiliate organization:

SFVAMC provided a reasonable salary estimate for this position: up to $400,000.

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

At Two Bear Capital we believe in partnering with our portfolio companies to build the best teams possible. We look forward to working with you and Rainfall Health on their new Director of Software Engineering role.

Director of Software Engineering (AWS Amplify & Digital Health)

*please note that this role requires willingness to travel to the Bay area and/or relocating to the Bay area

*please note that this position requires US citizenship/does not provide sponsorship

About Rainfall Health

Rainfall Health is an AI-powered compliance and workflow platform helping health systems succeed under CMS’s TEAM Model and other value-based care programs. We partner with hospitals, surgeons, and care teams to improve episode performance, streamline operations, and maximize reimbursement — all while supporting better patient outcomes.

Our platform sits at the intersection of clinical workflows, financial performance, and intelligent automation.

The Role

We are looking for a Director of Software Engineering with deep experience in AWS Amplify and modern cloud-native architectures to help build and scale our digital health platform. You’ll play a key role in designing secure, reliable systems that integrate with healthcare data sources and surface actionable insights to clinical and operational teams.

This role is ideal for someone who enjoys solving complex data and workflow challenges in a regulated healthcare environment.

What You’ll Do

Platform & Application Development

• Design, build, and maintain scalable web applications using AWS Amplify, serverless services, and modern frontend frameworks
• Develop robust APIs and backend services using AWS-native tools (e.g., AppSync, Lambda, DynamoDB, RDS)
• Ensure performance, reliability, and security across distributed cloud systems

Healthcare Data & Integrations

• Build and maintain integrations with Electronic Health Records (EHRs) and other healthcare systems
• Work with healthcare interoperability standards such as FHIR, HL7, and APIs from major EHR vendors
• Design data ingestion pipelines that normalize, validate, and securely store clinical and operational data

Data Visualization & Insights

• Develop interactive dashboards and data visualization tools for clinical and operational users
• Translate complex healthcare data into intuitive, actionable insights
• Collaborate with product and design teams to create user experiences tailored to care teams and administrators

Cross-Functional Collaboration

• Work closely with product managers, designers, and clinical stakeholders to deliver features aligned with real-world workflows
• Contribute to architectural decisions and technical roadmap planning
• Mentor other engineers and promote best practices in code quality, testing, and security

Security & Compliance

• Implement best practices for HIPAA-compliant infrastructure and data handling
• Ensure systems meet high standards for privacy, auditability, and reliability in a healthcare environment

What We’re Looking For

Required:

• 8+ years of software engineering experience building production-grade applications
• Hands-on experience with AWS Amplify and serverless AWS architectures
• Strong experience with modern JavaScript/TypeScript frameworks (e.g., React, Next.js, Vue)
• Experience building and consuming RESTful and/or GraphQL APIs
• Solid understanding of cloud security and best practices for handling sensitive data

Preferred:

• Experience in digital health, healthcare IT, or healthtech startups
• Experience integrating with EHR systems (Epic, Cerner, Meditech, etc.)
• Familiarity with FHIR, HL7, CCD, or other healthcare data standards
• Experience building data visualization tools (e.g., D3, Chart.js, Recharts, or BI tools)
• Knowledge of healthcare compliance frameworks (HIPAA, HITRUST, SOC 2)

Nice to Have

• Experience with real-time data pipelines or event-driven architectures
• Background in analytics, population health, or value-based care technology
• DevOps experience with CI/CD pipelines and infrastructure as code

What Success Looks Like

• Seamless, secure integrations with healthcare systems
• Intuitive dashboards that drive decision-making for clinical and operational teams
• A scalable, maintainable architecture that supports rapid product growth
• Strong engineering culture centered on reliability, security, and user impact

Fractal is a strategic AI partner to Fortune 500 companies, with a bold vision: to power every human decision in the enterprise. We believe the future belongs to organizations that combine human imagination with intelligent systems—and Fractalites are the ones building that future. As we scale our Technology, Media & Telecom (TMT) practice in the United States, we are looking for a senior, client-facing Head of Engineering to shape and deliver world-class Data & AI platforms for leading Technology, Media & Telecom organizations.

