IT Systems Administrator

SI-BONE is a fast-growing, publicly traded medical device company that is an industry pioneer in minimally invasive sacropelvic solutions. Our mission is to help patients rise up and reach for the stars, and our vision is to work together as the global leader to make sacropelvic conditions universally recognized and effectively treated through innovation, evidence, education, and advocacy.

SI-BONE® is focused on helping patients in one of the most under-served, under-diagnosed, and under-treated areas in orthopedics, the sacroiliac (SI) joint. SI-BONE developed an innovative, patented implant to fuse the SI joint. The iFuse Implant System® provides a less invasive alternative to traditional sacroiliac (SI) joint fusion surgery and has been used in over 90,000 procedures to date. 

We are a medical device company that is focused on improving the lives of patients with sacroiliac pelvic conditions. We are looking for people who are passionate about our mission and who are willing to work hard to achieve it. We are also looking for people who are: 

• Agile: We work in a fast-paced environment and need to be able to learn and adapt to change quickly.
• Creative: We embrace creativity, and we need people who are not afraid to challenge the status quo.
• Team Players: We roll-up our sleeves and work together as one team to achieve our goals.

General Responsibilities: 

The IT Systems Administrator supports the organization’s technology operations by maintaining secure, reliable, and efficient infrastructure across servers, networks, cloud services, endpoints, applications, and user accounts. Configures, monitors, and troubleshoots systems to sustain availability, performance, and business continuity while applying appropriate security controls, access standards, updates, and maintenance practices. Provides responsive technical support to users, investigates incidents, resolves service issues, and helps prevent recurring problems through accurate documentation and continuous improvement. Partners with internal technology teams, business stakeholders, and external vendors to implement changes, coordinate service delivery, strengthen system resilience, and ensure that technology services meet operational needs. The role requires practical knowledge of enterprise infrastructure, cloud environments, identity and access management, endpoint technologies, networking, and systems administration, along with sound judgment, clear communication, and a service-oriented approach.

Specific Responsibilities and Skills:

· Administer Windows, Azure, cloud systems, servers, storage, and core IT services.

· Manage accounts, permissions, authentication, and employee access.

· Maintain and troubleshoot switches, wireless networks, firewalls, VPNs (Global Protect), and related services.

· Support endpoint deployment, patching, software distribution, and device security.

· Monitor performance, capacity, backups, availability, and disaster-recovery readiness.

· Investigate incidents, resolve root causes, document solutions, and escalate as needed.

· Apply security controls, vulnerability remediation, logging, and compliance requirements.

· Maintain documentation and asset records; coordinate upgrades, vendors, and infrastructure changes.

· Provide help desk support to users by diagnosing and resolving technical issues.

· Provide escalated support to helpdesk staff and end users.

· Administer virtualization and hypervisor environments, including VM provisioning, resource allocation, and host maintenance.

· Manage Microsoft 365 and collaboration services, including Exchange Online, Teams, SharePoint, and OneDrive.

· Automate routine administration and reporting using PowerShell or comparable scripting tools.

· Support employee onboarding and offboarding, including account provisioning, hardware imaging, and access revocation.

· Test and validate backup and disaster-recovery procedures, including periodic restore verification.

· Participate in an on-call rotation and perform scheduled after-hours maintenance windows.

· Track IT assets, licenses, and renewals; support technology procurement and budget planning.

· Administer Cisco Meraki cloud-managed networking, including MX security appliances, MS switches, and MR wireless access points; manage dashboard configuration, firmware updates, VLANs, SSIDs, and network monitoring and alerting.

Knowledge, Education and Experience:

· Bachelor’s degree in IT, Computer Science, or related field, or equivalent experience.

· Three or more years administering IT systems, networks, or enterprise infrastructure.

· Knowledge of Windows Server, Microsoft 365, Active Directory or Entra ID, DNS, DHCP, TCP/IP, and virtualization.

· Experience with endpoint management, backups, monitoring, and service-desk tools.

· Understanding of cybersecurity, access controls, patch management, and compliance.

· Strong analytical, organizational, communication, and documentation skills; able to prioritize independently and provide after-hours support when required.

· Microsoft certifications are a plus, such as Microsoft 365 Certified: Administrator Expert, Azure Fundamentals (AZ-900), Azure Administrator Associate (AZ-104), Azure Solutions Architect Expert (AZ-305), Azure Security Engineer Associate (AZ-500), Identity and Access Administrator Associate, or Endpoint Administrator Associate

Salary range:  XXX - XXX. The compensation range for this position is specific to the location and is in good faith what SI-BONE expects to pay for the position taking into account the wide variety of factors that are considered in making compensation decisions, including job-related knowledge; skillset; experience, education and training; certifications; and other relevant business and organizational factors.

Supplemental pay: bonus and stock

There are potential risks associated with the iFuse Implant System. It may not be appropriate for all patients and all patients may not benefit. For additional information on the company or the products including risks and benefits, please visit 

We are aware of active recruitment scams using the SI-BONE name, in which individuals pose as our recruiters and post fake remote job openings and make fake job offers on the Internet. Please note, we will never make an offer of employment without conducting multiple rounds of interviews face-to-face using secure video-conferencing technology. We will never ask candidates to cash checks or make a payment in order to be considered for a position. SI-BONE only uses company email addresses, which contain “@si-bone.com” to communicate with candidates.

If you believe you’ve been a victim of a phishing scam, please visit the Cybersecurity & Infrastructure Security Agency at learn how to report it.