Alto

Full-stack Engineer

• Accelerate Your Career as You Design, build, and maintain scalable full-stack solutions for internal and external users
• Collaborate with product and business teams to deliver customer value
• Write clean, maintainable, and efficient code in Ruby on Rails and other modern programming languages
• Contribute to AI and machine learning initiatives and leverage them into existing platforms for better automation and prediction
• Ensure high availability, performance, and security of applications
• Troubleshoot and debug issues across high volume, high throughput, highly performant, and direct user interacting systems
• Passion for observability and operationalization, building alerting, and measuring the impact of the code you build
• Collaborate with cross-functional teams to drive innovation in software solutions
• Stay up-to-date with the latest software development trends and technologies.

Fullstack Software Engineer – Short Term Assignment

Human Resources

• Lead advanced configuration of multiple Workday modules, ensuring scalable, compliant, and integrated solutions
• Design system solutions that anticipate downstream impacts across HR processes, integrations, reporting, and security
• Act as project lead for HR technology initiatives, managing requirements, timelines, stakeholders, and deliverables
• Partner with HR and business leaders to evaluate current processes, identify opportunities for improvement, and recommend system-enabled solutions
• Stay current on Workday releases and industry best practices, driving adoption of new features that add business value
• Collaborate with IT and external vendors on complex integrations and technical troubleshooting
• Mentor and provide guidance to HR Systems Analysts and HR team members, supporting skills growth and knowledge transfer
• Ensure documentation, testing protocols, and governance practices are maintained for system changes and projects

Senior HRIS Analyst – Workday

Financial Planning and Analysis

• Lead the development and execution of financial strategies aligned with Alto’s long-term business objectives, driving the company's growth and competitive positioning.
• Partner with executive leadership to provide strategic financial guidance, contributing to high-level decision-making and overall success of the business.
• Oversee the company’s budgeting process, working with key stakeholders to create accurate, data-driven forecasts and financial models.
• Conduct comprehensive financial analysis, identify trends and patterns, and present actionable insights to senior leadership to optimize business performance.
• Develop and present detailed financial reports that track key performance indicators (KPIs), analyze variances, and recommend actions to senior management.
• Collaborate with Operations, Sales, Marketing, and Supply Chain teams, providing financial leadership and support to drive decision-making.
• Identify and assess financial risks and opportunities, developing strategies to mitigate risk and maximize growth potential.
• Lead efforts to improve financial processes, enhancing the efficiency, accuracy, and impact of the FP&A function.
• Lead, mentor, and develop a high-performing team of FP&A professionals, fostering a culture of collaboration and excellence.

Senior Commercial FP&A Manager

Data Scientist

• Lead the development and execution of Alto’s data science, analytics, DevSecOps, and AI strategy in close partnership with the CTO and other executive leaders.
• Build and lead high-performing teams across data science, data engineering, business intelligence, and analytics functions.
• Establish and maintain a unified data platform, ensuring data accessibility, quality, and governance across the organization.
• Partner cross-functionally with Product, Engineering, Operations, and Growth teams to enable data-driven decisions that improve patient experience, operational efficiency, and clinical outcomes.
• Advance our use of machine learning and AI to optimize logistics, personalize patient engagement, and drive predictive insights across the business.

Vice President, Data Science and Analytics

Accounts Payable

• Oversee reconciliation processes, ensuring payments are processed accurately and on time
• Prepare and distribute weekly AP aging reports to support cash flow planning and vendor communications
• Ensure compliance with applicable payment regulations, including PCI-DSS, HIPAA, and other industry standards
• Utilize Coupa for procurement and expense management processes to streamline accounts payable and payment operations
• Leverage Sage Intacct for financial reporting, reconciliation, and compliance tracking to maintain accurate payment records
• Collaborate with the finance team to prepare payment reports, identify trends, and provide insights for process improvements
• Manage month-end close tasks related to AP using FloQast, ensuring documentation and task completion
• Ensure timely and accurate processing of 1099s, including data gathering, review, and filing
• Develop and implement policies and procedures to ensure efficient, secure, and compliant accounts payable and payment operations
• Assist in resolving payment-related issues for both customers and internal teams, ensuring a seamless experience
• Lead a team of payment specialists, providing coaching, training, and support
• Stay up-to-date with industry trends, new payment technologies, and best practices to continually improve Alto’s payment systems.

