IT Systems Engineer

About this role

Building Healthcare That Remembers

Every time you call a doctor's office, the system forgets you the moment you hang up. You wait on hold, explain everything from scratch, get bounced between lines, and hope someone follows up. Everyone has felt this, and no one should have to.

At Assort Health, we're building Healthcare That Remembers.

We are creating one continuous conversation for every patient, across every modality: call, text, and message. An AI agent that knows who you are, remembers how you like to be reached, notices when something in your care changes, and carries that context from your first symptom to your full recovery.

Assort is the fastest-growing AI agents company in healthcare. Our omnichannel agents handle calls, texts, and chats from end to end, integrating with EHR and PMS systems and the real-world preferences of every provider so patients reach the care they need without the wait.

What began as the first voice AI agent to schedule a specialty appointment has become a platform spanning scheduling, intake, referrals, document processing, medication refills, eligibility verification, lab requests, and payments. That expansion has been powered by more than 190 million patient interactions, 62,000 care protocols, and 1.6 million decision pathways, creating the largest proprietary specialty dataset in healthcare.

Since launching the first AI agent to answer a patient phone call in 2023, Assort has helped healthcare organizations dramatically reduce hold times, automate administrative work, and improve access to care for millions of patients.

We are growing fast. We went from 15 people in 2025 to 170 today and are doubling again this year. Revenue has grown 20x in the last 15 months.

Backed by Menlo Ventures, Lightspeed, First Round, and other leading investors, Assort has raised more than $222 million, including a recent $120 million Series C. We were named to the 2026 Enterprise Tech 30 as the only healthcare AI company on the list and to the Forbes Cloud 100 alongside OpenAI, Anthropic, Stripe, and Ramp.

Healthcare spends over $1.1 trillion every year on administrative work instead of patient care. We believe AI can change that. The problem is enormous, the timing is right, and we are building the team to solve it.

If you want to help build the system that hundreds of millions of people will rely on to access care, we'd love to meet you.

ABOUT THE ROLE

We're hiring our first dedicated IT Systems Engineer to own and scale IT infrastructure across the company—from endpoint management to identity systems and day-to-day operations. You’ll be embedded within the Security organization, partnering with every team to build secure, reliable, and scalable IT systems in a fast-growing environment.

This is a foundational role with broad ownership. You’ll take the lead on critical initiatives like identity and access management, device lifecycle management, and IT onboarding/offboarding, while also handling real-time operational needs. As the company grows, your work will directly enable us to scale securely and efficiently.

WHAT YOU'LL DO

You’ll be the backbone of IT at the company—building systems, solving operational challenges, and creating the infrastructure that supports every employee.

Build Our Core IT Systems

- Own identity and access management end-to-end, including SSO integrations, user provisioning, and access controls across all applications

- Lead the rollout and long-term ownership of Okta to centralize and secure access management

- Design and implement scalable IT systems that support company growth and compliance requirements

- Manage endpoint infrastructure, including provisioning, configuration, patching, and lifecycle management

Drive IT Operations and Automation

- Own employee onboarding and offboarding workflows, ensuring seamless day-one experiences and secure offboarding processes

- Handle day-to-day IT operational requests including access management, troubleshooting, and employee support

- Build automation and self-service systems to reduce manual IT workload and eliminate bottlenecks

- Establish processes that reduce single points of failure and improve system reliability

Solve Complex Infrastructure Challenges

- Set up and maintain office network infrastructure, including VPNs, access points, and ongoing troubleshooting

- Design and implement secure asset disposition processes for retiring and wiping devices

- Troubleshoot issues across macOS snd Windows environments in a fast-paced, in-office setting

Lay the Foundation for Scale

- Transition IT from ad hoc support to structured, scalable systems

- Partner with Security to ensure compliance and strong security practices across all IT systems

- Act as the single owner of IT infrastructure, building processes that will scale with headcount growth

- Provide in-person support and real-time problem-solving in a highly collaborative office environment

WHAT WE'RE LOOKING FOR

Required:

- 3+ years of experience in Systems Engineering, IT Engineering, or similar roles

- Experience building and managing IT systems and workflows in a growing organization

- Strong understanding of identity and access management (SSO, SAML, SCIM, RBAC, etc.)

- Experience implementing and managing enterprise SaaS tools at scale

- Familiarity with device management platforms (e.g., Jamf, Microsoft Intune)

- Experience with identity providers like Okta

- Strong troubleshooting skills across macOS and Windows environments

- Ability to operate independently and take full ownership of IT infrastructure

- Comfortable working onsite and supporting employees in real time

Nice to Have:

- Experience scaling IT systems in a high-growth startup environment

- Background in security or working closely with security/compliance teams

- Experience building automation or self-service IT workflows

- Familiarity with office network infrastructure (VPNs, access points, etc.

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