VIVIO Health

About VIVIO VIVIO Health is rebuilding drug management from the ground up — with data, not dogma. As a Public Benefit Corporation, our mission is simple: the right drug, for the right person, at the right price. Since 2016, we've proven that evidence-based drug management can lower costs and improve outcomes — no smoke and mirrors, no hidden spread pricing. We're not tweaking the legacy Pharmacy Benefit Manager (PBM) model. We're replacing it. Why Join VIVIO? Build something that matters — Every decision you make touches real patient care, not just a dashboard metric Ship, don't sit in meetings — We're a lean, autonomous, micromanagement-free team that trusts people to own their work Work directly with leadership — This role reports straight to the CEO, with real influence over technical direction, not just execution Grow as we grow — Early-stage impact with the stability of a company that's been delivering results since 2016 Join people who care  — A team that chose healthcare because they want to fix it, not just work in it Position Overview We're looking for a mission-driven, hands-on Engineering Manager to help scale the technology powering VIVIO's data-driven pharmacy solutions. You'll lead a distributed engineering team while staying technical yourself — this isn't a purely administrative management role. You'll shape both the what and the how , working closely with the CEO to translate our mission into working software. If you want your code and your leadership to actually change how healthcare works, this is that role. Hybrid — in-office days at our Hayward, CA headquarters.