Company Overview:

Back pain affects 50 million Americans and is the number one cause of disability in the US with a societal cost of approximately $560 billion annually. There are also over 100 million opioid prescriptions written annually, highlighting the underlying need for improved pain management solutions. While the approximately 80,000 annual Spinal Cord Stimulation (SCS) implants was a $2.5B market in 2019 and growing (8% to 10% CAGR for the prior five years), the market is ripe for disruption. Additionally, SCS devices and procedures have favorable reimbursement with existing codes in place for physicians and facilities (hospitals and ASCs).

Founded in 2017, Presidio Medical is a well-financed, clinical stage, medical device company with a transformational neuromodulation platform technology. The company is based in South San Francisco and is growing rapidly. The company’s first indication is in chronic pain. Due to the proprietary stimulation compatibilities, Presidio Medical’s technology is targeting a significant unmet pain segment which can unlock and potentially double the addressable market. In addition, Presidio has begun work outside of the lucrative SCS market and is exploring other indications with undesired nerve activity. The company is actively engaged in targeted R&D projects for patients in other disease states who will potentially benefit from the company’s proprietary technology.

Job Summary

  • The Senior Principal Supplier Development Engineer will act as a key resource in researching and developing suppliers in support of Presidio’s initiatives including developing new and existing sources of supply, removing supply constraints and risks, establishing supplier strategy, driving continuous improvement and cost reduction initiatives with suppliers, and be a conduit between the company and the supplier. Responsibilities will include leading or supporting cross functional projects, identifying suppliers and supplier capabilities for product, process, and development projects, and establishing sourcing strategies for those new technical initiatives.

Essential Duties and Responsibilities:

  • Execute critical supplier improvement initiatives and ensure completion of planned activities within the timeframe required to meet corporate objectives for the quality and delivery of critical materials and the next generation of follow-on materials.
  • Participate in strategic planning activities with operations management and provide input on strategies / tactics required to meet the corporate goals for the quality and delivery of new materials.
  • Represent the Operations in sourcing new complex suppliers and establishing plans to meet advanced materials and measurement technology objectives.
  • Understand engineering drawings and manage vendors.
  • Resolve issues and strengthen the supply chain through the deployment of new processes and supplier metrics (lean tools, risk assessment models, process and value stream mapping, CAPA process, etc.)
  • Collaborate with others to solve issues; comfortable navigating within the technical space and communicating within a cross-functional team, both technical and non-technical in nature.
  • Develop strong relationships and serve as the interface between internal customers and outsourced sub-contractors; while understanding needs, expectations, and impacts.
  • Establish partnerships at all levels within the supplier, emphasizing collaboration, clear expectations, common goals, trust, and transparency
  • Interface with internal stakeholders to prioritize supplier development needs with a focus on removing supply constraints and improving cost
  •  Assess new and existing supplier capabilities to meet product, cost, quality, capacity, and fulfillment ensuring suppliers can meet requirements for performance, quality, cost 
  •  Drive improvements utilizing Lean methodologies to drive systematic problem solving and process improvement plans to deliver value
  • Partner with suppliers to lead continuous improvement, problem solving, waste elimination, and other value-enhancing opportunities.
  • Support the relationship management of Strategic Partners and Preferred suppliers. Deliver results as measured by key metrics, such as supplier yield, lead time improvements, supplier quality plan engagement/effectiveness, and corrective & preventative action closure
  •  Provide technical expertise and leadership to sourcing and development of suppliers with respect to technology, performance, quality, cost, logistics and delivery
  • Provide leadership during investigations of major problems and or special projects focusing on developing working relationships with suppliers and the supply chain regarding product development and procurement of parts
  • Keep up with current and developing manufacturing and engineering trends that concern product quality
  • Assist suppliers with process development and/or troubleshooting of programming, tooling, fixturing, and processes for specific critical supply components
  • Assist suppliers and sub-tiers with development and/or troubleshooting of secondary suppliers and/or processes
  • Support the selection, development, and management of Strategic & Preferred Suppliers to meet commodity cost and performance goals.
  • Implement programs for supplier performance management, supplier Lean journeys and supply base optimization.
  •  Partner with suppliers to lead continuous improvement, problem solving, waste elimination, and other value-enhancing opportunities.
  • Champion value analysis for purchased products and propose/lead design and process improvement projects to reduce costs.
  • Make design and manufacturing recommendations in the new product development process, support concurrent engineering activities between supplier and internal product development teams.
  •  Ensure appropriate risk mitigation activities are completed timely
  • Contribute to additional continuous improvement activities
  • Comply with Presidio Medical’s quality system requirements as well as any applicable regulatory requirements.
  • Comply with all health and safety regulations, policies, and work practices.
  • Other duties as assigned.

Qualification Requirements:


  • BS Degree in Engineering
  • Minimum of 15 years engineering experience in medical device or other regulated industry


  • Must have experience in coordinating external contractors to meet company goals
  • Works well in a team environment and be able to work independently
  • Excellent organization and record keeping skills
  • Excellent communication skills, negotiation, interpersonal and influencing skills
  •  Strong analytical skills, with the ability to back up conclusions with data
  • Ability to establish collaborative working relationships cross-functionally internally as well as with a diverse / global supply base.
  • Ability to work with and interface with all levels of an organization both internally and externally
  • Flexibility to travel as required [up to 30%] to supplier locations both domestic and international.
  • Ability to handle multiple projects and priorities
  • Ability to work in a fast-paced environment while managing multiple priorities
  • Operate as a team and/or independently while demonstrating flexibility to changing requirements.

Physical Demands:

  • Varied sitting, standing, and walking.
  • Ability to lift and carry 50lbs. or less.

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