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IT Systems Engineer

Job in San Francisco, San Francisco County, California, 94199, USA
Listing for: Jobtailor
Full Time position
Listed on 2026-07-13
Job specializations:
  • IT/Tech
    IT Infrastructure, Systems Administrator, Systems Engineer, IT Support
Salary/Wage Range or Industry Benchmark: 100000 - 130000 USD Yearly USD 100000.00 130000.00 YEAR
Job Description & How to Apply Below

Our mission is to make exceptional healthcare accessible anytime, anywhere, for anyone.

At Assort Health, we believe healthcare should feel effortless and connected — quick answers, clear communication, and seamless access to care. That’s why we’re building a new foundation for how patients and providers connect, driven by AI, built to embrace the complexities of healthcare, and tailored to each provider’s unique needs.

Assort is the most comprehensive patient experience platform powered by specialty‑specific agentic AI. Assort’s omnichannel AI agents seamlessly integrate with EHR/PMS and complicated provider preferences to eliminate lengthy hold times and inefficiencies that stand in the way of patients getting the care they need.

Since launching in 2023, Assort has managed over 135M+ patient interactions
, slashing average hold times from 11 minutes to 1 minute
. Our platform now handles calls for thousands of providers with 98%+ resolution rates and 99% scheduling accuracy
. Patient satisfaction averages 4.5/5 over 52K reviews
, and we’ve achieved 20× revenue growth in 2025
. We’re scaling rapidly and expanding adoption across the entire healthcare industry.

About

The Role

We're hiring our first dedicated IT Systems Engineer to 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 the backbone of 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

  • Act as the single owner of IT infrastructure, 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…

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