Senior Technical Program Manager, Security
Washington DC, WA - USA
Job Summary
Aledade exists to help independent primary care practices survive and thrive and to bend the healthcare cost curve by reducing the most suffering and saving the most lives. That mission runs on trust: trust that patient data is protected that financial controls hold that the systems clinicians and patients depend on are secure and reliable.
This role exists to scale that trust through security as a foundation not the friction.
As Sr Security TPM you bring vision and depth across multiple disciplines: the controls and compliance frameworks that are non-negotiable in healthcare and financial operations the engineering instincts that come from understanding how engineering teams actually work their cycles their constraints their craft and knowing how to weave security into that fabric as a native discipline not an outside requirement and the program leadership to make it all move at the speed the technology landscape demands. You understand where a security program is what it needs to become and how to build the structures that get it there durably extensibly and without creating hurdles or stovepipes along the way.
You see security as infrastructure. You engineer the highways not the roadblocks so that the compliance requirements control frameworks and engineering practices that protect Aledades patients practices and people arent obstacles to work around. Theyre already built into how work gets done smoothing the way for the trust this mission depends on.
Primary Duties
Diagnose prioritize and drive security program maturity
Assess the current state with clear eyes: identify whats working whats underdeveloped and what needs to be rebuilt
Build a prioritized multi-quarter roadmap that sequences risk reduction against business reality without waiting to be handed a problem statement
Establish governance ownership and metrics that make the portfolio legible and actionable across security leadership engineering leadership and executives
Hold the line on outcomes not activity or artifacts.
Translate security requirements into engineering practice
Make security by design the operating standard: shift-left practices threat modeling architecture review and controls embedded into how teams plan and ship
Own the intersection of what security requires and what engineering can build and move both sides toward it fluently
Remove the blockers that sit between security intent and engineering execution
Build the habits and structures that outlast any individual program or initiative
Own the compliance surface without losing sight of real risk
Translate HIPAA financial controls and governance requirements into resilient programs that reduce actual exposure and scale not just satisfy milestone audits
Sequence compliance investments against where the company is going not just where its been
Build the evidence frameworks metrics and operational readiness that hold up under real scrutiny at scale
Shape the AI security framework before it becomes a crisis
Synthesize Aledade posture about AI risk guardrails and governance as AI becomes embedded in how we work and what we build
Build the scaffolding principles review processes accountability structures that gives others a framework to execute against
Operate with conviction in a space where the industry is still writing the rules
Drive alignment across a complex high-stakes intersection
Operate at the seam between security engineering compliance legal and finance without owning any of the headcount
Eliminate toil that crushes effectiveness of the subject matter experts around you by clearing the path not walking it for them
Surface whats being normalized that shouldnt be the risks deferred the gaps unnamed the programs that exist only on paper
Drive evidence-based decisions that stick from architecture through build to the risk level with executives
Full-stack program leadership: equally at home in an architecture review a compliance audit a risk conversation with the CTO and a sprint planning session with an engineering team
Minimum Qualifications
10 years in technical program management at Staff-level scope cross-org ambiguous high-stakes security programs
Deep security domain fluency: frameworks controls HIPAA and financial-specific obligations risk management and how all of it maps to real engineering decisions
Technical judgment strong enough to question the status quo challenge architectural decisions and identify real risk versus inherited noise
Proven track record of transforming security programs advancing maturity closing gaps and positioning programs for where the business is going
Influence without authority across senior security engineering compliance and executive stakeholders
Outcomes orientation: risk reduction and program maturity
Preferred KSAs
Experience in healthcare or other highly regulated environments where security failure has consequences beyond the company
Track record of building security governance and operating models from the ground up
Familiarity with AI and ML risk frameworks and emerging AI governance practice
Operated at a company in significant growth where the security foundation had to be built while the business was already running on it
Can move between a threat model conversation with a security engineer and a risk framing conversation with a CFO without losing accuracy in either direction
Physical Requirements
Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
Required Experience:
Manager
About Company
Aledade works with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care.