Iterative Health is pioneering the use of artificial intelligence-based precision medicine in gastroenterology, with the aim of helping to optimize clinical trials investigating the treatment of IBD. We use advanced machine learning and computer vision to interpret endoscopic videos along with other types of data, helping clinicians better assess patients with potential GI problems. Ultimately, the company aims to establish more meaningful endpoints to serve as better predictors of both therapeutic response and disease outcomes.

We are seeking an experienced IT System Engineer to join our team. The successful candidate will be responsible for designing, implementing, and maintaining our corporate IT operations and assist with IT support. The right candidate will have expertise in managing macOS and Windows machines using modern best practices, experience in Identity and Access Management engineering, help oversee our SaaS application portfolio, and lead our integration of various SaaS applications for automation. You are also a tech support and IT operations professional and who knows how to impress your clients with great experiences.

If you are driven and passionate about delivering great experiences for employees using technology, you think proactively to prevent issues from occurring, and enjoy working at a mission driven company, we want to hear from you!

What you'll be doing:

  • You will help lead the lifecycle of our fleet of macOS and Windows based machines, you will ensure they’re securely monitored and managed in our regulated environment, and reliable for our employees.
  • You will help lead our SaaS based IT services, making improvements such as automating processes to cut down on repetitive tasks, integrating different SaaS products together to unlock new features. 
  • You will help monitor our office networks to make sure we can provide reliable connections, you will also help with our Zero Trust initiatives to make remote working safer for the company.
  • You will be part of a team that handles tech support questions, you will be on an on call rotation for after hours tech support questions.
  • You may be asked to work after hours for maintenance tasks to minimize disruptions to our employees.
  • You will monitor and respond to security alerts, do investigations into incidents to determine root causes, and help our compliance and regulatory teams maintain our security.
  • You will create and maintain IT documentation that explains all of our systems and how they integrate with each other, you will create and maintain knowledge base articles for our employees needs.

Required skills:

  • 3+ years of experience in front line IT support.
  • 3+ years of experience in IT system engineering, with a focus on IAM, SaaS Automation, and Device Management
  • Strong practical knowledge working with Okta and Google Workspace IAM features.
  • Deep experience in managing and customizing SaaS applications (Slack, Zoom, O365, Atlassian) to fit the needs of our employees.
  • Expert knowledge of device management platforms (e.g., Kandji, Windows Intune) as well as best security practices to monitor and manage machines. 
  • Experience in creating and managing secure networks for our various offices as well as our remote workers
  • Excellent troubleshooting and problem-solving skills
  • Strong communication and interpersonal skills, with the ability to work effectively in a team environment
  • Willingness to participate in on-call rotation for after-hours support
  • Ability to lift 50 lbs.

Preferred skills:

  • Ability to create scripts to tie different APIs together, or deep knowledge of automation tools such as Zapier,, or Workato.
  • You are familiar and worked in environments that used best practices around the concepts of GitOps and infrastructure as code.
  • Delivering and managing Cloudflare Zero Trust or other SASE products to employees.

Some of our benefits include:

  • Vision/Dental/ Medical Insurance
  • Life/Disability Insurance
  • Parental Leave
  • Stock Options
  • Flexible Work Hours
  • Unlimited Paid Time Off

At Iterative Health, we’re actively working towards creating an environment that is representative of the diversity of patients our technology serves. We are focused on building an equitable and inclusive culture, and by extension, hiring process. If you require any accommodations to make the application process or interviewing experience more accessible to you, please contact

Apply for this Job

* Required
resume chosen  
(File types: pdf, doc, docx, txt, rtf)

U.S. Standard Demographic Questions We invite applicants to share their demographic background. If you choose to complete this survey, your responses may be used to identify areas of improvement in our hiring process.
How would you describe your gender identity? (mark all that apply)

How would you describe your racial/ethnic background? (mark all that apply)

How would you describe your sexual orientation? (mark all that apply)

Do you identify as transgender? (Select one)

Do you have a disability or chronic condition (physical, visual, auditory, cognitive, mental, emotional, or other) that substantially limits one or more of your major life activities, including mobility, communication (seeing, hearing, speaking), and learning? (Select one)

Are you a veteran or active member of the United States Armed Forces? (Select one)

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Iterative Health’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Form CC-305

OMB Control Number 1250-0005

Expires 04/30/2026

Voluntary Self-Identification of Disability

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your "major life activities." If you have or have ever had such a condition, you are a person with a disability.

Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

Please reach out to our support team via our help center.