This is not a back-office engineering role. This is a consulting-led, client-facing engineering leadership position for someone who is equally comfortable whiteboarding architecture with principal engineers, rolling up their sleeves with delivery teams, and advising CIOs, CTOs, and CDOs in the boardroom.

Learn more at Fractal | Intelligence for Imagination.

Note: This position is not eligible for Immigration Sponsorship at this time.

About the Role

This is a four-axis leadership role requiring technical depth, executive presence, team leadership, and embedded delivery. You'll work directly with top technical and functional leaders at some of the largest TMT companies in the world.

As Head of Engineering for Fractal's Technology, Media & Telecom (TMT) vertical, you will personally shape the architecture of mission-critical AIML platforms, often in first-party tech stack, and develop/drive the team of ICs who bring them to life.

Responsibilities

Some engagements will look like a traditional advisory model. Others will look a lot more like Forward Deployed Engineering: your team embedded inside a client's engineering org, working within their first-party tech stack, shipping production code alongside their engineers, and earning influence through technical credibility, not org chart position.

You will need to be in the room when the technology roadmap needs to change. When a business pivot, a new regulation, or a technology shift forces a rethink mid-execution, you are the person who picks up the marker, walks to the whiteboard, and redraws the architecture in real time, credibly, for the CTO, and Principal Engineering leaders simultaneously.

Technical Depth (Hands-On Architecture)

• Own AI/Data platform architecture decisions — from Lakehouse design and real-time streaming to MLOps, LLMOps, and AgentOps pipelines in production
• Serve as the technical authority for Fractal's TMT engineering practice — defining standards, reviewing design, and holding the bar on reliability, scalability, and security
• Translate ambiguous business problems into concrete, buildable platform architectures — and stay close enough to execution to know when something is not working
• Drive the industrialization of GenAI: moving clients from proof-of-concept to enterprise-grade, governed, and observable AI systems

Executive Presence & Live Architectural Thinking

• Command the room with senior client leadership — CIOs, CTOs, CDOs, and their direct reports - as a peer, not a vendor
• Whiteboard new architectural directions on the spot: when a business pivot, acquisition, regulatory shift, or technology breakthrough forces a mid-execution rethink, you synthesize it into a credible, buildable path forward live, in the room, without needing a week to prepare a deck
• Translate between two worlds simultaneously: make the architecture legible to a CFO and rigorous enough to satisfy a principal engineer in the same session
• Shape client roadmaps at the strategic level; identifying where the current plan is under-ambitious, over-engineered, or misaligned with emerging AI capabilities, and steering accordingly
• Represent Fractal at the highest level of client relationship

Team Leadership (Building & Driving Senior ICs)

• Develop and lead a high-performing group of individual contributors. principally senior and staff engineers, ML engineers, and data platform engineers
• Create the engineering culture: rigorous delivery standards, architectural thinking, and a bias toward elegant, production-grade solutions over quick fixes
• Build leadership depth within the team, identifying principals who can own programs and grow into broader roles
• Partner across Fractal's global AI and engineering Capability functions to staff programs strategically and raise capability across the TMT practice

Forward-Deployed & Embedded Delivery

• Lead and run FDE-style engagements where your team operates inside the client's engineering environment
• Navigate and deliver within client-owned, first-party technology stacks: proprietary data platforms, internal ML infrastructure, custom orchestration systems, and bespoke toolchains that do not appear in any industry survey
• Adapt quickly to non-standard environments, understanding a client's internal platform deeply enough to extend it, integrate into it, and earn the trust of their engineering staff
• Balance the tension between what Fractal does best and what the client's stack demands, knowing when to bring pattern, when to adapt, and when to advocate for a better path
• Set the standards for how Fractal operates in deeply embedded engagements: how we onboard, document, transfer knowledge, and leave clients stronger than we found them

Candidate Profile

Technical Qualifications

TMT clients bring genuinely hard problems on both open and proprietary infrastructure. Expect to architect and oversee:

• GenAI systems: RAG architectures, LLM fine-tuning pipelines, agentic workflow orchestration, and LLMOps observability
• AI-powered products: personalization engines, churn prediction, content recommendation, and network fault detection
• Client-proprietary ML infrastructure: internal feature stores, custom model serving layers, bespoke experiment tracking systems, and first-party orchestration frameworks
• Cloud-native infrastructure across AWS, Azure, and GCP with enterprise-grade governance, security, and compliance baked in
• Real-time and event driven data pipelines (e.g. network telemetry)
• Modern Lakehouse platforms (Databricks, Snowflake, Delta Lake, Iceberg) at petabyte scale and proprietary data platform equivalents at leading tech-forward TMT organizations

Non-technical Qualifications

We are particularly interested in leaders from environments where engineering rigor, client accountability, executive presence, and AI depth all coexist including Forward Deployed Engineering, elite data/ML platform teams, and senior hyperscaler architecture practices.

