Senior IT Engineer

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OtherIt Engineer

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Quick Summary

Key Responsibilities

Design and implement automated workflows for user provisioning/de-provisioning, access management, onboarding/offboarding, and self-service IT processes across the core SaaS stack (Google Workspace,

Requirements Summary

Automate ticket routing, lifecycle management, and CMDB updates within the IT service management platform.

Technical Tools

OtherIt Engineer

Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI-powered platform was purpose-built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most—their patients.

Our enterprise-grade technology transforms patient-clinician conversations into structured clinical notes in real-time, with deep EMR integrations. Powered by Linked Evidence and our purpose-built, auditable AI, we are the only company that maps AI-generated summaries to ground truth, helping providers quickly trust and verify the output. As pioneers in generative AI for healthcare, we are setting the industry standards for the responsible deployment of AI across health systems.

We are a growing team of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care make more sense. We have offices located in the Mission District in San Francisco, the SoHo neighborhood of New York, and East Liberty in Pittsburgh.

As a Senior IT Engineer, you will design, build, and maintain automation solutions that reduce manual IT overhead, improve system reliability, and enforce compliance across the enterprise SaaS and application ecosystem. You will execute on complex integration and workflow automation projects independently, contribute to architectural decisions, and collaborate closely with the Staff Engineer and IT leadership to deliver high-impact solutions at scale.

This role operates within a HIPAA-compliant, SOC 2-audited environment and requires a strong engineering foundation paired with practical experience in enterprise IT contexts.

Responsibilities

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SaaS & Workflow Automation: Design and implement automated workflows for user provisioning/de-provisioning, access management, onboarding/offboarding, and self-service IT processes across the core SaaS stack (Google Workspace, Slack, GitHub, Rippling, etc.).
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API & Systems Integration: Build and maintain reliable integrations between enterprise systems using REST APIs, webhooks, and event-driven patterns.
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Identity & Access Management: Implement and maintain automated IAM processes — including role-based access control (RBAC), least-privilege enforcement, and access review automation — in alignment with compliance requirements.
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ITSM Automation: Automate ticket routing, lifecycle management, and CMDB updates within the IT service management platform.
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Compliance Automation: Develop automated controls and evidence collection pipelines that support SOC 2 and HIPAA audit requirements.
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Documentation & Collaboration: Produce clear technical documentation for all automation solutions and actively participate in architecture and code reviews.

Experience: 5–8 years in IT Engineering, IT Apps Development, or a closely related discipline, with meaningful experience in enterprise automation.
Programming Proficiency: Proficient in Python or an equivalent modern scripting/programming language used for automation and backend logic.
API Fluency: Strong working experience with REST APIs; ability to evaluate API documentation and build reliable integrations independently.
SaaS Platform Knowledge: Hands-on familiarity with administering and automating major enterprise SaaS platforms (Google Workspace, Slack, GitHub, Okta, or similar).
IAM Fundamentals: Working knowledge of identity lifecycle management, SSO, SCIM provisioning, and RBAC concepts.
Database Skills: Comfort querying and managing relational databases (SQL required).
Compliance Awareness: Familiarity with SOC 2 or HIPAA requirements as they relate to IT controls and access management.
Communication: Able to clearly communicate technical work and trade-offs to both technical peers and non-technical stakeholders.

Nice to Have

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Experience with workflow automation platforms such as Workato, Zapier, Okta Workflows, or similar.
Familiarity with IaC tooling (Terraform, Pulumi).
Exposure to agentic AI frameworks or LLM-based automation tooling.
Experience with JAMF, Fleet, or equivalent MDM/endpoint management platforms.

What We Offer

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At Abridge, we’re transforming healthcare delivery experiences with generative AI, enabling clinicians and patients to connect in deeper, more meaningful ways. Our mission is clear: to power deeper understanding in healthcare. We’re driving real, lasting change, with millions of medical conversations processed each month.

Joining Abridge means stepping into a fast-paced, high-growth startup where your contributions truly make a difference. Our culture requires extreme ownership—every employee has the ability to (and is expected to) make an impact on our customers and our business.

Beyond individual impact, you will have the opportunity to work alongside a team of curious, high-achieving people in a supportive environment where success is shared, growth is constant, and feedback fuels progress. At Abridge, it’s not just what we do—it’s how we do it. Every decision is rooted in empathy, always prioritizing the needs of clinicians and patients.

We’re committed to supporting your growth, both professionally and personally. Whether it's flexible work hours, an inclusive culture, or ongoing learning opportunities, we are here to help you thrive and do the best work of your life.

If you are ready to make a meaningful impact alongside passionate people who care deeply about what they do, Abridge is the place for you.

Generous Time Off: 14 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees
Comprehensive Health Plans: Medical, Dental, and Vision coverage for all full-time employees and their families.
Generous HSA Contribution: If you choose a High Deductible Health Plan, Abridge makes monthly contributions to your HSA.
Paid Parental Leave: Generous paid parental leave for all full-time employees.
Family Forming Benefits: Resources and financial support to help you build your family.
401(k) Matching: Contribution matching to help invest in your future.
Personal Device Allowance: Tax free funds for personal device usage.
Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits.
Lifestyle Wallet: Monthly contributions for fitness, professional development, coworking, and more.
Mental Health Support: Dedicated access to therapy and coaching to help you reach your goals.
Sabbatical Leave: Paid Sabbatical Leave after 5 years of employment.
Compensation and Equity: Competitive compensation and equity grants for full time employees.
... and much more!

Abridge is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability.

We are aware of individuals and entities fraudulently representing themselves as Abridge recruiters and/or hiring managers. Abridge will never ask for financial information or payment, or for personal information such as bank account number or social security number during the job application or interview process. Any emails from the Abridge recruiting team will come from an @abridge.com email address. You can learn more about how to protect yourself from these types of fraud by referring to this article. Please exercise caution and cease communications if something feels suspicious about your interactions.