Senior IT Systems Engineer

abridge·Remote(United States)
Software Development

WFA Digital Insight

The demand for skilled IT systems engineers continues to grow, with a 25% increase in job postings over the past year. Abridge's commitment to innovation in healthcare technology makes this role particularly compelling for those interested in the intersection of tech and medicine. With the rise of remote work, companies are looking for experts who can manage and secure complex infrastructure systems. Candidates should be prepared to demonstrate their expertise in cloud infrastructure, endpoint management, and security compliance. Before applying, consider highlighting your experience with SOC 2 and HIPAA frameworks, as well as your ability to work collaboratively with cross-functional teams.

Job Description

About the Role

The Senior IT Systems Engineer will play a critical role in designing, deploying, and maintaining Abridge's corporate infrastructure and endpoint ecosystem. This includes managing and hardening the device fleet, maintaining cloud and network infrastructure, and ensuring all systems meet rigorous configuration and compliance standards. As a key member of the IT team, you will work closely with the Security team, IT leadership, and cross-functional stakeholders to maintain a resilient, scalable, and audit-ready infrastructure posture.

The successful candidate will have a deep understanding of IT systems engineering, corporate infrastructure, and cloud computing. You will be responsible for owning the full lifecycle of corporate endpoints, managing cloud infrastructure components, and implementing security and compliance hardening measures. If you have a passion for working in a fast-paced environment and are committed to delivering high-quality results, this role may be an excellent fit for you.

Abridge is a growing company with a mission to power deeper understanding in healthcare. Our team is comprised of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care more sense. We have offices located in the Mission District in San Francisco, the SoHo neighborhood of New York, and East Liberty in Pittsburgh.

What You Will Do

  • Own the full lifecycle of corporate endpoints, including imaging, configuration management, patch enforcement, and compliance remediation using MDM platforms
  • Manage and maintain cloud infrastructure components, including identity federation, network segmentation, and access controls
  • Implement and enforce CIS benchmarks, endpoint security baselines, and configuration standards aligned with SOC 2 Trust Service Criteria and HIPAA technical safeguards
  • Administer and maintain SSO, MFA, and directory services, supporting access provisioning and deprovisioning workflows
  • Maintain an accurate CMDB and asset inventory, enforcing configuration-as-code practices where applicable
  • Partner with Security, Engineering, and IT Automation peers to evaluate new tooling, respond to audit requests, and drive continuous improvement of the infrastructure posture
  • Collaborate with cross-functional stakeholders to ensure alignment with business objectives and compliance requirements
  • Develop and implement automation scripts to streamline IT processes and improve efficiency
  • Participate in on-call rotations to provide 24/7 support for critical infrastructure systems

What We Are Looking For

  • 5-8 years of experience in IT Systems Engineering, Corporate Infrastructure, or a closely related discipline within an enterprise environment
  • Deep hands-on experience managing macOS fleets at scale using MDM platforms, with iOS and Linux experience a plus
  • Working knowledge of at least one major cloud platform (GCP, AWS, or Azure) in a corporate IT context, including IAM, networking, logging, and access controls
  • Strong understanding of SSO (SAML/OIDC), MFA enforcement, SCIM provisioning, and directory services administration
  • Practical experience implementing technical controls aligned to SOC 2, HIPAA, or equivalent frameworks, with familiarity with audit evidence collection
  • Proficiency in Bash, Python, or equivalent scripting for system administration and operational automation tasks
  • Ability to independently diagnose and resolve complex infrastructure and endpoint issues in a fast-moving environment
  • Excellent communication and collaboration skills, with the ability to work effectively with technical and non-technical stakeholders

Nice to Have

  • Experience with Fleet for open-source device management
  • Familiarity with DevOps practices and tools, such as Jenkins, Docker, or Kubernetes
  • Knowledge of security frameworks and compliance regulations, including HIPAA, PCI-DSS, or GDPR

Benefits and Perks

  • Competitive salary and benefits package
  • Opportunity to work with a cutting-edge technology company in the healthcare industry
  • Collaborative and dynamic work environment with a team of experienced professionals
  • Flexible working hours and remote work options
  • Professional development opportunities, including training and conference attendance
  • Access to the latest technologies and tools
  • Recognition and reward for outstanding performance

How to Stand Out

  • Be prepared to discuss your experience with cloud infrastructure, endpoint management, and security compliance in detail. Highlight specific examples of how you have implemented and enforced security controls in previous roles.
  • Familiarize yourself with Abridge's technology stack and be prepared to ask informed questions about the company's infrastructure and security posture.
  • Emphasize your ability to work collaboratively with cross-functional teams, including Security, Engineering, and IT Automation peers.
  • Showcase your problem-solving skills by describing a complex infrastructure or endpoint issue you have resolved in the past, and how you approached the problem.
  • Be prepared to provide examples of your experience with automation scripts and configuration-as-code practices, and how you have applied these skills in previous roles.
  • Research the company's mission and values, and be prepared to discuss how your skills and experience align with Abridge's goals and objectives.

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