• 15–20 years of experience spanning AI/data engineering and technical leadership with clear evidence of owning architecture at scale
• Deep hands-on experience deploying AI/ML/GenAI systems in production, in addition to advising on them
• Demonstrated executive presence: you have walked into a CTO or CDO review, redrawn the architecture based on new constraints, and left the room with alignment
• The ability to whiteboard fluently under pressure, synthesizing a team's in-flight work with a new business direction, making it rigorous enough for engineers and clear enough for executives, on the spot and without a rehearsal
• Experience operating within client-owned or non-standard technology stacks - you have learned a proprietary system, earned trust from skeptical internal engineers, and delivered production-grade results inside someone else's infrastructure
• A track record of leading senior engineers and building high-performance ML/engineering teams, including hiring, coaching, and developing principal-level ICs
• Direct executive engagement experience - you have influenced CIO/CTO/CDO decisions and can hold your own in a room with technical and non-technical stakeholders at once
• Strong cloud-native fluency across one or more hyperscalers, with genuine depth in data platform patterns (streaming, batch, Lakehouse, governance)

Strong Preferences

• Experience in TMT vertical — hi-tech, telco, media platforms, streaming infrastructure, ad tech, or content delivery at scale
• Prior work in FDE-style or embedded delivery models where your team shipped inside a client codebase and was evaluated by their engineering standards, not just deliverable milestones
• Comfort with the ambiguity of 1P stack environments: you have debugged undocumented internal tools, extended proprietary frameworks, and figured out how to make external expertise land inside a closed ecosystem
• A personal reputation for architectural clarity: the person colleagues call when a problem needs to be drawn, not just describe
• Contributions to the ML/AI community: open source, publications, conference talks, or influential architectural patterns

Who Thrives Here

The Fractalite mindset is curious, rigorous, and impact driven. You will thrive in this role if you:

• Enjoy being client-facing and accountable for outcomes.
• Are comfortable navigating ambiguity, scale, and complex stakeholder environments.
• Believe great platforms come from strong engineering culture plus disciplined execution.
• See AI not as a novelty, but as a core enterprise capability that must be engineered responsibly.

Fractal provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Job Description:

Mandatory to have working experience as SRE manager especially in Retail domain application support ( NOT CLOUD /DevOps)

Must have working knowledge on SRE principles such as Logs, metrics, availability metrics, uptime, ticket tracking, e-com services, ITIL framework specifically on Alerts, Incident, change management, CAB, Production deployments, Risk and mitigation plan, SLA, SLI, SLO

Hands on experience in Monitoring, Logging, Alerting, Dashboarding, and report generation in any observability tools Prefer DataDog or other tools such as Splunk/Dynatrace/ELK/Grafana). This engagement is a customer using Dynatrace,Splunk, PagerDuty hence it is good to have this expertise

Mandatory to have work experience in leading Level 2/Level 3 application support team based out of IND who provide 24x7 coverage.

Should know how to gather & communicate SRE requirement from customers and define SRE roadmap.

Working experience on how to gather requirements on health of applications, services to monitor, setting service levels.

Must have good knowledge on eCommerce platforms in microservice architecture, Sterling OMS , Retail Applications like XStore.

Should be able to lead P1 calls, brief about the P1 to customer, proactive in gathering leads/ customers into the P1 calls till RCA, PIR etc.

Should have knowledge on building process , framework by following ITSM principles, SOP, runbooks, handling any ITSM platforms (JIRA/ServiceNow/BMC Remedy)

Must know how to work with the Dev team, cross functional teams.

Should be able to generate WSR/MSR by extracting the tickets from ITSM platforms, present to customers and client leaders.

Manage overall SRE delivery, customer focus mindset , closely work with customer leaderships.

Preferred:

Be a client face at customer site collaborating with client leadership.

Ability to clearly communicate and understand a technical idea/concept.

Ability to work in a professional environment while interacting with peers and stakeholders, collaborating with offshore teams.

Excellent written and verbal communications skills.

Motivated, goal driven, influential, innovative, curious, and open minded, fun to work with, collaborator.

Capability to work with people in different time zones.

Ability to operate in a fast-paced, evolving environment and appropriately prioritize tasks, and keep abreast of the latest technology.

Collaborate with cloud architecture, infrastructure team, project management team, and technology services, management team.

Create and maintain detailed documentation.

StrivePath is a fast-growing, premium college advisory firm serving high-achieving students nationwide. We combine structured long-term planning with admissions-level insight to guide families from early high school through applications.

We’re hiring a Senior Admissions Advisor with prior admissions committee experience at a nationally recognized or highly selective institution.

This is a part-time, remote role (evening availability preferred), with potential to expand over time.

⸻

What You’ll Do

• Lead initial strategy consultations with prospective families.

• Conduct brief follow-up clarification calls before contract decisions.

• Provide final “adcom-style” reviews of senior applications.

• Serve as a senior escalation and quality resource when needed.

You will not manage scheduling, contracts, or administrative follow-up — operations handles that.

⸻

Who You Are

• Former or current admissions committee member (file reader experience required).

• Experience evaluating applications at a competitive, holistic-review institution is required.

• Comfortable discussing holistic admissions strategy with discerning families.

• Clear, confident communicator with strong executive presence.

• Student-centered, ethical, and values-aligned.

• Interested in meaningful, flexible part-time advisory work.

Compensation is competitive and commensurate with experience.

To apply, please send your resume and a brief note outlining:

• Your admissions experience

• Your current availability

• Why this role appeals to you

**This RSM role covers the state of Washington, San Fran, San Jose, Fresno, Las Vegas and the surrounding areas**

Company Overview

Our Mission: At Esperion, we are working tirelessly to deliver innovative medicines that help

patients reach their goals today, tomorrow, and into the future.

Esperion is a fully remote based company with a corporate headquarters located in Ann Arbor, MI. The Company offers a competitive salary including a performance-based bonus program and stock-based compensation, a comprehensive benefits package including a 401(k) matching plan and health insurance, and paid time off and holidays.

Position Title: Regional Sales Manager

The Regional Sales Manager (RSM) will be responsible for leading and providing strategic direction for Commercial Sales, including sales strategies, productivity, sales training and effectiveness, and ensuring achievement of performance targets and budgeted sales goals. As the leader of the Company’s field sales force, you are responsible for direct management, development, and supervision of assigned Territory Managers and their implementation of processes within local geography in accordance with approved sales and marketing resources and ensuring all sales personnel operate in an effective, efficient and compliant manner. This role reports into the National Sales Director. The RSM must live within the assigned region.

Essential Duties and Responsibilities*

•Develop and implement Regional business plans, budgets and maintain overall responsibility of action plans for the Region.

• Review performance metrics with the National Sales Director to ensure sales team is achieving maximum sales results.
• Plan and conduct meetings with the Sales Team; ensure appropriate leadership by developing and inspiring the Sales Team.
• Work closely with leadership and Market Access to maximize reimbursement from commercial & government payers.
• Create and manage Regional plans including message, reach and frequency, and budget goals. Responsible for goal- and target-setting.
• Evaluate account management performance against budget to ensure a cost-effective allocation of resources and appropriate management reporting.
• Be in the field three (3) to four (4) days working with assigned Territory Managers and complete Field Coaching Reports (FCR) with quality and in a timely manner (48-72 hours). Hold office hours on days out of the field.
• Complete all training and policy requirements on time.
• Ensure that all actions and those of his/her team both internally and through vendors
• working on our behalf, are in compliance with all laws, regulations and policies and demonstrate Company values.

