IT Manager

Flagler Health is building the clinical operating system for modern musculoskeletal care. We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle. We’ve recently raised our Series B and are entering our next phase of growth. The Role We’re hiring our first IT Manager to own how Flagler runs internally: identity, devices, networks, and the security controls underneath them. You’ll run IT hands-on for our New York HQ and be accountable for IT at the India entity we’re standing up over the next year. The two sides of the company won’t run the same stack. New York is Google Workspace and Macs, and you’ll administer it yourself. India is being built on Microsoft (Entra ID, Intune, and Windows) by an India-based IT lead who reports to you. You’ll set the standards, sign off on the design, and answer for whether India meets the same bar as New York. Today this work is spread across engineering and operations. You’ll take it over end to end, reporting to our CTO and partnering closely with Finance, People Ops, and Engineering. This is a hands-on role: you’ll set the strategy, run the access review, and be there when the new office gets cabled. What You'll Do

• 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

Required Qualifications

• 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

Preferred Qualifications

• 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

Work Environment

• This role requires regular and consistent in-person collaboration from our New York office.

• We maintain a highly collaborative culture with video-on team meetings and technical discussions.

• Expect regular early-morning calls with India, and occasional travel there as that entity comes online.

Our Values: This is what you can expect of your teammates at Flagler:

• Owner: We own our work like founders. We don't wait to be asked, and we pick up the problem nobody else has.

• Builder: We like making things from scratch. We don't need a playbook to start, and we'd rather ship a rough first version than wait on a perfect spec.

• Fast: We make quick decisions. We favor progress and respect process.

• Transparent: We communicate directly. We value merit and honesty, and we challenge assumptions, including our own.

• Curious: We explore new approaches and ask "why" often.