Neko Health
Lead IT Engineer - Corporate Engineering
New York
Sponsorship not specifiedDetected 98 days ago
AzureCiscoPatient Care
About the role
- It's a team that thinks in 10x, not 10%.
- Role Purpose This is a senior, autonomous role for someone who takes full ownership of our internal environment and isn't waiting to be told what to fix.
- We currently run a Microsoft-heavy environment (Azure, Intune, M365), but if you've managed equivalent stacks using other platforms and can ramp quickly, that works for us.
Requirements
- A genuine power user of AI tools with real examples of how you've used them to improve how you work: Copilot, Claude Code, agentic tooling, or similar
Nice to have
- AV or clinic-specific systems experience
- Cisco or networking fundamentals
- Experience with Microsoft Azure/Intune/M365 specifically (if not your primary stack, willingness to learn quickly)
- About titles at Neko
- We use a simplified internal title framework that prioritises clarity over hierarchy, so internal titles may differ from market‑facing role titles.
- Scope, impact and level of the role are fully aligned and will be clearly discussed throughout the process.
- Equal Opportunity & Inclusion Statement
- Hands-on experience with at least one enterprise stack (Microsoft Azure/Intune/M365, Google Workspace/JAMF, or equivalent).
Skills
- Strong practical experience with automation platforms (Power Automate, n8n, Zapier, or scripting-based approaches)
- Comfortable supporting macOS environments alongside Windows
- Hardware ownership experience across endpoints, manufacturing, or operational environments
- Working knowledge of security operations and endpoint protection tooling
- Someone who makes decisions, takes ownership, and doesn't need constant direction
Benefits
- Neko is redefining what prevention means, from treating illness when it arrives, to sustaining health before it's ever at risk.
Company info
- Take full ownership of our IT infrastructure from day one, including identity management, device management, and productivity tooling
- Build and ship automations that meaningfully reduce manual work across the business
- Maintain and expand the internal knowledge base so that operational knowledge doesn't live in one person's head
- Own hardware lifecycle decisions across clinic and manufacturing environments
- Contribute to our shared security posture, working with endpoint security tooling and operational security workflows day to day
- Make independent calls on onboarding, admin access, tooling, and hardware without needing sign-off at every turn
- Join the on-call rotation once per week, additionally compensated
- make data-driven, preventative care accessible to more people, before symptoms appear.
- In a single, non-invasive visit under an hour, proprietary technology and direct clinical care combine to deliver personalised, actionable insights.
- Every role here plays a part in building a world where prevention is the norm, and where your work genuinely helps people live longer, healthier lives.
- Role Purpose
- This is a senior, autonomous role for someone who takes full ownership of our internal environment and isn't waiting to be told what to fix.
- You'll own our IT infrastructure end-to-end, covering identity and access management, device management, productivity tooling, and our endpoint fleet across macOS and Windows.
- You'll build automations that reduce workload, maintain hardware across clinic and manufacturing environments, and make decisions independently at pace.
- The right person for this role uses AI every day, not as a novelty but as a core part of how they work.
- Whether that's Power Automate, Copilot, Claude Code, or other agentic tooling, these should already be part of your toolkit.
- What You'll Deliver in the First 6-12 Months
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This listing is sourced directly from Neko Health's careers page and normalized into a canonical job model.