The IT Manager is a high-impact, high-ownership role responsible for transforming 1upHealth's IT operations. This role requires a balance of deep technical skills, personal accountability, and a genuine passion for customer service.  As part of a collaborative, high-achieving team spanning cloud infrastructure, security operations, and governance & risk, you'll have the opportunity to reimagine how IT supports our people.  The ideal candidate knows that great IT isn't about closing the most tickets, it's about building the processes and systems that stop them from opening in the first place.  If you're energized about raising the bar for what IT can be, this role was made for you. This role is a hybrid role and will require 1-2 days per week in our Boston office. IN THIS ROLE, YOU'LL GET TO: * Own end-to-end IT operations as the primary point of contact for all helpdesk, break/fix, and escalation support across the organization. * Lead a mature, well-documented employee onboarding and offboarding process in close partnership with HR, ensuring timely provisioning and deprovisioning of all access and equipment. * Maintain precise and accurate access assignments of software, serving as the steward of identity and access management across the company. * Manage the full endpoint lifecycle, including procurement, imaging, deployment, patching, compliance, and disposal, across mostly macOS environments using mobile device management (MDM) tools.  * Oversee hardware and software asset management including inventory tracking, license management, contract renewals, and vendor relationships. * Manage conference room AV equipment, office Wi-Fi infrastructure, and office technology needs, ensuring reliability and a polished employee experience. * Deliver consistent, reliable day-to-day support while carving out time to build the processes and infrastructure that reduce future work.  * Build and maintain operational dashboards and reporting covering service performance, asset health, endpoint compliance, and license utilization. * Lead IT contributions to SOC 2 and HITRUST audit readiness, maintaining rigorous documentation, evidence collection, and control accuracy throughout the year. * Identify and drive automation and process improvement opportunities to reduce manual effort and increase operational maturity. * Coordinate procurement of hardware, software, and services, managing purchase orders, invoices, and vendor performance in alignment with finance and budget requirements. WE ARE LOOKING FOR PEOPLE WHO HAVE: * 8+ years of experience in IT operations, desktop/endpoint support, or enterprise IT engineering. * Demonstrated ability to operate as a solo IT practitioner or small team lead, with strong ownership mentality and minimal need for direction * Hands-on experience with endpoint management platforms such as Jamf, CrowdStrike. * Experience administering an identity provider (Okta strongly preferred) with a high degree of accuracy and a security-first access management philosophy. * Proficiency supporting both macOS and Windows devices in an enterprise environment. * Exceptional attention to detail, personal accountability, and integrity; you take pride in maintaining accurate records and reliable processes. * Strong communication skills with the ability to translate technical concepts for non-technical stakeholders and collaborate cross-functionally with HR, Finance, and Leadership. * Proven track record supporting compliance audits (SOC 2, HITRUST, or equivalent), including evidence gathering, control documentation, and gap remediation. * Security-by-design mindset, incorporating security into day-to-day operations rather than treating it as an afterthought. YOU MAY ALSO HAVE: * HIPAA / HITRUST / SOC 2 / NIST framework experience in a healthcare or health-tech environment. * Experience building and scaling IT processes from the ground up in a high-growth startup or scale-up environment. * Familiarity with FHIR-based or healthcare data platforms and the unique compliance requirements they carry. * IT certifications such as CompTIA, Microsoft (MD-102), Apple ACMT, or ITIL Foundation. * Experience scripting or automating IT workflows (e.g., PowerShell, Bash, Python) to reduce manual operations. Don't meet every requirement? Studies have shown that women, communities of color and historically underrepresented talent are less likely to apply to jobs unless they meet every single qualification. At 1upHealth we are dedicated to building a diverse, inclusive and authentic workplace. We encourage folks to apply if they meet at least 50% of the qualifications above.   About 1upHealth At 1upHealth, our mission is to unlock health data and improve industry outcomes. As leaders in FHIR® interoperability, our platform makes it easier for partners to access, integrate, aggregate, and share data across a variety of systems. 1upHealth is building a data ecosystem to promote the digital transformation of the industry and encourage insight-driven healthcare.   Benefits 100% Paid BCBS Medical and Dental Insurance for Employees Vision Insurance Flexible PTO Equity for All Employees 401(k) Home Office Stipend Lifestyle Savings Account Parental Leave (6 weeks bonding leave for all new parents + 10 weeks for birthing parents)   Security Alert: 1upHealth only uses email domains of First Name. Last [email protected] or [email protected] to communicate with prospects. You will never receive an email from a third-party email service such as gmail. In addition, we will never ask a candidate for employment to share personal information (such as banking information, social security numbers, passport, etc), purchase their own equipment, or pay to apply to an open position.