Senior IT Systems Engineer

Company: NexHealth
Location: San Francisco
Posted on: June 1, 2025

Job Description:

About NexHealthNexHealth is on a mission to accelerate healthcare innovation by modernizing the industry with real-time EHR integration APIs and a scalable platform. Founded in 2017, NexHealth serves 10,000+ practices, 50M+ patients, and developers across 15+ EHR systems. Backed by $177M in Series C funding, the company is headquartered in San Francisco, CA, and Draper, UT.Here's some of what we've accomplished:

• $125M Series C at $1B valuation
• Manage more than 75 million patient records
• 80%+ annual revenue growth
• Top 10% of Inc. 5000 (2022)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.What You'll Do:
  • Develop and maintain scalable and automated IAM (Identity and Access Management) systems with self-service capabilities
  • Automate and manage employee onboarding and offboarding workflows for seamless access provisioning and de-provisioning
  • Oversee network, device lifecycle management and Audio Visual (AV) conferencing solutions
  • Implement proactive monitoring of IT systems for optimal performance and security
  • Drive corporate security initiatives, including deploying Zero Trust Access and managing EDR (Endpoint Detection and Response)
  • Support compliance efforts by providing evidence and documentation from an IT perspectiveWhat You'll bring:
    • 5+ years of experience administering enterprise IT systems and SaaS applications
    • Strong knowledge of IAM, MDM, Mac OS and device lifecycle management best practices
    • Ability to automate and streamline workflows
    • Strong problem-solving and documentation skills
    • Detail-oriented with a focus on continuous process improvementNexHealth Values
      • Solve the customer's problems, not yours: When making decisions, think from the perspective of the customer. It's easy to make decisions that make our lives simpler, but not the customers.
      • Do the things others are not willing to do: As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace.
      • Take ownership: Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses.
      • Say what's on your mind, with positive intent: Be direct, proactive, transparent, and frequent in your communication.
      • Default trust: As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster.
      • Think in first principles: We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask "why" to validate our assumptions.Here's a glimpse into our interview process:
        • You'll talk with a NexHealth Recruiter
        • You'll talk with the Hiring Manager on a video call
        • You'll talk with Team Members on a video call
        • You'll do a Panel Presentation or Working Session with a small panelApply for this job* indicates a required field
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Keywords: NexHealth, Fremont , Senior IT Systems Engineer, Other , San Francisco, California