About the Company

Spruce is a cloud-based healthcare communications platform that powers clinical workflows for both in-person and remote care. Since launching in 2016, we've grown to support tens of thousands of medical organizations, from solo providers to large multi-site, multi-specialty groups.

Our platform spans telemedicine, telephony, secure messaging, team collaboration, and workflow automation. Spruce is widely used and loved by small- to medium-sized medical practices across the United States, with a 4.9+ rating across 100K+ reviews.

About the role

This is a foundational role: the first Technical Program Manager at Spruce. Your work will help a small engineering, product and design (EPD) team deliver an aggressive roadmap while keeping the whole company aligned as we grow. You'll partner closely with our leadership team and key stakeholders across the company, helping keep everyone clear on where the roadmap stands and how we plan and prioritize. Because you're first in this seat, you'll have real room to define the program management function and shape how it works. You won't be starting from nothing, though, since you'll build on the processes the team already relies on. You'll feel at home here if you're energized by establishing something new rather than stepping into a fully formed playbook.

Key Responsibilities:

• Become the dedicated owner of program management work that's spread across the team today, so design, engineering, and product can work deeply in their own domain
  
• Act as the connective layer between our EPD and go-to-market teams, keeping both aligned and moving in step toward our business objectives
  
• Add just enough process to keep the roadmap moving and help our go-to-market teams sell and support what we ship, without slowing us down
  
• Track project health and cross-team risk: spot dependencies, trade-offs, and blockers early, raise them while there's still time to act, and give the organization regular, honest visibility into where the roadmap stands and whether our timelines hold.
  
• Help us hold focus on the long-term roadmap while still absorbing urgent, high-priority work as it surfaces, so neither the roadmap nor pressing customer needs slip through the cracks
  
• Facilitate group decisions (roadmap planning, retrospectives, spec alignment) and help us land on a clear answer, especially when scope, quality, and timeline are in tension
  
• Own the non-technical side of launches end to end: defining what success looks like, bringing the organization and our support and GTM teams up to speed with ample notice, communicating launch phases and exit criteria, and following up afterward to see whether we hit our goals and learn from each one
  
• Keep our working context (decisions, status, roadmap) easy to find and current, so a distributed team working across many projects stays aligned through effective asynchronous communication

Desired Skills and Experience:

• 8+ years as a Technical Program Manager, or in a closely related program or project leadership role
  
• Startup experience and comfort with ambiguity, energized by being first and building a function from the ground up with just enough process, on a small team where everyone pitches in
  
• Experience in a distributed setting where clear, asynchronous written communication really matters
  
• A bias toward action, with a knack for making decisions quickly and getting things done
  
• Technically fluent enough to partner credibly with engineers and genuinely invested in the product: following architecture and dependency trade-offs, asking good questions, learning the product deeply, and testing things firsthand to make better decisions
  
• Experience coordinating across engineering, product, design, and go-to-market, and influencing outcomes without direct authority
  
• Comfort with planning and collaboration tools (e.g. Notion, Asana) and modern tooling like AI and automation, with good judgment about when a tool helps versus just adds overhead
  
• Experience in regulated or security-sensitive environments like healthcare is a plus, along with an appreciation for how compliance and security shape how and when we ship

If you don't meet every qualification here, we'd still love to hear from you. Great people don't always have linear career paths, and we care more about how you think, how you work, and what you've accomplished than a perfect match on paper.