--- title: 'Senior Systems Engineer - NetSuite at Sequel Med Tech' canonical: 'https://feeny.ai/job/senior-systems-engineer-netsuite-sequel-med-tech-manchester-s76zg7rm2m2b' type: 'job' last_seen: '2026-09-07' --- # Senior Systems Engineer - NetSuite at Sequel Med Tech - **Company:** Sequel Med Tech - **Location:** Manchester, NH - **Compensation:** $125k–$165k - **Employment:** full-time - **Work type:** hybrid - **Posted:** 2026-08-25 - **Last confirmed live:** 2026-09-07 - **Apply:** https://jobs.lever.co/sequel-med-tech/b0dd5d77-4657-4455-a44b-6b6d16b7bdfa ## Job description ## About Sequel Sequel, headquartered in Manchester, New Hampshire, is a company developing the next generation of transformative drug-delivery advancements starting with diabetes. Sequel’s approach is to look at diabetes management holistically to advance systems that make living with diabetes simpler and easier for all. Sequel’s flagship product, the twiist Automated Insulin Delivery (AID) System, launched in July 2025 for people with type 1 diabetes providing them with personalized diabetes management. Job Overview: Sequel Med Tech is seeking a skilled and detail-oriented Senior Systems Engineer to support the configuration, maintenance, and ongoing enhancement of our NetSuite ERP system. This role is primarily focused on hands-on execution, including system configuration, troubleshooting, upgrades, and user support. The ideal candidate will bring strong technical expertise, a proactive problem-solving mindset, and experience working within NetSuite to support day-to-day operations. This individual will partner closely with business stakeholders and internal teams to ensure system reliability, data integrity, and efficient functionality across the platform. Job Responsibilities and Essential Duties: - Configure, maintain, and enhance NetSuite modules to support business operations and evolving requirements. - Own and manage day-to-day system tickets, including troubleshooting issues, fulfilling enhancement requests, and resolving defects. - Support system upgrades, patches, and new feature releases, including testing and validation activities - Manage user roles, permissions, and access controls to ensure appropriate security and compliance - Customize forms, fields, records, and dashboards to meet functional needs. - Develop and maintain saved searches, reports, and dashboards to support business visibility and decision-making. - Troubleshoot and resolve system issues, including data discrepancies, integration failures, and performance concerns. - Provide timely and effective technical support to end users, ensuring a high level of service and responsiveness - Partner with internal stakeholders and third-party vendors to resolve escalated issues. - Support data integrity efforts across financials, inventory, and operational systems. - Assist in the implementation and maintenance of integrations between NetSuite and other systems (e.g., HRIS, CRM, PLM) - Utilize NetSuite APIs (REST, SOAP, SuiteTalk) and tools to support integrations and data flows. - Monitor integration processes to ensure reliability and accuracy of data exchange. - Build automation and efficiency improvements using SuiteFlow, SuiteApps, and scripting where applicable. - Document system configurations, processes, and troubleshooting steps to support operational continuity Minimum Requirements (Education and Experience): - Education: Bachelor's degree in computer science, Information Technology, Business, or related field, or equivalent combination of education and experience. - Experience: 5+ years of progressive systems engineering experience, including direct, hands-on support and administration of NetSuite ERP in a production environment. Required Knowledge, Skills and Abilities: - Proficiency with JavaScript-based SuiteScript development, SuiteFlow, and SuiteTalk. - Familiarity with financial processes (AP, AR, reporting) and SOX compliance. - Experience supporting ERP systems in regulated industries (medical devices, pharma, life sciences, or manufacturing). - Deep understanding of NetSuite modules such as Finance, CRM, Manufacturing, Procurement, and how they interrelate. - Familiarity with FDA regulations, ISO 13485, 21 CFR Part 11, and system validation best practices. (preferred) - Experience building and maintaining integrations between NetSuite and external systems (e.g., MuleSoft, Workato). - Strong problem‑solving and analytical skills. - Effective communication skills for both technical and non‑technical audiences. - Ability to manage multiple priorities in a fast‑paced environment. - High attention to detail, collaboration, and customer‑service orientation. - NetSuite certifications (e.g., NetSuite ERP Consultant, NetSuite SuiteCloud Developer). - ## Experience with other cloud-based ERP solutions. (preferred) - Project management experience. (preferred) Sequel Med Tech provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. At Sequel, we believe that when you thrive, we thrive. That’s why our benefits package is designed to support you from day one. You’ll be automatically enrolled in our 401k plan, featuring a 6% company match and 100% immediate vesting. We’re committed to your well-being and understand the unique needs of employees and families living with diabetes, so we offer capped out-of-pocket insulin costs and GLP-1 coverage across all plans. You’ll have access to a variety of Meritain health insurance plans to suit your needs and can also take advantage of Flexible Spending Accounts (FSAs) or Health Savings Account (HSA). Our comprehensive benefits package includes vision and dental coverage, plus voluntary options such as long-term