*Additional duties and responsibilities as assigned

Qualifications (Education & Experience)

• Bachelor’s degree preferred. Experience in sales management in the pharmaceutical industry may be substituted.
• 8+ years of Pharmaceutical Sales experience preferred; or equivalent medical sales experience may be substituted.
• 3+ years sales management experience in a U.S. pharmaceutical or biopharmaceutical organization preferred.
• 2+ years’ experience in Cardiology (Statin, PCSK9, and NOAC) launch experience preferred.
• Proven track record of success in launching new products and/or indications and building sales teams.
• Well-developed leadership skills, and the ability to influence people at all levels inside and outside the organization.
• Demonstrated track record of successfully commercializing new products and/or expanding commercial opportunities for existing products. Sets compelling goals and is tenacious in accomplishing them. Ability to set priorities, allocate resources, take accountability, and achieve results.
• Proven ability to forge strong, diverse teams of people with multiple perspectives and talents. Have successfully created an environment in which cross-functional teams are highly motivated to accomplish goals.
• Demonstrated excellent presentation and communication skills. Proven ability to influence and work successfully with varied audiences, including customers, colleagues, scientific and technical leaders, pharmaceutical and business partners, collaborators, and senior executives.
• Excellent verbal and written English communications skills.
• Travel requirement: Up to 50% - 60% including overnight stays.

Heavy Civil Estimator

When joining GSW Construction, Inc., you will be a part of a fast-paced construction team that strives for excellence. We are actively seeking an experienced Heavy Civil Estimator. The purpose of this role is to contribute to the success and profitability of projects by providing accurate, timely, and complete estimates. The Estimator will be responsible for calculating the cost of a broad range of projects. The goal is to provide accurate information to help in operations and strategic planning, perform quantity takeoff s, produce proposals, and prepare cost estimates.

Job Details: Full-time position

● Benefits: o Salary Employee (Schedule: Full-time with some required travel and weekend availability.) o 401(k) o OE3 Health & Dental Insurance o Paid Vacation o Salary DOE Essential Duties & Responsibilities

● Perform quantity take off s/reach out to potential subcontractors

● Analyze and compile estimate data that impact the cost of labor, materials, equipment requirements, location, and other factors to ensure a high-quality and timely estimate.

● Accurately prepares estimates. Review proposal specifications and drawings to determine scope. Determines the required contents of estimates and evaluates historical data to project man-hour data.

• Produce budgets from conceptual and schematic design phases that align with the organization's goals and strategy • Review drawings, specifications, and proposed project site conditions; record findings and solicit input from field operations to include in the final project estimate.

● Analyze alternative solutions and construction methods to increase the competitiveness of the bid.

● Apply mathematical calculations requiring advanced analytical processes to ensure logically estimated costs are accurate.

● Present estimate content in bid reviews with senior management to ensure accuracy and completeness. ● Communicate with owners, subcontractors, and public and private entities to ensure competitiveness.

● Develop and maintain business relationships to increase bid opportunities in the regional market.

● Participate in and lead discussions, catalyzing creative thinking and innovative ideas, and distinguishing a successful estimate.

Qualifications & Requirements

● Bachelor’s degree in civil engineering, Construction Management, or equivalent experience.

● 5+ years’ experience in heavy civil construction, emphasizing underground utilities, sewer/stormwater pump stations, WWTP/WTP work, heavy highway, bridges/concrete structures, and commercial/residential site work arena.

● Proficient in HCSS Heavy Bid

● Negotiated project experience preferred, including technical writing skills.

● Proficiency with all MS Office products (Word, Excel, PowerPoint, etc.)

● Advanced knowledge of civil engineering principles ● Advanced knowledge of construction principles and equipment capabilities

● Excellent interpersonal and communication skills. Specific Job Requirements:

● Knowledge of project management software and estimating software.

● Working knowledge of construction equipment, materials, techniques, and required standards applicable to the discipline.

● Successful completion of a pre-employment drug, alcohol, and background investigation.

● Valid Driver’s License.

● Current on all company-required safety training.

● Competence to maintain confidential information and avoid conflicts of interest.

● Adherence to the GSW Employee Handbook.

Notice to All Potential Job Candidates GSW Construction, Inc. is proud to be an equal-opportunity workplace. Individuals seeking employment at our company are considered without regard to age, ancestry, color, race, gender (including pregnancy, childbirth, or related medical conditions), gender identity or expression, sexual orientation, genetic information, marital status, medical condition, mental or physical disability, national origin, protected family care or medical leave status, religion, military or veteran status, or any other characteristic protected by federal, state, or local laws. Applicants must be authorized to work in the United States.

