Senior IT Systems Administrator
Abby Care· startup· Healthcare IT· Sep 23, 2026 · 1mo ago
San Francisco
Hybrid
Full-time
Senior
$120K–$155K
6+ years exp
Job description
ABOUT ABBY CARE: POWERING THE FUTURE OF CARE AT HOME FOR ALL OF AMERICA.
Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever. Over 50 million family caregivers support loved ones without the tools, training, or recognition they deserve.
We believe families are the largest untapped caregiving workforce in America, and that technology can help them deliver better care while driving stronger outcomes and greater transparency across the healthcare system.
Abby Care combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers in delivering high-quality care at home. Our platform helps health plans and government partners better understand, verify, and improve care in the home. We expand access to care, reduce reliance on higher-cost settings, and help ensure public dollars are spent effectively.
We are proud to partner with leading health plans, providers, and community organizations and are backed by top VCs. We envision a future where family-led care is a core part of the healthcare system. Abby Care is building that future.
Join us in solving one of the most important challenges of our time.
THE OPPORTUNITY:
We’re looking for a Senior IT Systems Administrator to join our growing team. This role reports directly to the Director of IT, Information & Security. In this role you will support Abby Care operations across multiple states and offshore teams. This role will own the identity, endpoint, and access foundation — Okta, JAMF, Google Workspace, and SentinelOne — that every Abby Care employee relies on to work securely, wherever they sit. As one of our first dedicated systems hires as we scale our payor-led business, you'll shape the compliance foundation and tooling stack that supports the company for years to come.
This is a Full-Time Hybrid opportunity based in San Francisco, CA.
WHAT YOU’LL WORK ON:
Identity Governance & Access (Okta & IaC)
- Administer Okta lifecycle management (SSO, SAML/OIDC/SCIM, MFA, conditional access) enforcing least-privilege access.
- Manage RBAC policies and identity resources as code using Terraform and CI/CD pipelines.
- Lead access certifications and remediation in partnership with Security for compliance (SOC 2, ISO 27001).
Endpoint Management & Security (JAMF & SentinelOne)
- Manage the macOS fleet via JAMF Pro, overseeing zero-touch deployment (ADE), patch management, and security compliance.
- Deploy and maintain SentinelOne agents, triaging alerts, enforcing ransomware protection, and handling threat remediation.
Productivity & Core Systems (Google Workspace & IT Ops)
- Administer Google Workspace (user lifecycle, DLP, Vault, security policies) and integrate with core identity and endpoint tools.
- Serve as Tier 2/3 escalation support, driving IT automation via scripting/APIs and managing hardware and SaaS inventories.
WHAT YOU’LL HAVE:
- 6+ years of experience in IT systems administration or a related role
- Associate’s or Bachelor’s degree in Computer Science, Information Systems, Cybersecurity, or a related field, or equivalent practical experience
- Prior experience working in the healthcare or health tech industry, with an understanding of industry-specific security and data privacy requirements (e.g., HIPAA)
- Hands-on administration experience with Okta (or a similar IdP) and a strong grasp of core IAM standards (SSO, MFA, SCIM, SAML/OIDC)
- Proven track record managing macOS fleets in an enterprise setting using JAMF (or similar MDM), SentinelOne (or similar EDR/XDR), and Google Workspace
- Core understanding of networking fundamentals (DNS, DHCP, VPN) and technical troubleshooting
- Strong technical documentation habits and the ability to independently prioritize and manage multiple tickets and projects
Nice to have:
- Practical scripting experience (Bash, Python, or Google Apps Script) to automate routine workflows and integrations
- Exposure to Windows endpoint management (Intune) and administration of modern SaaS tools (Slack, Zoom)
- Experience supporting audit preparation and security controls for SOC 2, ISO 27001, or HIPAA
- Relevant credentials such as Okta Certified Administrator, JAMF Certified Admin, or CompTIA Security+
BENEFITS:
- Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work.
- Comprehensive health coverage that works for you. Choose from high-quality medical dental and vision options, including a $0 deductible PPO and a company-funded HSA, alongside employer-paid life and disability insurance.
- Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays.
- Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).
- Paid parental leave to support your growing family. We provide up to 10 weeks of paid parental leave based on tenure, so you can focus on bonding and adjusting to life as your family grows.
OUR VALUES
1. Families First
Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?”
2. Urgency with Precision
Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand.
3. Relentlessly Resourceful
As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity.
4. Purpose with Positivity
We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve.
5. Driven to Redefine What’s Possible
We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.
Equal Opportunity Employer
Abby Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, contact talent@abbycare.org.
Abby Care considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E-Verify participating company.
Automated Decision Tools
Abby Care may use automated decision tools to help match and rank candidate work experience, education and skills found in online profiles, resumes and job applications against job requirements. We believe that these tools help ensure objective, data-based decisions during the hiring process, however, all Abby Care hiring decisions involve final human review and input. If you have questions or would like to request an alternative process, contact talent@abbycare.org.
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Keywords to mirror
aici/cdpythongo
- Platform
- ashby
- Effort
- quick
Benefits
Benefits detected in the listing.
Dental
Vision
401(K)
Paid Time Off
Parental Leave