IT Engineer
Company: Biograph
Location: San Mateo
Posted on: February 16, 2026
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Job Description:
Job Description Job Description Biograph is seeking an IT
Engineer to serve as the operational backbone of our growing IT
function. As the sole on-site IT presence, you'll own the full
spectrum of technology operations across our clinic—from
white-glove end-user support to systems administration, vendor
management, and infrastructure projects. This role is ideal for an
experienced support professional who thrives in high-autonomy
environments, takes deep ownership of outcomes, and understands the
critical importance of privacy and security in healthcare. You'll
join a small, nascent IT team with significant latitude to define
best practices, introduce new tooling, and shape how IT scales
alongside the business. This role is based in San Mateo, CA,
on-site ~4-5 days/week with working hours of 7am-4pm. WHAT YOU WILL
DO End-User Support Serve as the primary point of contact for IT
inquiries, delivering high-touch, in-person support at our San
Mateo clinic Resolve help desk requests from remote teammates via
Slack, email, and phone Escalate complex issues to senior team
members or external vendors as appropriate Maintain and expand our
IT knowledge base to improve self-service and AI-assisted ticket
deflection Systems Administration Administer and maintain our core
tooling stack: Okta, Google Workspace, Kandji (Iru), Meraki,
CrowdStrike, Slack, Apple Business Manager, 1Password, Zoom,
KnowBe4, Level.io, Veeam, HubSpot, Verkada, and Active Directory
Execute employee onboarding/offboarding workflows via Okta;
provision and configure laptops Maintain IT asset inventory and
lifecycle tracking Projects & Improvement Lead or contribute to IT
projects spanning security, infrastructure, and operational
efficiency Collaborate cross-functionally to evaluate, pilot, and
implement new technology solutions Automate repetitive workflows
using scripts (PowerShell, Bash) or low-code platforms (Make.com,
n8n) WHAT YOU BRING TO THE ROLE 3–5 years of hands-on IT support
experience Deep proficiency with macOS and Windows endpoints
Experience administering identity platforms (Okta, Entra ID, or
similar) and MDM solutions (Kandji, Jamf, Intune) Solid
understanding of networking fundamentals and experience with Meraki
or equivalent Exceptional customer service instincts—you default to
empathy and clear communication Strong organizational skills with
meticulous attention to detail Self-directed: comfortable operating
independently with minimal oversight Nice to haves: Exposure to
Windows Server, Hyper-V, or Linux administration Familiarity with
HIPAA compliance requirements and healthcare IT environments
Experience with ticketing/CRM systems (HubSpot, Linear, Zendesk,
etc.) Scripting or automation experience (PowerShell, Bash, Python,
or workflow tools) Previous experience in a startup or high-growth
environment COMP | PERKS | BENEFITS $105,000 - $135,000 per year
Equity in an early stage company Medical, dental, and vision
insurance 401(k) Paid maternity / paternity leave Unlimited PTO
Biograph Membership WHY JOIN US? Biograph is on a mission to drive
meaningful advances in human healthspan and lifespan. We're not
simply focused on helping you live longer, we're focused on making
every year the best it can be. Biograph is an equal opportunity
employer offering competitive salaries, comprehensive health
benefits, and a people focused culture. Innovation at the Core :
Work with a forward-thinking team that merges the latest in health
technology, data science, and personalized care. Collaborative
Ecosystem : Work alongside engineers, designers, and clinicians to
create groundbreaking solutions that redefine what's possible in
healthcare. You will be part of a multidisciplinary team where
innovation thrives, and every voice matters, contributing to a
culture that values diverse perspectives and bold thinking.
Impactful Leadership : Be the voice for our members' health
journeys, influencing the development of cutting-edge tools and
technologies to enhance their lives. Opportunities for Growth :
With Biograph, you're not just stepping into a role—you're joining
a company where growth and development are prioritized. As we
continue to scale and innovate, you will have opportunities to
expand your expertise, take on new challenges, and make meaningful
contributions to the broader healthcare landscape. A Purpose-Driven
Mission: At Biograph, we're committed to more than just
healthcare—we're focused on changing lives by extending healthspans
and improving quality of life through personalized care. If you're
passionate about making a tangible difference, this is your chance
to be part of something truly transformative.
Keywords: Biograph, Palo Alto , IT Engineer, IT / Software / Systems , San Mateo, California