Senior IT Systems Engineer

About NexHealth Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room? NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem. Founded: 2017 Headquarters: San Francisco, CA Funding: $177M Series C Employees: 200+ Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs About the Role NexHealth is looking for a Staff IT Systems Engineer to play a key role in securing and managing critical business applications while optimizing employee lifecycle operations. This position blends technical expertise with a strong focus on security and process automation to enhance efficiency, improve user experience, and scale with the growth of our organization. What You’ll Do Develop and maintain scalable and automated IAM (Identity and Access Management) systems with self-service capabilities Automate and manage employee onboarding and offboarding workflows for seamless access provisioning and de-provisioning Oversee network, device lifecycle management and Audio Visual (AV) conferencing solutions Implement proactive monitoring of IT systems for optimal performance and security Drive corporate security initiatives, including deploying Zero Trust Access and managing EDR (Endpoint Detection and Response) Support compliance efforts by providing evidence and documentation from an IT perspective What You’ll Bring 8+ years of experience administering enterprise IT systems and SaaS applications Strong knowledge of IAM, MDM, Mac OS and device lifecycle management best practices Deep, practical Jira administration experience Ability to automate and streamline workflows Strong problem-solving and documentation skills Detail-oriented with a focus on continuous process improvement Compensation Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance. NexHealth Compensation Range $170,000 — $195,000 USD Benefits Full Medical, Dental, and Vision (up to 100% covered) 401K and commuter benefits Flexible PTO High-impact work that directly improves the healthcare experience for millions Our Values Solve the customer’s problems, not yours When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. Do the things others are not willing to do As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. Take ownership Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. Say what’s on your mind, with positive intent Be direct, proactive, transparent, and frequent in your communication. Default trust As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. Think in first principles We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions. We are an equal opportunity employer and value diversity at our com