Talent.com
IT Lead

IT Lead

Pair TeamSan Francisco, CA, United States
19 hours ago
Job type
  • Full-time
Job description

About Pair Team

Pair Team is building a new kind of healthcare system across Medicaid, Medicare, and public assistance programs : one that recognizes that access to housing, nutritious food, and reliable transportation are just as critical to health as having the right medications or seeing a doctor.

As a public benefit corporation and AI-enabled medical group, we partner with shelters, food pantries, and community organizations to deliver "whole-person" care to the 115 million Americans who rely on the safety net. We are currently the largest complex care provider in California with over 500 employees and are expanding nationally. Our model replaces fragmented healthcare and social services systems with one trusted relationship for all medical, behavioral, and social needs. We improve access, build trust, and dramatically lower costs (52% fewer ER visits, 26% fewer hospitalizations). Our model is a rare combination of saving tax payer dollars ($150B annually at scale) while putting people on an upward life trajectory. At national scale, this approach would save taxpayers.

These outcomes are driven by the AI-first, whole-person infrastructure we are building — a platform that connects healthcare and social-service organizations into a unified network. Leveraging our vast data and years of operational experience, we are building the agentic infrastructure for the safety net to coordinate care, automate operations, and learn from every patient interaction to continuously improve outcomes.

Read more about the AI-First Medicaid System we are building here.

  • Forbes : For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
  • TechCrunch : Building for Medicaid's regulatory moment with Neil Batlivala from Pair Team
  • Journal of General Internal Medicine : A Novel Intervention for Medicaid Beneficiaries with Complex Needs

Our Values

  • Trust : We consistently strive to earn the trust of our patients and their families, our clinic partners, and our teammates.
  • Growth : We grow together – as a company and as individuals.
  • Accountability : We act like owners and take pride in our work.
  • Act beyond yourself : Our vision and impact goes beyond ourselves and so must our actions.
  • In this role, you will

  • Own IT End-to-End : From vendor management to onboarding to security — you'll be the point person.
  • Stand Up Core Systems : Refactor and optimize Rippling / HRIS and make sure our SaaS stack is clean, secure, and efficient.
  • Build IT Basics That Scale : Zero-to-one onboarding / offboarding, device management, policies, and workflows.
  • Drive Vendor Management : Select, negotiate, and manage IT / MSP partners and SaaS vendors.
  • Security & Compliance : Put lightweight but effective guardrails in place (SPCC guidance, compliance readiness, secure defaults).
  • Incident Response & Ops : Be the person who runs point when something breaks, and set up simple systems to make sure it doesn't happen again.
  • Operational Excellence : Bring order to startup chaos — blending data, judgment, and hands‑on problem solving to keep things moving fast and secure.
  • Who You Are

  • Strong Executor : You get stuff done. You don't wait for a team to be hired or others to unblock projects — you roll up your sleeves.
  • Builder Mentality : Comfortable owning zero-to-one, setting up systems from scratch, and iterating as we grow.
  • Pragmatic Strategist : You see the north star, and you can build an incremental / low lift path to get there, but you know when "good enough for now" is the right move.
  • Systems Thinker : Able to design IT and security in a way that actually works for people and scales with the business.
  • Technical Partner : You work hand‑in‑hand with engineering and speak their language — not just a translator, but a true collaborator.
  • Calm Under Pressure : Experienced running incident response and keeping people aligned when things go sideways.
  • Vendor Whisperer : Skilled at picking, managing, and negotiating with vendors.
  • Great Communicator : Can explain the "why" behind IT decisions in plain English and support non-technical users with empathy.
  • Scrappy and Flexible : You're as comfortable wiring up an MDM as you are briefing execs on IT security.
  • Requirements

  • 7–10 years in IT roles, with at least 2–3 in a lead or architect‑level capacity (startup or high‑growth experience required).
  • Hands‑on IT systems setup : onboarding / offboarding, device management (MDM), SaaS administration, SSO / IDP (Okta, Google Workspace, etc.), HRIS (Rippling preferred).
  • Vendor management : selection, contract negotiation, and ongoing relationship management across SaaS and MSP / MSO partners.
  • Security & compliance exposure : experience implementing practical security controls, guiding compliance readiness (SOC 2, HIPAA, etc.), and embedding security into IT processes.
  • Incident response leadership : experience running and coordinating incident response, including root cause analysis and prevention.
  • Technical foundation : past roles in systems engineering, IT infrastructure, or security operations — enough to "speak engineering's language" and collaborate on architecture.
  • Cross‑functional partnership : proven track record of working effectively with People Ops, Finance, Legal, and Engineering to align IT with business needs.
  • Startup builder mindset : experience as the first or early IT hire, or in roles where you had to stand up IT systems and processes from scratch.
  • Operational excellence : demonstrated ability to create order in fast‑moving, ambiguous environments by blending data‑driven decision‑making with scrappy execution.
  • What Success Looks Like

