Senior IT Systems Engineer

<div class="content-intro"><p><strong>About NexHealth</strong></p> <p>Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?</p> <p>NexHealth’s mission is to <strong>accelerate innovation in healthcare</strong> by connecting patients, providers, and developers.&nbsp;We’re building the <strong>infrastructure layer for modern healthcare, </strong>connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.</p> <ul> <li>Founded: 2017</li> <li>Headquarters: San Francisco, CA</li> <li>Funding: $177M Series C&nbsp;</li> <li>Employees: 200+</li> <li>Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs</li> </ul></div><p><strong>About the Role</strong></p> <p>NexHealth is looking for a Senior IT Systems Engineer to play a key role in securing and managing critical business applications while optimizing employee lifecycle operations. This position blends technical expertise with a strong focus on security and process automation to enhance efficiency, improve user experience, and scale with the growth of our organization.</p> <p><strong>What You’ll Do</strong></p> <ul> <li>Develop and maintain scalable and automated IAM (Identity and Access Management) systems with self-service capabilities</li> <li>Automate and manage employee onboarding and offboarding workflows for seamless access provisioning and de-provisioning</li> <li>Oversee network, device lifecycle management and Audio Visual (AV) conferencing solutions&nbsp;</li> <li>Implement proactive monitoring of IT systems for optimal performance and security</li> <li>Drive corporate security initiatives, including deploying Zero Trust Access and managing EDR (Endpoint Detection and Response)</li> <li>Support compliance efforts by providing evidence and documentation from an IT perspective</li> </ul> <p><strong>What You’ll Bring</strong></p> <ul> <li>8+ years of experience administering enterprise IT systems and SaaS applications</li> <li>Strong knowledge of IAM, MDM, Mac OS and device lifecycle management best practices</li> <li>Deep, practical Jira administration experience</li> <li>Ability to automate and streamline workflows</li> <li>Strong problem-solving and documentation skills</li> &