disability, accident, critical illness, hospital indemnity, and even discounts for pet care. In addition, we provide employer-paid short-term disability and life insurance for extra peace of mind. We know the importance of taking time to rest and recharge. That’s why Sequel offers flexible PTO, generous paid holidays, and Flex Time options to help you balance work and life when you need it most. Our team enjoys a culture built on hard work, fun, and genuine support. At Sequel, you’re not just starting a job, you’re building a rewarding career and a brighter future. Join us, and let’s thrive together! Environmental/Safety/Physical Work Conditions Ensures environmental consciousness and safe practices are exhibited in decisions Use of computer and telephone equipment and other related office accessories/devices to complete assignments May work extended hours during peak business cycles Physical requirements such as lifting specific weights Some travelling is expected ## About Sequel Med Tech ## Company Overview - **One-liner**: Sequel Med Tech is a medical device company that develops and commercializes the twiist Automated Insulin Delivery (AID) system, the first system to directly measure the volume of insulin delivered with every microdose using sound wave technology. - **Entity Type**: Private (Startup stage; no funding rounds publicly disclosed) - **Headquarters**: Manchester, New Hampshire, United States - **Founded**: 2023 - **Founders**: Alan Lotvin (CEO, Co-Founder, and Director); co-founders not publicly named ## Core Business - Primary industry: Medical Equipment Manufacturing / Diabetes Care - Target customers: B2B and B2C — people with diabetes, healthcare providers, payers (health plans, employers), and pharmaceutical partners - Mission or purpose statement: To elevate the standard for drug delivery and remove barriers for accessible revolutionary insulin therapy ## Products & Services - **[twiist Automated Insulin Delivery (AID) System]**: The company’s flagship product — a hardware/software system integrating a pump, continuous glucose monitor, and algorithms. It uses proprietary iiSure™ sound wave technology to measure actual insulin volume delivered at every microdose, offering unprecedented dose assurance. Delivered through pharmacy channels for affordability. - **[SequelConnect™]**: An employer and health plan benefits platform designed to make medical devices more affordable and accessible for groups. ## Market Standing - **Valuation/Market Cap**: Not publicly disclosed - **Key Metric**: Total employees — 365 (as of Q2 2026); 16,167 LinkedIn followers (growing at +1.3% monthly) - **Notable Investors/Partners**: Not publicly disclosed; the company works with payers, employers, and pharma partners to design and develop delivery systems - **Growth Signals**: Founded in 2023, already a team of 365 with a flagship product launched; 96% of employees say it’s a Great Place to Work (as of 2025); actively hiring across roles (e.g., Clinical Diabetes Specialists, IT Operations, VP Commercial Excellence); workforce distributed across US, Canada, France, and Pakistan ## Competitive Advantages - **Proprietary iiSure™ sound wave technology**: A unique moat — the only AID system that directly measures delivered insulin volume, enabling greater accuracy and confidence for patients and providers. - **Pharmacy channel distribution**: Delivers AID systems through pharmacies, lowering barriers compared to traditional durable medical equipment (DME) channels. - **Integrated ecosystem**: Built-in connectivity across delivery devices, algorithms, monitoring devices, and partners — not an afterthought. - **Strong culture and talent retention**: 96% employee Great Place to Work rating, with 64% women in the workforce (Q2 2026). ## Strategic Focus - Scaling commercial reach by hiring Clinical Diabetes Specialists across the US (e.g., Baltimore, Corpus Christi, Seattle) - Expanding beyond type 1 diabetes into broader drug delivery applications (the company notes exploring “how precise drug delivery can support people far beyond type 1 diabetes”) - Deepening partnerships with payers and employers to drive adoption of SequelConnect™ - Building a diverse, high-performing team with a focus on engineering, clinical outcomes, and real-world impact ## Why Work Here - **Culture**: Described as “hard work, fun, and genuine support” with a focus on curiosity, experimentation, and transparency. Employees report high levels of accountability and compassion. - **Hybrid/Office policy**: Hybrid model with offices in Manchester, NH and Marlborough, MA. Some roles (e.g., Clinical Diabetes Specialists) are field-based. - **Notable perks & benefits**: - 6% 401k match with 100% immediate vesting - Capped out-of-pocket costs for insulin and GLP-1 coverage on all health plans - Comprehensive health insurance (Meritain), vision, dental, disability, life insurance, and pet care discounts - Flexible PTO plus generous paid holidays - Employer-paid short-term disability and life insurance - **Hiring process**: Starts with a recruiter phone/video screen; typical timeline is 3–6 weeks; no AI used in hiring; applicants must be authorized to work in the US (no visa sponsorship currently) - **Engineering culture**: “Approach problems with curiosity and experimentation, always pushing against traditional boundaries and norms” ## Sources 1. [sequelmedtech.com](https://www.sequelmedtech.com/) 2. [sequelmedtech.com/careers](https://www.sequelmedtech.com/careers) 3. [sequelmedtech.com/about](https://www.sequelmedtech.com/about) 4. [cbinsights.com](https://www.cbinsights.com/company/sequel-med-tech) 5. 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