Accounts Payable Manager

• Join a team that is working to improve patients’ lives through a better pharmacy experience
• Own the services that manage all of prescription processing from intake to fulfillment
• Prepare prescriptions for fulfillment and delivery as quickly and accurately as possible
• Enable the growth of the business by allowing partners to easily configure billing, benefits, and clinical workflows
• Lead projects to increase automation rates, accelerate pharmacist workflows, and optimize drug selection

Senior Software Engineer, Care

Sales

• Design and execute sales strategies to achieve revenue targets and maximize market penetration within the fertility industry
• Identify, establish, and nurture relationships with fertility clinics, reproductive endocrinologists, OB/GYNs, and other healthcare professionals to drive referrals and sales
• Educate partners on our products, services, and treatment protocols through presentations, training sessions, and marketing materials
• Manage the sales pipeline, including lead generation, qualification, and conversion, utilizing CRM tools to track progress and forecast sales performance
• Stay informed about market trends, competitor activities, and industry developments to identify opportunities for growth and differentiation
• Work closely with marketing, medical affairs, and customer support teams to develop promotional materials, resolve customer issues, and optimize customer experience
• Represent the company at industry conferences, trade shows, and networking events to enhance visibility, build relationships, and generate leads
• Meet or exceed monthly, quarterly, and annual sales targets while adhering to company policies and procedures

Senior Sales Associate, Fertility

Brand Designer

• Act as the primary designer and a technical force multiplier for the marketing team.
• Execute on-brand creative assets for web, email, social media, print, packaging, and sales materials.
• Translate strategic briefs into visually compelling, rapidly deployable design solutions.
• Leverage AI and automation to streamline creative workflows, from asset creation to final delivery.
• Design, build, and maintain content on Alto.com using Framer.
• Create high-performing landing pages that are continuously tested and optimized for conversion and user experience.
• Partner with marketing leads to ensure all design and technical implementations align with SEO and AI summary strategies.
• Effectively communicate strategic thinking, design decisions, and innovative brand ideas to all stakeholders using clear, concise language.

Operations

• Take ownership of high-priority initiatives — structuring problems, scheduling and leading meetings, documenting action items, and ensuring follow-through
• Provide strategic and operational support to the Head of Business Development and Head of Customer Success & Solutions
• Help roll out sales infrastructure and processes that enable efficiency, accountability, and scalability across the Commercial team
• Contribute to direct-to-patient (D2P) strategy, analyzing new opportunities and driving initiatives forward with a structured, data-driven approach
• Develop, review, and maintain performance dashboards in Looker, Tableau, or Salesforce

Strategic Operations Associate

• Lead a FinOps team that owns and oversees day-to-day financial operations for Alto.
• Ensure accurate, efficient, and compliant processing of incoming and outgoing transactions, investment execution, and transaction reconciliations.
• This leader will strategically improve our processes, remove manual steps, and create systems to add leverage to the platform and service clients at scale.
• Manage daily transaction workflows including wires, checks, internal transfers, and investment-related payments.
• Book and record tax and check payments.
• Process inbound and outbound wires.
• Enter and allocate inbound check batches, ensuring accuracy and timely posting.
• Address chargebacks, NSF accounts, and related adjustments.
• Perform daily, monthly, and ad-hoc reconciliations (e.g., bank, cash, transactions).
• Manage forfeitures and related account adjustments.
• Review and action distributions as required.
• Support month-end close by reconciling bank statements and preparing reports.
• Oversee write-offs and ensure accurate documentation.
• Partner with Operations, Product, and Engineering teams to improve financial workflows and system integrations.
• Identify and implement process improvements to enhance accuracy, automation, and efficiency.
• Strategically elevate FinOps processes and execution to allow for servicing customers at scale with AI processes and solutions.
• Serve as a subject matter expert for financial operations, advising on new initiatives and system enhancements.
• Ensure all financial processes comply with regulatory standards, internal policies, and audit requirements.
• Manage, mentor, and develop members of the financial operations team.
• Establish and maintain best practices, policies, and controls for financial operations.
• Act as a liaison between Finance, Operations, Product & Engineering and other business units to ensure seamless financial processing.
• Provide training, support, and guidance to team members on new processes, tools, and compliance requirements.
• Foster a culture of accountability, accuracy, and continuous improvement.
• Bachelor’s degree in Finance, Accounting, Business Administration, or related field.
• Series 99.
• 5+ years of experience in financial operations, treasury management, or similar role.
• Prior experience in a financial technology (fintech) company or financial services organization (banking, payments, or investments) is required.
• Demonstrated experience managing transaction processing, reconciliations, and settlement operations.
• Proven experience with monthly close processes, audit preparation, and financial reporting.