IT & Security Engineer Lead

Location: Washington DC or NYC (In-Person)

Pharmacy1st Health is building a new model of rural healthcare delivery by transforming independent rural pharmacies into integrated, tech-enabled clinics that deliver primary care, pharmacy services, and chronic disease management under one roof. Our mission is to create the “Kaiser of rural America” – a vertically integrated system that makes high-quality, affordable care accessible to every community we serve.

The IT & Security Engineer Lead will manage Pharmacy1st Health’s day-to-day IT operations, security controls, site technology readiness, and vendor coordination across corporate, pharmacy, and clinic environments. Operating in a HIPAA-regulated environment, this role will support the protection of patient, pharmacy, and company data while ensuring reliable technology operations across a growing rural healthcare network.

This is a hands‑on manager role for someone who can execute effectively, build scalable processes, support new pharmacy and clinic launches, and partner cross‑functionally to keep systems secure, compliant, and operationally efficient.

• Manage and support Pharmacy1st’s HIPAA‑aligned security program, including policies, training, incident response coordination, and security best practices.
• Support ongoing risk assessments, vulnerability remediation tracking, and security documentation efforts.
• Coordinate security awareness initiatives for HQ, pharmacy, and clinic staff.
• Assist with vendor security reviews, BAAs, and third‑party compliance documentation.
• Help maintain audit‑ready processes aligned with HIPAA, SOC 2, and future compliance initiatives.

• Manage day‑to‑day account provisioning, deactivation, and access requests across pharmacy, clinical, and corporate systems.
• Maintain joiner / mover / leaver workflows tied to HR onboarding and offboarding.
• Support role‑based access controls and periodic access reviews for sensitive systems.
• Ensure accurate documentation and audit‑ready access logs.

• Support the centralized IT strategy across corporate offices, pharmacies, and clinics.
• Coordinate hardware setup, networking, software deployment, and device management for new and existing sites.
• Manage core IT systems including identity management, MDM, helpdesk, endpoint protection, email security, and asset tracking platforms.
• Maintain IT inventory, device lifecycle management, and standard operating procedures.
• Help improve helpdesk responsiveness, uptime, and operational support across the network.

• Coordinate Pioneer Rx deployments, upgrades, and migrations for pharmacy locations.
• Support site go‑lives by ensuring hardware, networking, and user readiness are completed on time.
• Partner with pharmacy software vendors and local contractors to resolve escalations and implementation issues.
• Standardize technology configurations across locations including printers, scanners, signature pads, and workstations.
• Coordinate local IT contractors and managed service providers supporting pharmacy and clinic locations.
• Maintain clear service expectations, escalation paths, and support workflows.
• Assist in building a reliable field support network across Pharmacy1st markets.
• Develop repeatable runbooks for routine onsite support and troubleshooting.

• Partner with Operations, Care Delivery, Finance, and HR to support operational technology needs.
• Support IT and security due diligence efforts for acquisitions and new site integrations.
• Contribute to process improvements that strengthen scalability, compliance, and user experience across the…