IT Systems Engineer

Assort Health • San Francisco, CA

6h • Onsite

About The Position

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. 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.

Requirements

• 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 Haves

• 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

Responsibilities

• 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
• 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
• 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 snd Windows environments in a fast-paced, in-office setting
• 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

Benefits

• 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.
• Unlimited 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed