IT Manager

Flagler Health is building the clinical operating system for modern musculoskeletal (MSK) care, partnering with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care. The company is hiring its first IT Manager to own internal IT: identity, devices, networks, and security controls. The role runs IT hands-on for the New York HQ and is accountable for IT at the India entity being set up over the next year. The IT Manager reports to the CTO and partners with Finance, People Ops, and Engineering. Work includes regular in-person collaboration in New York, regular early-morning calls with India, and occasional travel there.

Responsibilities

Run corporate IT in New York: Google Workspace, the macOS fleet, SSO, and access reviews; Run onboarding and offboarding, from day-one setup to same-day de-provisioning; Manage our India IT lead, and hold them to clear targets; Set the standards the India build follows, from Autopilot provisioning to Windows security baselines; Design how India connects to US systems: identity, Conditional Access, and keeping company data off unmanaged devices; Build the physical layer for our office move: network, Wi-Fi, and conference room AV; Define the support model: ticketing, response targets, and runbooks across two countries

Requirements

7+ years in corporate IT, including 2+ owning the function or managing people; Deep hands-on Google Workspace and macOS fleet administration; Working knowledge of Entra ID, Intune, and Microsoft 365, enough to review someone else's configuration; Managed IT staff or a provider in another country and held them to clear targets; Built an IT function from a thin base at a high-growth company; Owned office infrastructure through a build-out or move: network, Wi-Fi, AV; Vendor and budget ownership, including Microsoft and Google licensing; Able to work from our New York office on a regular in-person basis

Nice to have

Oversaw IT for a new international entity, particularly in India; Used Windows 365 or Azure Virtual Desktop to keep company data off offshore endpoints; Healthcare experience handling PHI, BAAs, and clinical or revenue cycle access patterns; Automation habit: Apps Script, PowerShell, Microsoft Graph, or equivalent; Used AI tooling to take work off the IT queue; Hired or managed an outsourced IT provider; Microsoft certification (MD-102, SC-300, AZ-104) or equivalent depth