IT Manager

Pivotal Health, Inc.

• $110K — $130K *
Information Technology
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 8+ years in IT support or operations with leadership in a professional office setting.
  • Experience in small to mid-sized, fast-growing companies with multiple offices.
  • Hands-on knowledge of macOS and Windows support, and administration of Google Workspace and Slack.
  • Familiarity with managing IT vendors and hardware procurement.
  • Strong organizational skills with a proactive, self-directed work ethic.
  • Ability to communicate technical issues clearly to non-technical colleagues.
  • Resourceful problem-solver with curiosity about AI and automation for efficiency.

Responsibilities

  • Own and manage the IT help desk and employee support for both in-office and remote teams.
  • Oversee onboarding and offboarding processes, ensuring timely access management.
  • Manage IT assets: procurement, inventory tracking, and device provisioning for staff.
  • Ensure all office technology, including conference rooms, is functional and meets company needs.
  • Administer SaaS applications and IT vendor management to ensure efficient operations and oversight.
  • Collaborate with the security team on device compliance and access management.

Benefits

  • Competitive compensation, including equity.
  • Comprehensive health, dental, and vision insurance.
  • 401(k) retirement savings plan.
  • Flexible time off policy.
  • Company-wide events and connectivity opportunities.
Full Job Description
About the Role

We're hiring our first dedicated IT Manager. We're opening a new NYC office, adding people quickly across NY, LA, and remote teams, and bringing IT support in-house. You'll be the go-to person for everything IT at Pivotal, from a new hire's first login to the conference room screen that won't connect.

This is a hands-on role with no direct reports today. You'll build IT from the ground up: set up how we support employees, manage our IT vendors, keep our offices running, and make everyday tech feel effortless. Because we work in healthcare under SOC 2 and HIPAA, you'll also partner closely with our Security Platform team to keep access and devices in good shape.

What You'll Do
  • Own Employee Support & the Help Desk: Be the first person employees go to for IT help, in person in NYC and remotely for everyone else. Own our help desk (FreshService), set up Slack-based triage, write self-serve answers for common issues, troubleshoot macOS and Windows hardware and software, and track recurring issues so fewer of them come back.
  • Run Onboarding, Offboarding & Access: Make sure new hires are ready on day one and leavers lose access on time. Manage accounts and app access through Rippling, our source of truth for access, and partner with People Ops on the new-hire pipeline and device timing.
  • Manage Devices & Assets: Buy and provision laptops, monitors, and peripherals, and help move us toward remote (MDM) provisioning. Keep an accurate inventory of who has which device and what spares each office has, and plan hardware needs against the hiring plan so shortages don't slow onboarding.
  • Keep Our Offices & Conference Rooms Running: Own conference room tech across NY (Neat) and LA (Logitech), including daily room checks. Support Zoom and Google Meet, help standardize meeting rooms on one platform, keep office networking and Wi-Fi running with our network vendor, and be our on-site tech lead as we open and grow the new NYC office.
  • Administer SaaS Tools & Vendors: Administer core tools including Google Workspace, Slack, Zoom, Notion, Microsoft 365, Asana, Linear, and GitHub. Manage licenses, watch usage, and run regular access reviews. Manage our outsourced IT provider and other IT vendors: decide what to handle in-house and what to escalate, and hold vendors to clear expectations.
  • Partner on Security: Work with the Security Platform team on device compliance, access reviews, and security awareness rollouts. Security strategy and tooling stay with that team.
Who You Are
  • 8+ years in IT support or IT operations, with meaningful time as the go-to IT person in a professional office.
  • You've worked at small or mid-sized, fast-growing companies, ideally with more than one office (tech, e-commerce, retail, or similar).
  • Hands-on experience supporting macOS and Windows, administering Google Workspace and Slack, and running conference room and AV setups (Neat Bar/Pad, Logitech, or similar).
  • Experience managing IT vendors and hardware purchasing.
  • You're patient, low-ego, and calm when people are frustrated, and you explain tech clearly to non-technical coworkers.
  • You're highly organized: you document, track, and follow through without being chased, and you're comfortable being interrupted all day while still getting projects done.
  • You're resourceful: you solve problems with the tools and processes we already have before reaching for new software, and you're curious about using AI and automation to take the repetitive work out of IT.
  • You work on your own, set your own priorities, and flag what needs attention early.
Extra Credit if you have:
  • Rippling, Okta, or Microsoft 365 administration experience
  • Experience with MDM tools (Jamf, Kandji, Intune, or similar)
  • Experience with a help desk platform such as FreshService, Jira Service Management, or Zendesk
  • Experience supporting a regulated environment (healthcare, SOC 2, HIPAA)


Why You'll Love Working Here

We're a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs-Los Angeles and New York-we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description.

If you're excited by solving complex problems and making a real-world impact, we'd love to hear from you.

Benefits Include:
  • Competitive compensation, including equity
  • Full health, dental, and vision coverage
  • Retirement savings plan through 401(k)
  • Flexible time off
  • Opportunities for company-wide connection and events

Ready to Make an Impact?We're building something meaningful; and we want you on the team.

Bring your ideas, curiosity, and drive, and let's transform healthcare reimbursement together.

Employment Information

Work Authorization

Candidates must be authorized to work in the United States without current or future employer sponsorship.

Similar Jobs

More Jobs at Pivotal Health, Inc.

More Information Technology Jobs

Find similar IT Manager jobs: