Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

IT Systems Engineer

$135k - $145k
Full-time

Assort Health

Building Healthcare That Remembers

Every time you call a doctor's office, the system forgets you the moment you hang up. You wait on hold, explain everything from scratch, get bounced between lines, and hope someone follows up. Everyone has felt this. No one should have to.

At Assort Health, we're building one continuous conversation for every patient. An AI agent that knows who you are, remembers how you like to be reached, and carries that context from your first symptom to your full recovery. What began as the first voice AI agent to schedule a specialty appointment has become the largest proprietary specialty dataset in healthcare: 240 million patient interactions, 62,000 care protocols, 1.6 million decision pathways.

We went from 15 people in 2025 and will cross 250 by the end of 2026. Revenue is up 20x in 15 months and we've raised $222 million, including a recent $120 million Series C at a $1.2 billion valuation. We've also been named to the Forbes Cloud 100 and the 2026 Enterprise Tech 30 as the only healthcare AI company on the list!

Healthcare spends $1.1 trillion a year on administration instead of care. If you want to help change that, apply below.

About The Role

As we continue to grow quickly, we're expanding our IT team and hiring an IT Systems Engineer to help 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 a driving force behind 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

  • Own key areas of IT infrastructure as part of a growing team, 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 environments

  • Ability to operate independently and take full ownership of IT infrastructure

  • Comfortable working onsite and supporting employees in real time

Nice to Have:

  • 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

Benefits & Perks for Assorties

  • 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.

  • Flexible 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.

How We Work & What We Value

Our team at Assort Health moves fast, stays focused, and is fueled by a desire to serve our customers and patients. Our company values guide how we work—they are present in how we show up, make decisions and work together to move our mission forward. We bring a Day One Drive , relentlessly striving to improve, keep a 5-Star Focus , as our customers are our lifeblood, always Answer the Call , remembering that ownership and accountability are paramount, and show up with One Pulse , because we are one team, with one rhythm and one result. Our team is growing and we are looking for motivated, hardworking, and passionate talent. If you want to make healthcare accessible for everyone, we’d love to hear from you!

Please note: the Assort Health Talent Team will only email you from an assorthealth.com email address.
Vacancy posted 13 hours ago
Similar jobs that could be interesting for youBased on the IT Systems Engineer in San Francisco, CA vacancy
  • $112.5k - $200k

    A leading software development company is seeking a Manager, IT Systems Engineering in San Francisco to oversee Application Systems and Client Platform Engineering teams. This mid-senior level position requires 7+ years of technical experience, particularly in IAM concepts... 
    Suggested

    Navan

    San Francisco, CA
    4 days ago
  • $120k - $140k

     ...latest Whatnot updates on our news and engineering blogs and join us as we enable anyone to...  ...through commerce. Role As our IT Support Engineer, you will be the frontline...  ...role combines hands-on user support with systems administration, process improvement, and... 
    Suggested
    Full time
    Work at office
    Local area
    Remote work
    Work from home
    Home office
    Flexible hours
    3 days per week

    Whatnot

    San Francisco, CA
    3 days ago
  • $285k - $325k

     ...reliable, interpretable, and steerable AI systems. We want AI to be safe and beneficial for...  ...growing group of committed researchers, engineers, policy experts, and business leaders working...  ...clearly to any audience View IT Engineering as requiring product engineering... 
    Suggested
    Full time
    Work at office
    Visa sponsorship
    Flexible hours

    Anthropic

    San Francisco, CA
    4 days ago
  • $116k - $174k

     ...our customers, growing our community, or shaping our story, you’ll help define what comes next.About the Role:We're hiring an IT Systems Engineer to help us improve the way our tools, systems, and processes work together. This role is hands-on and technical, with a focus... 
    Suggested
    Work at office
    Immediate start
    Work from home
    Worldwide
    Flexible hours
    Shift work

    Vercel

    San Francisco, CA
    3 days ago
  • $142k - $237k

     ...with our natively integrated Intercom help desk for one single system that is designed to meet the needs of modern day support teams...  ...customers.What's the opportunity? At Fin you’ll be a Systems Engineer in IT, you will work on evolving our IT infrastructure with a focus... 
    Suggested
    Work at office
    Local area
    Work from home
    Flexible hours
    3 days per week

    Intercom

    San Francisco, CA
    5 days ago
  • About NexHealthOur healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal...  ...healthcare needsAbout the RoleNexHealth is looking for a Senior IT Systems Engineer to play a key role in securing and managing critical... 
    Live in

    NexHealth

    San Francisco, CA
    5 days ago
  •  ...Ifyou’rethe engineer people escalateto,keep reading.This is a hands-on role working across...  ...Provider focused on delivering Worry-Free IT through proactive support, modern cloud services...  ...rightwith a white glove touch. As an IT Systems Engineer (Client-Facing | MSP), you will... 

    Ventura Tech, Inc

    San Francisco, CA
    5 days ago
  • $145k - $155k

     ...areas. Check out the latest Whatnot updates on our news and engineering blogs and join us as we enable anyone to turn their passion into...  ..., and bring people together through commerce. As our Senior IT Systems & Operations Engineer, you will: Engage stakeholders... 
    Work at office
    Local area
    Remote work
    Work from home
    Home office

    Whatnot

    San Francisco, CA
    5 days ago
  • Tech Mirrors in San Francisco is seeking a Laboratory IT Support Engineer for a 6+ month contract to enhance laboratory systems' security and stability. Key responsibilities include active maintenance of systems, supporting innovative technologies, and coordinating with... 
    Contract work

    Tech Mirrors

    San Francisco, CA
    5 days ago
  • A leading Managed Services Provider in the Bay Area seeks an IT Systems Engineer to provide technical support across modern cloud and security technologies. This hands-on role involves resolving complex issues and delivering exceptional service in client environments. Candidates... 

    Ventura Tech, Inc.

    San Francisco, CA
    5 days ago
  • $150k - $225k

     ...team — which means you're not inheriting a system, you're designing one. You'll be the...  ...SaaS, and cloud platforms. The work is engineering-first: workflow automation, system integrations...  ...scale. You'll partner directly with IT, Security, and business teams — Marketing... 
    Local area

    Mosaic

    San Francisco, CA
    2 days ago
  • $112.5k - $200k

    We are seeking an experienced and strategic Manager, IT Systems Engineering to lead our core IT Systems teams, specifically overseeing the Application Systems Engineering and Client Platform Engineering functions. This role is essential for driving efficiency, security... 
    Odd job
    Full time

    Navan

    San Francisco, CA
    4 days ago
  • $140k - $225k

     ...collaborates. We’re assembling a diverse, world-class team—engineers, designers, researchers, and product minds—focused on creating...  ...can do their best work. About The Role As a Wireless Systems Software Engineer , you will help build the core software libraries... 
    Full time
    Temporary work
    Local area
    Flexible hours

    HP IQ

    San Francisco, CA
    2 days ago
  • $266k

     ...About the Team OpenAI’s Hardware organization develops AI-native silicon and system-level solutions for the unique demands of advanced AI workloads. Building on efforts like Jalapeño, the team is developing future generations of AI-native silicon and tightly integrated... 
    Full time

    OpenAI

    San Francisco, CA
    4 days ago
  • $148.5k - $223.9k

     ...Agentforce is the future of AI, and you are the future of Salesforce.Our Public Cloud engineering teams are responsible for innovating and maintaining a large scale distributed systems engineering platform that ships hundreds of features to production for tens of... 
    Full time

    Salesforce

    San Francisco, CA
    3 days ago
  • $162k - $288k

     ...and collaborates.We’re assembling a diverse, world-class team—engineers, designers, researchers, and product minds—focused on creating...  ...people everywhere can do their best work.About The RoleHP IQ’s System Software team enables on-device experiences to take full advantage... 
    Full time
    Temporary work
    Local area
    Flexible hours

    HP IQ

    San Francisco, CA
    4 days ago
  • $150k - $190k

     ...data/day on 15+ million VMs, and growing exponentially. To make it happen we’re building multi-cloud systems at every corner of the data ecosystem, from query engines, vector databases, training pipelines, and storage systems, down to the infrastructure that allows them... 
    Local area
    Worldwide

    DataBricks

    San Francisco, CA
    4 days ago
  • $120k - $170k

     ...join the adventure?   Loft Orbital is looking for a Software Engineer to join our Ground Software Solutions team.   About the...  ...software and space together. As well as developing our future systems, the role will also be working on real-time issues on live missions... 
    Full time
    Temporary work
    Work at office
    Relocation package
    Flexible hours

    Loft Orbital Solutions

    San Francisco, CA
    1 day ago
  • Stanford Hotels Corporation is seeking a Senior IT System Administrator in San Francisco, CA. This role involves maintaining and optimizing the IT infrastructure, including Microsoft Active Directory, Office 365, virtualization, and cloud services like Azure. The ideal... 
    Work at office

