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Salary: USD 110,000 - 120,000 / annual
Nadia Care is a healthtech company focused on improving maternal and birth outcomes for underserved communities. They are seeking an IT Manager to own day-to-day IT operations, user lifecycle management (onboarding/offboarding), and identity & access management (IAM) for a growing, distributed team.
This is a hands-on, one-person IT and security function. You will be the sole technical resource and primary point of contact for all IT and security matters, reporting directly to the CISO. As the function grows, there is opportunity to build and lead a team.
Key Responsibilities:
IT Support & Operations: Serve as primary point of contact for Tier 1-3 technical support via ticketing systems. Support end users across Windows and macOS environments, troubleshoot connectivity, printing, email, and software/access issues. Triage and resolve tickets within defined SLAs. Maintain documentation standards with clear records of common issues and fixes.
User Lifecycle Management & IAM: Own end-to-end onboarding/offboarding including training, account provisioning, device setup, and access control. Develop and execute IAM strategy with periodic user access reviews, role/permission assignment, and timely deprovisioning. Apply least-privilege principles. Support SSO configuration and troubleshoot SaaS application access. Maintain accurate access records.
Device & Endpoint Management: Administer Microsoft Intune (MDM) and O365 for remote, multi-OS device fleet. Set and enforce security policies including encryption, patching, and compliance. Deploy and manage Microsoft Defender. Own patch management across the fleet. Handle physical logistics for company devices including shipping, receiving, and inventory tracking. Manage Google Workspace users and groups. Maintain core SaaS tools.
Security: Apply strong security fundamentals across endpoints, identity, and access including encryption, patching, MFA/conditional access, and least-privilege enforcement. Partner with CISO on access-related security requests and remediation. Serve as operational owner of endpoint and identity security.
Schedule: Mon-Fri 8am-5pm ET, with on-call availability for urgent issues. Must be based in Eastern Time Zone.
Requirements:
- 7+ years of IT support/operations experience, including experience as senior or sole IT resource
- Startup experience operating as "one-person IT department" handling infrastructure, security, device management, IAM, and end-user support simultaneously
- Strong working knowledge of security fundamentals: endpoint protection, identity/access security, encryption, patch management, security best practices in remote-first environment
- Hands-on experience with Microsoft Defender, endpoint security, patch management, Microsoft Intune, Google Workspace administration
- Experience supporting both Windows and macOS environments
- Experience owning IAM/access management strategy and end-to-end onboarding/offboarding processes, ticketing systems, managing work within SLAs
- Understanding of PHI and HIPAA
- Strong written and verbal communication skills, ability to explain technical issues to non-technical staff and represent IT to leadership
- Customer service orientation with patience, empathy, and reassurance when supporting team
- Willingness to ship, receive, and temporarily store company equipment at home as part of device lifecycle logistics
- Ability to work independently, own ambiguous problems, manage competing priorities in remote environment
- Must be based in United States, Eastern Time Zone
Nice to Have:
- Scripting experience (PowerShell, Bash) for task automation
- Experience with Atera patch management tool
- SOC 2 familiarity
- Security certifications or demonstrable security-focused project work (MFA rollout, endpoint hardening, incident response)
- Experience mentoring junior IT staff
- Microsoft 365 Certified: Endpoint Administrator Associate
- Google Workspace Administrator certification
- CompTIA Security+
- ITIL Foundation
