Fira Health is hiring a Senior Systems Administrator to build and secure the IT infrastructure foundation for our rapidly scaling AI-native healthcare company. You will own our security posture, architect cloud infrastructure, drive M&A system integration, and manage endpoints to enable fast, secure growth.

What You'll Do

Own security posture across all systems: implement cybersecurity controls like MFA and EDR, lead incident response, maintain HIPAA-aligned technical safeguards, support audits, and build security documentation.
Architect and maintain cloud infrastructure: deploy and maintain Microsoft 365, Entra ID, Intune, VPNs, and virtual desktop environments; manage backups, disaster recovery, monitoring, and patch management.
Drive M&A system integration: lead post-acquisition integration tasks like directory consolidation and email migrations, participate in IT due diligence, and develop repeatable IT integration playbooks.
Manage endpoints across a distributed workforce: secure Windows, macOS, and mobile devices using MDM platforms like Intune and Jamf; standardize device configurations and compliance policies.
Partner with operations to enable fast, secure growth: support business-critical platforms like HRIS and EHR systems; partner with HR on secure onboarding and offboarding; provide escalation support for complex issues.

What We're Looking For

7+ years of enterprise systems administration experience.
Demonstrated experience in HIPAA-regulated or highly compliant environments.
Strong hands-on experience with Microsoft 365, Entra ID, and Intune.
Experience with macOS administration, iOS device management, and cross-platform environments.
Proven ability to manage VPNs, firewalls, network security, and backup/disaster recovery systems.
Excellent documentation, troubleshooting, and communication skills.

Nice to Have

Healthcare or multi-site clinical operations experience.
M&A systems integration experience—you've migrated or consolidated IT environments post-acquisition.
Jamf and Apple Business Manager administration skills.
Knox or other Enterprise Device Management for tablet/mobile devices.
Virtual desktop infrastructure (VDI) experience.
Certifications: Microsoft (Azure/M365), CompTIA Security+, Jamf, CISSP.

Technical Stack

Microsoft 365, Entra ID, Intune
Jamf, Apple Business Manager, Knox
VPNs, Firewalls, Virtual Desktop Infrastructure (VDI)
ADP, Rippling, Homecare Homebase, Relias

Team & Environment

You will be one of the earliest members of the internal IT team, scaling from 500 to 2,500 employees over the next year. You will work directly with leadership, engineering, and operations.