IT Engineer

Biograph•San Mateo, CA

6d•$105,000 - $135,000•Onsite

About The Position

Biograph is seeking an IT Engineer to serve as the operational backbone of our growing IT function. As the sole on-site IT presence, you'll own the full spectrum of technology operations across our clinic—from white-glove end-user support to systems administration, vendor management, and infrastructure projects. This role is ideal for an experienced support professional who thrives in high-autonomy environments, takes deep ownership of outcomes, and understands the critical importance of privacy and security in healthcare. You'll join a small, nascent IT team with significant latitude to define best practices, introduce new tooling, and shape how IT scales alongside the business. This role is based in San Mateo, CA, on-site 4+ days/week.

Requirements

3–5+ years of hands-on IT support experience
Deep proficiency with macOS and Windows endpoints
Experience administering identity platforms (Okta, Entra ID, or similar) and MDM solutions (Kandji, Jamf, Intune)
Solid understanding of networking fundamentals and experience with Meraki or equivalent
Exceptional customer service instincts—you default to empathy and clear communication
Strong organizational skills with meticulous attention to detail
Self-directed: comfortable operating independently with minimal oversight

Nice To Haves

Exposure to Windows Server, Hyper-V, or Linux administration
Familiarity with HIPAA compliance requirements and healthcare IT environments
Experience with ticketing/CRM systems (HubSpot, Linear, Zendesk, etc.)
Scripting or automation experience (PowerShell, Bash, Python, or workflow tools)
Previous experience in a startup or high-growth environment

Responsibilities

End-User Support Serve as the primary point of contact for IT inquiries, delivering high-touch, in-person support at our San Mateo clinic
Resolve help desk requests from remote teammates via Slack, email, and phone
Escalate complex issues to senior team members or external vendors as appropriate
Maintain and expand our IT knowledge base to improve self-service and AI-assisted ticket deflection
Systems Administration Administer and maintain our core tooling stack: Okta, Google Workspace, Kandji (Iru), Meraki, CrowdStrike, Slack, Apple Business Manager, 1Password, Zoom, KnowBe4, Level.io, Veeam, HubSpot, Verkada, and Active Directory
Execute employee onboarding/offboarding workflows via Okta; provision and configure laptops
Maintain IT asset inventory and lifecycle tracking
Projects & Improvement Lead or contribute to IT projects spanning security, infrastructure, and operational efficiency
Collaborate cross-functionally to evaluate, pilot, and implement new technology solutions
Automate repetitive workflows using scripts (PowerShell, Bash) or low-code platforms (Make.com, n8n)