Head of Operations and Manufacturing Ripple Medical | California (Hybrid or Remote) | Full-Time

ABOUT RIPPLE MEDICAL

Ripple Medical is a health tech company on a mission to revolutionize hypertension management with our cuffless blood pressure wearable. Once cleared by FDA, our product will enable patients to easily and accurately monitor blood pressure at home, empowering them and their providers with actionable data to improve outcomes. We're a collaborative, mission-driven team of 33 working in a medical device regulatory environment to bring this technology to the millions of patients who can benefit.

POSITION SUMMARY

The Head of Operations and Manufacturing will own the end-to-end operational infrastructure required to bring Ripple's FDA-regulated cuffless blood pressure monitor to market and scale production. This is a hands-on leadership role for someone who thrives building from zero to one in a regulated environment: selecting contract manufacturers, standing up supply chains compliant with FDA 21 CFR Part 820, establishing ISO 13485-certified quality management systems, and preparing for direct-to-patient fulfillment.

As a company preparing for 510(k) submission and commercial launch, this role is critical to ensuring we can reliably manufacture and deliver a high-quality, FDA-cleared medical device at scale. The ideal candidate brings deep experience in medical device manufacturing (particularly wearable or electro-optical devices), understands regulated hardware supply chains and design transfer, and can roll up their sleeves while building the team and processes for long-term growth.

This position reports directly to the CEO with high visibility to the leadership team and Board of Directors.

KEY RESPONSIBILITIES

Manufacturing & Production

• Lead selection and onboarding of contract manufacturing partners with Class II medical device experience, including RFQ, quality audits, contract negotiation, and ongoing management.
• Own design transfer and manufacturing transfer, working with engineering on DFM principles, Device Master Record (DMR) requirements, and production readiness.
• Establish production planning, forecasting, and capacity management for V&V builds, pilot production, and volume manufacturing.
• Drive continuous improvement in yield, quality, and cost while maintaining FDA and ISO compliance.
• Oversee pilot runs and scale-up, including process validation (IQ/OQ/PQ) and manufacturing controls.

Supply Chain & Procurement

• Build and manage the end-to-end supply chain, including component sourcing, supplier qualification, and inventory management per FDA purchasing controls.
• Develop supplier relationships and negotiate terms while ensuring supply continuity, traceability, and risk mitigation.
• Implement inventory planning to balance working capital with service levels, including buffer strategies for Year 1 launch.
• Monitor and mitigate supply chain risks: component shortages, single-source dependencies, geopolitical factors, and logistics disruptions.

Quality & Regulatory Compliance

• Maintain and improve the ISO 13485-certified QMS in partnership with the quality and regulatory team, ensuring FDA 21 CFR Part 820 compliance.
• Support 510(k) submission activities related to manufacturing, including process validation documentation, DMR development, and device history records (DHR).
• Define incoming inspection, in-process controls, and final product testing consistent with the risk management file.
• Manage product certifications for a Class II device, including FDA registration, UDI compliance, and applicable international requirements.
• Lead root cause analysis and CAPA for quality issues, ensuring post-market surveillance compliance.

Fulfillment & Logistics

• Design the direct-to-patient fulfillment strategy, including 3PL selection with FDA-cleared Class II device experience.
• Establish logistics and distribution for nationwide shipping of a regulated device with chain-of-custody and traceability.
• Develop returns, replacement, and warranty processes that balance patient experience, cost, and compliance.

Team & Organizational Development

• Start as an individual contributor who executes hands-on, then build and lead the operations team through 510(k) clearance and commercial launch.
• Establish operational metrics and dashboards for manufacturing, supply chain, and quality performance.
• Partner with finance on cost modeling, COGS optimization, and operational budgeting.
• Collaborate cross-functionally with engineering, software, regulatory, and commercial teams.