    Stanford Hotels Corporation

    San Francisco, CA
    1 day ago
  • $185k - $273k

     ...equipment, and fleet related spend in a single system. Combined with industry leading AI, the...  ...the Role: As a Staff System Software Engineer, you will help Motive design and develop...  ...U.S. Export Administration Regulations. It is Motive's policy to require that employees... 
    Temporary work
    Work experience placement
    Work at office

    Motive Technologies

    San Francisco, CA
    5 days ago
  • $260k - $340k

     ...part of a high-performing team that believes in each other, come build with us at Crusoe.About This Role:As the Principal Systems Software Engineer, you will serve as the visionary lead for Crusoe’s next-generation AI infrastructure. This is a role for an industry-recognized... 
    Full time
    Temporary work

    Crusoe

    San Francisco, CA
    2 days ago
  • $215k - $323k

     ...this mission. If you are too, let's talk.Senior Solution Sales Engineer - Position Description: We believe Solutions Engineers at Okta are...  ...communicatorCan identify, map, and manage multiple personas: IT admins, CISOs, architects, procurement, and legal.Confident dispensing... 
    Work at office
    Local area
    Worldwide
    Flexible hours

    Okta

    San Francisco, CA
    4 days ago
  • $70.07k - $180.25k

     ...Cloud, Marketing Cloud, Commerce Cloud, Heroku or Quip. Solution Engineers typically align with the below business units.SMB Business Unit:...  ...of assignments including business development, operations and IT strategies, as well as product demonstrations. This person must... 
    Full time
    Work at office
    Remote work
    Flexible hours

    Salesforce

    San Francisco, CA
    4 days ago
  • $200k - $213k

    San Francisco or Mountain View, CA, USASales - Solutions Engineering - PreSales /Full-time /HybridAera Technology is a pioneer in the growing...  ...confidence in both the platform and the business outcomes it enables. The most successful Solution Engineers operate as trusted... 
    Full time
    Work at office
    Flexible hours

    Aera Technology

    San Francisco, CA
    1 day ago
  • $147k - $252k

     ...physical Airwallex cards—including seamless Apple Pay and Google Pay integration for card transactions.What you’ll doAs a Mobile Engineer, you’ll focus on building high-quality, user-friendly native mobile applications using modern frameworks and best practices. You’ll... 
    Temporary work
    Local area
    Worldwide

    Airwallex

    San Francisco, CA
    4 days ago
  •  ...our corporate networks. This includes the IT Infrastructure DevOps, Security and SRE...  ...includes managing all aspects of our network - engineering and operations to improve user experience...  ...engineering, software, and distributed systems, including 6+ years managing high... 
    Remote work

    SoFi

    San Francisco, CA
    1 day ago
  • $70.07k - $244.51k

     ...Agentforce is the future of AI, and you are the future of Salesforce.The ExperienceSalesforce is looking for several Pre-Sales Solution Engineers to join our dedicated Informatica Pre-Sales Solution Engineering team, who are instrumental to Informatica's growth. As a Pre-... 
    Full time
    Flexible hours

    Salesforce

    San Francisco, CA
    4 days ago
  • $180k - $190k

     ...will stand out—and set you apart—especially if your career has taken some extraordinary twists and turns. The RoleAs a Solutions Engineer, you’ll partner with the sales team to demonstrate how Finch’s solutions will address their business needs. In addition to collaborating... 
    Full time
    Work at office
    2 days per week

    Finch

    San Francisco, CA
    5 days ago
  • $180k - $250k

     ...complexity by connecting with billing and payment systems to automate tax monitoring, calculations,...  ...Ventures.We're seeking a Solutions Engineer to drive revenue growth by guiding...  ...possible, and you've built something with it (an application, a workflow, a creative solution... 
    Work at office
    Worldwide
    Home office
    Flexible hours
    3 days per week

    Anrok

    San Francisco, CA
    3 days ago
  • $150k - $175k

    San FranciscoSolutions Engineering /Full-Time /On-siteAs a Solutions Engineer on the commercial team, you will work closely with our Data Science, Enterprise Sales, and Executive team to close new business through solution expertise. For Windfall’s commercial sales motion... 
    Full time

    Windfall

    San Francisco, CA
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to IT Systems Engineer. Be the first to apply!