IT Manager

Counsel’s mission is to multiply the world's healthcare capacity. We believe in a future in which every person has a personalized, AI-enabled doctor always in their pocket. To accomplish this, we’re building the first fully-vertical, AI-native medical group from the ground up. We’ve redesigned the entire clinical stack with custom AI tools that make our in-house physicians 10x faster and smarter. [learn more on our blog]
Since our founding in 2023, we have formed partnerships with leading healthcare organizations and are on track to serve hundreds of thousands of patients on our platform within the next year. We have raised over $35M from a16z, Google Ventures, Pear VC and other top-tier VC firms.
Our team combines deep expertise in medicine (Harvard, Mt. Sinai, Mass General, UCSF) and technology (MIT, Google, DeepMind, NVIDIA, Stripe, Meta) — and we’re looking for exceptional people to join us as we scale.

Join us as we build the future of AI in healthcare!

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We are seeking a driven, organized, and experienced IT Manager to join us in defining the future of healthcare. You will own our IT environment end to end; the systems, devices, identity, and security that keep our team equipped and our company moving fast as we scale. You'll have significant responsibility and ownership, and work cross-functionally with People & Operations, Security, Engineering, and every team that depends on reliable IT.

• Own IT systems & support: Be the go-to for employee IT support. Triage and resolve hardware, software, and access issues, and keep day-to-day operations running smoothly.

• Run onboarding & offboarding: Provision accounts, devices, and access on day one, and reclaim them cleanly when someone departs.

• Manage the device fleet: Handle the full device lifecycle covering procurement, configuration, deployment, repair, and retirement.

• Administer MDM: Use MDM (Jamf, Kandji, Intune, or similar) to enforce configuration, encryption, patching, and security across the fleet.

• Manage identity & SaaS: Own access across Google Workspace / Microsoft 365 and the SaaS stack — SSO, provisioning, groups, and role-based permissions — along with licensing and spend.

• Handle networking & AV: Keep office networking (Wi-Fi, switches, firewall/VPN) and conference-room/AV systems reliable, and troubleshoot as needed.

• Strengthen security & compliance: Own day-to-day security hygiene (MFA, endpoint protection, patching, access reviews) and partner with our security and compliance team to support HIPAA safeguards, SOC 2, and audit readiness.

• Manage vendors & budget: Own hardware, software, and service-vendor relationships, IT purchasing, and budget forecasting.

• Build for scale: Document systems, processes, and runbooks, and design IT practices that scale as we grow.

• You are an intrinsically motivated doer who takes ownership of broad initiatives and drives them to completion, navigating ambiguity with ease

• You thrive in fast-moving, collaborative environments and enjoy supporting teammates across both technical and non-technical roles

• 7+ years in IT, systems administration, or IT support, with broad ownership across systems, devices, and security

• Hands-on MDM experience (Rippling, Jamf, Kandji, Intune, or similar)

• Strong Google Workspace and/or Microsoft 365 administration skills

• Solid foundational networking (DNS, DHCP, VPN, Wi-Fi troubleshooting) and IT security fundamentals (MFA, SSO, endpoint security, encryption)

• Comfort owning device lifecycle management and procurement

• Bonus: experience in a regulated environment (HIPAA, SOC 2, ISO 27001, or HITRUST), scripting/automation (Bash, PowerShell, Python), or a dedicated identity provider (Google, Entra ID)

NYC - hybrid, Boston - hybrid

• Impact: Be at the forefront and contribute to groundbreaking, AI-driven healthcare experiences, directly interface with execs at the world's leading tech & healthcare orgs

• Growth: Significant opportunities for broad ownership and professional development within our rapidly scaling startup

• Compensation: Competitive salary + equity

• Benefits: Comprehensive healthcare, vision + dental, 401K, Unlimited PTO, Parental Leave

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• Patients come first.
  We are clinicians 1st, technologists 2nd. We act with patient trust/safety at the center of every decision.

• Innovate with optimism.
  We are optimistic as we build the future of care delivery from first principles. Challenge the status quo when needed, no sacred cows.

• Right answer wins.
  Debate openly and pick the strongest path. We optimize for the company, not functions. We win and lose as a team.

• Simplicity over complexity.
  We choose clear, elegant solutions and avoid adding complexity that does not serve patients or the team.

• Do fewer things, well.
  We focus, and hold ourselves to the highest bar and pursue excellence in those areas.

#LI-PINJOB

Recruitment Fraud Notice. Counsel Health only communicates with candidates using official @counselhealth.com email addresses. We will never ask for payment or financial information during the interview process. If you receive suspicious outreach claiming to be from Counsel Health, please contact us at [email protected].

Counsel Health participates in E-Verify. All newly hired employees are processed through the E-Verify system to confirm employment eligibility.