IT Manager

About Us:

The United States has the poorest maternal and birth outcomes of all developed countries with the underserved, Black, Brown, Indigenous communities disproportionately affected. Nadia Care is working to drastically change the experience of affected communities by reimagining how we deliver meaningful and compassionate care to expectant moms.

Nadia Care’s mission is to improve pregnancy, birth and the postpartum journey for women and their families by reimagining how maternity care is delivered. Our team is focused on building trust-based engagement and wrap-around support for expectant moms at home, in person and virtually to ensure they have all the social support they need for a successful and joyful pregnancy journey. We help our members with care navigation, doula support, assistance with lactation, nutrition, housing, transportation and a wide range of other needs. We leverage technology to support our virtual engagement that allows us to meet all our moms where they are.

We ensure that our members have trusted sources for support, resources, and information throughout their pregnancy, delivery and well into postpartum. Nadia Care does not replace the primary obstetrician or doctor’s relationships. Instead, we support expectant mothers with all other health-related social needs not typically available through their doctors’ offices.

Our Values:

Empathy is at the heart of everything we do. We must always center the experiences of the mothers and families we serve, as well as support and uplift one another.

Collaboration is what makes us stronger. We achieve the greatest impact when we work together, share knowledge, and elevate each other’s strengths.

Resilience reflects our ability to push through challenges, adapt in a fast-changing environment, and remain committed to our mission no matter the obstacles.

The Role:

We are seeking an IT Manager to own day-to-day IT operations, user lifecycle management (onboarding/offboarding), and identity & access management (IAM) for our growing, distributed team.

This is a hands-on, one-person IT and security function. For now, you will be the sole technical resource and the primary point of contact for all IT and security matters, owning the processes end-to-end. As the function grows, there is the opportunity to build and lead a team beneath you. You will report directly to the CISO and serve as their key operational partner on access and security matters.

This role goes beyond execution; you'll set the standards, own the processes end-to-end, and serve as the primary technical escalation point. You'll be provisioning and deprovisioning accounts, managing devices through Intune, driving IAM strategy, managing endpoint security, and making sure the right people have the right access at the right time.

The ideal candidate is senior enough to operate independently from day one with no ramp-up required. You've operated as the sole or senior IT resource at a startup, are comfortable wearing every hat, owning ambiguous problems independently, documenting your work, and balancing reactive support with proactive process improvement.

Schedule: Mon-Fri 8am-5pm ET, and as needed to respond to urgent issues. This role requires living in the Eastern Time Zone .

Key Responsibilities

IT Support & Operations

Serve as the primary point of contact and escalation lead for Tier 1-3 technical support requests via ticketing systems

Support end users across both Windows and macOS environments, including hardware, OS, and application issues

Troubleshoot connectivity, printing, email, and general software/access issues

Triage and resolve tickets within defined SLAs, owning escalation paths for complex issues

Own documentation standards: maintain clear records of common issues, fixes, and internal how-to guides

User Lifecycle Management & IAM

Own end-to-end onboarding/offboarding: training for new hires on company systems, account provisioning, device setup, and access control for new hires and departing employees

Own identity and access management (IAM) strategy, including periodic user access reviews, role/permission assignment, and timely deprovisioning

Apply and enforce least-privilege principles when granting or reviewing access to systems and applications

Support SSO configuration and troubleshoot SaaS application access issues

Maintain accurate records of who has access to what

Device, Endpoint Management & Security

Administer Microsoft Intune (MDM) and O365 for a remote, multi-OS device fleet

Set and enforce security policies across endpoints, including encryption, patching, and compliance configurations

Deploy, monitor, and manage Microsoft Defender across managed devices

Own patch management across the fleet

Handle physical logistics for company devices, including shipping/receiving equipment for new hires, offboarding, and repairs

Own device inventory tracking and lifecycle management of company hardware, including procurement recommendations

Manage Google Workspace users, groups, and settings

Maintain and troubleshoot core SaaS tools used across the organization

Security

Apply strong security fundamentals across endpoints, identity, and access, including encryption, patching, MFA/conditional access, and least-privilege enforcement

Partner with the CISO on access-related security requests and remediation items

Serve as the operational owner of endpoint and identity security

Required Qualifications

7+ years of IT support/operations experience, including experience as the senior or sole IT resource

Startup experience, having operated as the "one-person IT department" handling infrastructure, security, device management, IAM, and end-user support simultaneously without a larger team to lean on

Strong working knowledge of security fundamentals: endpoint protection, identity/access security, encryption, patch management, and security best practices in a remote-first environment

Hands-on experience with Microsoft Defender and endpoint security, patch management, Microsoft Intune, Google Workspace administration

Experience supporting both Windows and macOS environments

Experience owning IAM / access management strategy and end-to-end onboarding/offboarding processes, ticketing systems, and managing work within SLAs

Understanding of PHI and HIPAA

Strong written and verbal communication skills, with the ability to explain technical issues to non-technical staff and represent IT to leadership

Customer service orientation with the ability to remain patient, empathetic, and reassuring when supporting the team

Willingness to ship, receive, and temporarily store company equipment (e.g., laptops) at their home as part of device lifecycle logistics

Ability to work independently, own ambiguous problems, and manage competing priorities in a remote environment

Must be based in the United States, Eastern Time Zone

Tools & Vendors

Microsoft Intune

Microsoft Defender

Microsoft O365

Google Workspace

Slack

Atera (patch management)

Nice to Have

Scripting experience (PowerShell, Bash) for ta