  • Every new hire says "onboarding was seamless."
  • IT systems feel invisible : reliable, secure, and easy to use.
  • People Ops, Engineering, Legal, Finance, and Care teams all trust and rely on you as their partner.
  • We're confident in our security posture and compliance prep without slowing the business down.
  • Incidents get resolved quickly, and future ones are less painful.
  • Because We Value You

  • Competitive salary : $165,000-$205,000
  • Equity compensation package
  • Flexible vacation policy – take the time you need to recharge.
  • Comprehensive medical, dental, and vision coverage.
  • 401(k) through Guideline.
  • 100% company‑sponsored short and long‑term disability and life insurance.
  • Subsidized backup childcare and caregiver supports through Wellthy.
  • Work entirely from the comfort of your own home.
  • Monthly $100 work from home expense stipend.
  • We provide the equipment needed for the role.
  • Opportunity for rapid career progression with plenty of room for personal growth!
  • Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law.

    Pair Team participates in E‑Verify to verify employment eligibility for new hires.

    Any offer of employment at Pair Team is conditioned upon passing a pre‑employment background check. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including criminal history, reference checks, and driving records if a role requires vehicle use.

    We do not conduct any TA business outside of our @pairteam.com emails. If you're ever concerned about spam or fraudulent activity, please reach out to recruiting@pairteam.com.

    Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we're unable to respond to general position inquiries via email. To apply for a position with us, please submit your application for the role you are interested in. Our team regularly reviews applications and will reach out to candidates whose qualifications align with our current openings listed below.

    #J-18808-Ljbffr

    Create a job alert for this search

    It Lead • San Francisco, CA, United States

    Related jobs
    • Promoted
    Lead IT Auditor

    Lead IT Auditor

    Federal Reserve Bank of San FranciscoSan Francisco, CA, United States
    Full-time
    Federal Reserve Bank of San Francisco.The Federal Reserve Bank of San Francisco is seeking a Lead IT Auditor for our San Francisco Federal Reserve Bank FedCash Audit Team.This team is responsible f...Show moreLast updated: 30+ days ago
    • Promoted
    Director, IT

    Director, IT

    MongoDBSan Francisco, CA, United States
    Full-time
    We are seeking a dynamic and innovative Director of Global Support to lead our global support team within the Global Enterprise Technology (GET) department. This role is critical in ensuring seamles...Show moreLast updated: 16 days ago
    • Promoted
    Head of IT

    Head of IT

    Sentry.ioSan Francisco, CA, United States
    Full-time
    Bad software is everywhere, and we’re tired of it.Sentry is on a mission to help developers write better software faster so we can get back to enjoying technology. With more than $217 million in fun...Show moreLast updated: 7 days ago
    • Promoted
    Manager, IT System Support

    Manager, IT System Support

    Planet Labs PBCSan Francisco, CA, United States
    Full-time
    We believe in using space to help life on Earth.Planet designs, builds, and operates the largest constellation of imaging satellites in history. This constellation delivers an unprecedented dataset ...Show moreLast updated: 30+ days ago
    • Promoted
    IT Integration Application Development and ADS Manager SF Dept of Public Health 1070

    IT Integration Application Development and ADS Manager SF Dept of Public Health 1070

    City and County of San FranciscoSan Francisco, CA, United States
    Full-time
    Under the direction of the Third Party and Integration Team Director, the.IT Integration, Application Development, and ADS Manager. MS SQL Server databases and their administration; may manage proje...Show moreLast updated: 12 days ago
    • Promoted
    IT R&D Project Lead (PL)

    IT R&D Project Lead (PL)

    ASML US, LLCSan Jose, CA, United States
    Full-time
    ASML US, including its affiliates and subsidiaries, bring together the most creative minds in science and technology to develop lithography machines that are key to producing faster, cheaper, more ...Show moreLast updated: 3 days ago
    • Promoted
    Head of IT

