Geared toward autonomous IT leaders comfortable with full infrastructure ownership and AI-powered workflows, particularly in Microsoft-heavy or equivalent enterprise environments.
Derived from job-description analysis by Serendipath's career intelligence engine.
As a Lead IT Engineer at Neko Health, you'll be responsible for overseeing the entire IT infrastructure, from identity management to hardware maintenance, while leveraging AI tools to streamline operations and enhance productivity. This role is ideal for someone who thrives in a fast-paced, autonomous environment and is passionate about using technology to drive meaningful change in healthcare.
Original posting from Neko Health via Ashby
Mission
Neko Health exists to shift healthcare from treating illness to preventing it, using advanced, non‑invasive technology and clinical expertise to deliver early, actionable health insights.
Role Purpose
This is a senior, autonomous role for someone who takes full ownership of our internal environment and isn't waiting to be told what to fix. You'll own our IT infrastructure end-to-end, covering identity and access management, device management, productivity tooling, and our endpoint fleet across macOS and Windows. You'll build automations that reduce workload, maintain hardware across clinic and manufacturing environments, and make decisions independently at pace.
We currently run a Microsoft-heavy environment (Azure, Intune, M365), but if you've managed equivalent stacks using other platforms and can ramp quickly, that works for us.
The right person for this role uses AI every day, not as a novelty but as a core part of how they work. Whether that's Power Automate, Copilot, Claude Code, or other agentic tooling, these should already be part of your toolkit.
What You'll Deliver in the First 6-12 Months
- Take full ownership of our IT infrastructure from day one, including identity management, device management, and productivity tooling
- Build and ship automations that meaningfully reduce manual work across the business
- Maintain and expand the internal knowledge base so that operational knowledge doesn't live in one person's head
- Own hardware lifecycle decisions across clinic and manufacturing environments
- Contribute to our shared security posture, working with endpoint security tooling and operational security workflows day to day
- Make independent calls on onboarding, admin access, tooling, and hardware without needing sign-off at every turn
- Join the on-call rotation once per week, additionally compensated
What We're Looking For
- Strong experience managing IT infrastructure at scale: identity and access management, device management, endpoint management, and productivity platforms
- Hands-on experience with at least one enterprise stack (Microsoft Azure/Intune/M365, Google Workspace/JAMF, or equivalent). Microsoft experience is a plus but not required if you can demonstrate equivalent depth elsewhere
- A genuine power user of AI tools with real examples of how you've used them to improve how you work: Copilot, Claude Code, agentic tooling, or similar
- Strong practical experience with automation platforms (Power Automate, n8n, Zapier, or scripting-based approaches)
- Comfortable supporting macOS environments alongside Windows
- Hardware ownership experience across endpoints, manufacturing, or operational environments
- Working knowledge of security operations and endpoint protection tooling
- Someone who makes decisions, takes ownership, and doesn't need constant direction
Nice to Have
- AV or clinic-specific systems experience
- Cisco or networking fundamentals
- Experience in a regulated industry such as healthcare
- A track record of building internal documentation and knowledge bases
- Experience with Microsoft Azure/Intune/M365 specifically (if not your primary stack, willingness to learn quickly)
About titles at Neko
We use a simplified internal title framework that prioritises clarity over hierarchy, so internal titles may differ from market‑facing role titles. Scope, impact and level of the role are fully aligned and will be clearly discussed throughout the process.
Hiring Process
Candidates progress from application and structured screening through thoughtfully designed interviews culminating in a formal offer and final pre-employment checks before joining the team.
Equal Opportunity & Inclusion Statement
Neko Health is committed to inclusive hiring and member-first care. We welcome candidates from all backgrounds and encourage you to request reasonable adjustments to support your application.
Source: Neko Health careers (Ashby)