IT Systems Engineer

Assorthealth
San Francisco, CA
Hybrid

Who this role is best for

Aimed at mid-level to senior Systems Engineers with experience in identity and access management who are comfortable working onsite in a fast-growing healthcare tech environment.

Best fit for

  • Candidates with experience in enterprise SaaS tools and identity providers like Okta, who can own and scale IT infrastructure.
    — “Lead the rollout and long-term ownership of Okta to centralize and secure access management
  • Individuals who have managed IT systems in a growing organization and are adept at automation and process design.
    — “Build automation and self-service systems to reduce manual IT workload and eliminate bottlenecks
  • Professionals who can thrive in a highly collaborative, in-office setting and support real-time problem-solving.
    — “Provide in-person support and real-time problem-solving in a highly collaborative office environment

Things to consider

  • The role demands in-office presence and real-time support, which may not suit remote-preference candidates.
    — “Comfortable working onsite and supporting employees in real time
  • Candidates must be capable of managing identity and access systems across multiple applications.
    — “Own identity and access management end-to-end, including SSO integrations, user provisioning, and access controls across all applications

How to stand out

  • Emphasize experience with identity management and SaaS tools in your resume and interview responses.
    — “Experience implementing and managing enterprise SaaS tools at scale
  • Highlight your ability to design and implement secure and scalable IT systems.
    — “Design and implement scalable IT systems that support company growth and compliance requirements
  • Showcase your background in device lifecycle management and endpoint infrastructure.
    — “Manage endpoint infrastructure, including provisioning, configuration, patching, and lifecycle management
Pace · SteadyCollaboration · HighAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • building secure and scalable IT systems
  • driving IT operations and automation
Typical background
IT systems engineering experiencesecurity and compliance knowledge

Skills & requirements

Required

Identity And Access ManagementIT OperationsAutomationNetwork InfrastructureEndpoint Management

Preferred

OktaPythonFlaskDjango

Stack & domain

PythonFlaskDjangoReactTypeScriptITHealthcare

About the role

Original posting from Assorthealth via Ashby

Building Healthcare That Remembers

Every time you call a doctor's office, the system forgets you the moment you hang up. You wait on hold, explain everything from scratch, get bounced between lines, and hope someone follows up. Everyone has felt this. No one should have to.

At Assort Health, we're building one continuous conversation for every patient. An AI agent that knows who you are, remembers how you like to be reached, and carries that context from your first symptom to your full recovery. What began as the first voice AI agent to schedule a specialty appointment has become the largest proprietary specialty dataset in healthcare: 240 million patient interactions, 62,000 care protocols, 1.6 million decision pathways.

We went from 15 people in 2025 and will cross 250 by the end of 2026. Revenue is up 20x in 15 months and we've raised $222 million, including a recent $120 million Series C https://www.assorthealth.com/blog/assort-health-raises-120-million-series-c-to-scale-largest-deployment-of-ai-agents-for-the-patient-journey at a $1.2 billion valuation. We've also been named to the Forbes Cloud 100 and the 2026 Enterprise Tech 30 as the only healthcare AI company on the list!

Healthcare spends $1.1 trillion a year on administration instead of care. If you want to help change that, apply below.

ABOUT THE ROLE

As we continue to grow quickly, we're expanding our IT team and hiring an IT Systems Engineer to help own and scale IT infrastructure across the company—from endpoint management to identity systems and day-to-day operations. You'll be embedded within the Security organization, partnering with every team to build secure, reliable, and scalable IT systems in a fast-growing environment.

This is a foundational role with broad ownership. You'll take the lead on critical initiatives like identity and access management, device lifecycle management, and IT onboarding/offboarding, while also handling real-time operational needs. As the company grows, your work will directly enable us to scale securely and efficiently.

WHAT YOU'LL DO

You'll be a driving force behind IT at the company—building systems, solving operational challenges, and creating the infrastructure that supports every employee.