    Head of IT

    SentrySan Francisco, CA, United States
    Full-time
    Bad software is everywhere, and we’re tired of it.Sentry is on a mission to help developers write better software faster so we can get back to enjoying technology. With more than $217 million in fun...Show moreLast updated: 27 days ago
    • Promoted
    IT Director, Risk Advisory Services

    IT Director, Risk Advisory Services

    BDO Capital Advisors, LLCSan Francisco, CA, United States
    Full-time
    Working under the authority of a Principal, the Assurance Director, Risk Advisory Services is responsible for overseeing and delivering risk advisory services around Information Technology (IT) rel...Show moreLast updated: 30+ days ago
    • Promoted
    IT Product Lead - Digital Applications (Global Patient Safety)

    IT Product Lead - Digital Applications (Global Patient Safety)

    ExelixisAlameda, CA, United States
    Full-time
    The IT Product Lead - Digital Applications, will lead a portfolio of digital products critical to Exelixis's success and ambition to launch innovative medicines for patients.This role is pivotal in...Show moreLast updated: 24 days ago
    • Promoted
    Associate Principal IT Product Lead - Data and Analytics

    Associate Principal IT Product Lead - Data and Analytics

    ExelixisAlameda, CA, United States
    Full-time
    The Associate Principal IT Product Lead,.Exelixis' success and ambition to launch innovative medicines for patients.This role is pivotal in driving the strategy, development, and operational excell...Show moreLast updated: 30+ days ago
    • Promoted
    Associate Principal IT Product Lead - Digital Applications

    Associate Principal IT Product Lead - Digital Applications

    ExelixisAlameda, CA, United States
    Full-time
    The Associate Principal IT Product Lead, Digital Applications, will lead a portfolio of digital products critical to Exelixis's success and ambition to launch innovative medicines for patients.This...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Manager, Implementation IT

    Senior Manager, Implementation IT

    RipplingSan Francisco, CA, United States
    Full-time
    Rippling gives businesses one place to run HR, IT, and Finance.It brings together all of the workforce systems that are normally scattered across a company, like payroll, expenses, benefits, and co...Show moreLast updated: 30+ days ago
    • Promoted
    IT Director, Risk Advisory Services

    IT Director, Risk Advisory Services

    BDO USASan Jose, CA, US
    Full-time
    Risk Advisory Services Assurance Director.Working under the authority of a Principal, the Assurance Director, Risk Advisory Services is responsible for overseeing and delivering risk advisory servi...Show moreLast updated: 30+ days ago
    • Promoted
    IT Help Desk Lead

    IT Help Desk Lead

    CurtisWalnut Creek, CA, US
    Full-time
    The Help Desk Lead's role is to oversee and assist the IT Director to manage the day-to-day operations of the IT Help Desk team, ensuring efficient and effective support delivery to users.This invo...Show moreLast updated: 4 days ago
    • Promoted
    IT R&D Project Lead (PL)

    IT R&D Project Lead (PL)

    ASMLSan Jose, California, US
    Permanent
    Scroll down to find an indepth overview of this job, and what is expected of candidates Make an application by clicking on the Apply button. ASML US, including its affiliates and subsidiaries, bring...Show moreLast updated: 1 day ago
    • Promoted
    IT Lead

    IT Lead

    Constellation Research CenterBerkeley, CA, US
    Full-time
    Constellation is an independent research center that brings together people throughout the AI safety ecosystem to accelerate insight, research, and talent through better cooperation.Unlike a confer...Show moreLast updated: 24 days ago
    • Promoted
    Manager, IT M&A - Due Diligence, Integration, and Separation

    Manager, IT M&A - Due Diligence, Integration, and Separation

    KPMG USSan Francisco, CA, United States
    Full-time
    Manager, IT Infrastructure Due Diligence, M&A Strategy.The KPMG Advisory practice is currently our fastest growing practice. We are seeing tremendous client demand, and we do not anticipate that slo...Show moreLast updated: 13 days ago
    • Promoted
    Senior Director - IT Operations / Security San Francisco

    Senior Director - IT Operations / Security San Francisco

    PagerSan Francisco, CA, United States
    Full-time
    Senior Director - IT Operations / Security.NYSE : PD) is a global leader in digital operations management.Trusted by nearly half of both the Fortune 500 and the Forbes AI 50, as well as approximately t...Show moreLast updated: 30+ days ago