QUALIFICATIONS

• 7-12 years in manufacturing, operations, or supply chain, with 3-5+ years in medical devices (Class II preferred), wearables, or regulated hardware.
• Experience managing contract manufacturers for regulated medical devices, preferably in Asia and/or domestically.
• Experience at or with CMs/EMS providers (Flex, Jabil, Celestica, Plexus, Sanmina) in Class II medical device or wearable programs is a strong plus.
• Track record of design transfer and scaling production from pilot to volume for regulated products.
• ISO 13485 and FDA 21 CFR Part 820 experience required.
• Familiarity with the 510(k) process and manufacturing documentation (process validations, DMR/DHR) strongly preferred.
• Bachelor's in Engineering, Supply Chain, Operations, Biomedical Engineering, or related field; MBA or advanced degree a plus.
• Based in California or travel up to 25%.

COMPENSATION

• Base Salary: $160,000 - $210,000 USD
• Performance Bonus: Tied to company milestones and personal objectives
• Equity: Early-stage stock option grant with meaningful ownership
• 100% Employer-Paid Healthcare: Medical, dental, and vision
• Additional Benefits: 401(k) with company match, flexible PTO

Position: Account Executive (SMB)

Location: Onsite, San Francisco / Santa Clara

Length: Full Time / Permanent

Compensation:

• Compensation range: $170K - $200K OTE + Equity
• Guaranteed Full Comp for first 3 months (ramp)
• Post Ramp Split Base/Variable: 50/50 + Accelerators

The Opportunity

As a Founding Account Executive, you won’t just be closing deals—you’ll help design and scale the sales engine from day one. You’ll partner directly with the founders to shape our go-to-market motion, define sales strategy, and establish the standards and playbooks future AEs will follow. This role is built for someone who thrives in early-stage environments, takes full ownership, and is energized by ambiguity, autonomy, and rapid iteration. If you enjoy hunting, building, experimenting, and winning—this role will feel like home.

What We’re Looking For

• 3–5+ years of B2B SaaS AE experience with a track record of quota attainment
• Experience owning full-cycle, multi-stakeholder sales processes
• Strong discovery, storytelling, and ROI-driven selling skills
• Clear, confident communicator with strong negotiation ability
• Curious, technical mindset with the ability to simplify complex tools
• Comfortable operating in ambiguity and building systems from scratch

Nice to Have

• Experience selling AI, CRM, or sales productivity tools
• Early-stage startup or founding AE experience
• Actively uses AI or automation to improve sales efficiency

What We Offer

Compensation

Competitive base salary, transparent commission structure, and meaningful early-stage equity aligned with company growth.

Benefits

Health, dental, and vision coverage, generous PTO, and additional perks designed to support your well-being.

Growth & Development

Clear advancement paths, close mentorship from leadership, and a strong investment in your professional growth.

Culture

A fast-moving, collaborative environment where your work has immediate impact on the product, revenue, and company trajectory.

Your new company

Our client, a well‑respected San Francisco Bay Area General Contractor, is adding an Estimator to its 12‑person preconstruction team. The company is known for consistently delivering high‑quality work. The firm has built a strong reputation across multifamily, commercial, civic, aviation, and seismic‑retrofit projects ranging from $5M to $200M+. The company is known for its supportive culture, stable workload, and leadership that actively invests in training and career development. This is a full‑time, in‑office role in San Francisco with an excellent work‑life balance.

Your new role

As the successful Estimator, you’ll support preconstruction efforts on projects typically ranging up to $50m, handling full-scope estimating responsibilities. You’ll work alongside Senior and Junior Estimators and collaborate closely with project teams and design partners.

Key responsibilities include:

• Preparing detailed takeoffs, budgets, and cost estimates
• Reviewing plans, specs, and project documents
• Leading subcontractor outreach and bid scoping
• Supporting proposals, bids, and value‑engineering
• Participating in preconstruction and design development meetings

What you'll need to succeed

• 5–7 years GC experience, including 1–2 years full-scope estimating
• Experience with multifamily and negotiated work
• Degree in Construction Management, Architecture, or Engineering
• Strong plan reading, communication, and collaboration skills
• Ability to work onsite in San Francisco

What you'll get in return

• Base salary up to $155k
• $650/month vehicle allowance, gas card, Fastrak
• Bonus eligibility
• Full medical, dental, vision + 401(k) match
• PTO, holidays, professional development
• Supportive leadership and a well-staffed team

What you need to do now

If you're interested in this role, click 'apply now' to forward an up-to-date copy of your resume or call us now to discuss. If this job isn't quite right for you, but you are looking for a new position, please contact us for a confidential discussion about your career.