BUILD OUR CORE IT SYSTEMS

  • Own identity and access management end-to-end, including SSO integrations, user provisioning, and access controls across all applications
  • Lead the rollout and long-term ownership of Okta to centralize and secure access management
  • Design and implement scalable IT systems that support company growth and compliance requirements
  • Manage endpoint infrastructure, including provisioning, configuration, patching, and lifecycle management

DRIVE IT OPERATIONS AND AUTOMATION

  • Own employee onboarding and offboarding workflows, ensuring seamless day-one experiences and secure offboarding processes
  • Handle day-to-day IT operational requests including access management, troubleshooting, and employee support
  • Build automation and self-service systems to reduce manual IT workload and eliminate bottlenecks
  • Establish processes that reduce single points of failure and improve system reliability

SOLVE COMPLEX INFRASTRUCTURE CHALLENGES

  • Set up and maintain office network infrastructure, including VPNs, access points, and ongoing troubleshooting
  • Design and implement secure asset disposition processes for retiring and wiping devices
  • Troubleshoot issues across macOS and Windows environments in a fast-paced, in-office setting

LAY THE FOUNDATION FOR SCALE

  • Transition IT from ad hoc support to structured, scalable systems
  • Partner with Security to ensure compliance and strong security practices across all IT systems
  • Own key areas of IT infrastructure as part of a growing team, building processes that will scale with headcount growth
  • Provide in-person support and real-time problem-solving in a highly collaborative office environment

WHAT WE'RE LOOKING FOR

REQUIRED:

  • 3+ years of experience in Systems Engineering, IT Engineering, or similar roles
  • Experience building and managing IT systems and workflows in a growing organization
  • Strong understanding of identity and access management (SSO, SAML, SCIM, RBAC, etc.)
  • Experience implementing and managing enterprise SaaS tools at scale
  • Familiarity with device management platforms (e.g., Jamf, Microsoft Intune)
  • Experience with identity providers like Okta
  • Strong troubleshooting skills across macOS and Windows environments
  • Ability to operate independently and take full ownership of IT infrastructure
  • Comfortable working onsite and supporting employees in real time

NICE TO HAVE:

  • Experience scaling IT systems in a high-growth startup environment
  • Background in security or working closely with security/compliance teams
  • Experience building automation or self-service IT workflows
  • Familiarity with office network infrastructure (VPNs, access points, etc.)
  • Experience supporting compliance frameworks or handling sensitive data environments

BENEFITS & PERKS FOR ASSORTIES

  • 💸 Competitive Compensation – Including salary and employee stock options so you share in our success.
  • 📚 Lifelong Learning – Annual budget for professional development, plus training opportunities to help you grow.
  • 💻 Office Setup Stipend – We’ll outfit your in-office workspace so comfy as it's productive.
  • 🩺 Top-Tier Health Coverage – Medical, dental, and vision insurance, because your health comes first.
  • 🏖 Flexible PTO – We trust you to take the time you need to recharge and come back ready to crush it.
  • 🥗 Meals & Snacks – Lunch, dinner, and snack breaks that fuel great ideas.
  • 💪 Fitness Stipend – Your wellness matters. We reimburse monthly membership costs to support your health.
  • 🚆 Commuter Benefits – We cover eligible transportation costs to make your trip to work easier.
  • 👵 401(k) – Build your retirement savings.

HOW WE WORK & WHAT WE VALUE

Our team at Assort Health moves fast, stays focused, and is fueled by a desire to serve our customers and patients. Our company values guide how we work—they are present in how we show up, make decisions and work together to move our mission forward. We bring a Day One Drive, relentlessly striving to improve, keep a 5-Star Focus, as our customers are our lifeblood, always Answer the Call, remembering that ownership and accountability are paramount, and show up with One Pulse, because we are one team, with one rhythm and one result. Our team is growing and we are looking for motivated, hardworking, and passionate talent. If you want to make healthcare accessible for everyone, we’d love to hear from you!

Please note: the Assort Health Talent Team will only email you from an assorthealth.com http://assorthealth.com email address.

Source: Assorthealth careers (Ashby)

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