IT Engineer

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians, which focuses on meeting each individual where they are and walking with them side by side as a trusted guide, partner, and first call on their journey to wellness.

firsthand's team members use their lived experience to build trust with these individuals and support them in obtaining socio-economic assistance and in reconnecting to primary and behavioral care. Support like this creates substantial savings for managed care organizations (Medicaid providers) and taxpayers by decreasing inappropriate healthcare utilization. This enables us to build solutions that scale and, as a result, change the way our society supports those most impacted by SMI.

We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun.

This is a highly technical role, responsible for implementing and improving our IT infrastructure by delivering robust solutions that follow best practices such as infrastructure-as-code. You’re expected to act independently, clearly and proactively communicating with stakeholders. Additionally you’ll be a resource within IT through handling high level technical escalations and acting as a mentor to other members of the org.

As an IT Engineer, you will:

• Build scalable and maintainable infrastructure.
• Take ownership of project delivery, collaborating with team members both within and outside of IT to achieve goals.
• Improve our systems through the use of automation and best practices.
• Work alongside the Director of IT to set technical direction for the department.
• Handle escalations from support requests and incidents, working alongside other team members to resolve.
• Collaborate with the broader tech team towards larger initiatives.

You will be a good fit if you have:

• Strong experience implementing new and improving existing systems and infrastructure.
• Experience building or implementing automation through scripting and infrastructure-as-code (Terraform).
• A passion for remote team collaboration and interest in working in a rapidly-changing, fast-paced startup environment.
• Willingness to travel to a small number of events through the year where physical presence is recommended such as team off-sites and visiting our operations in the field to experience how people are using our infrastructure.

The required experience you bring to this role includes:

• 4+ years in a System Administrator role or equivalent, with experience building and deploying IT infrastructure and systems.
• 4+ years working across IT systems (identity providers, device management, ticketing systems, collaboration software, email systems, security platforms).

Bonus points for:

• Prior experience in a start-up environment.
• Experience with Google Workspace, ManageEngine, TrendMicro.
• A passion for our mission!

Benefits 

For full-time employees, our compensation package includes base, equity (or special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, flexible vacation, and a supportive and inclusive culture.

Unfortunately, we are not able to offer sponsorship at this time.

Vaccination Policy

Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law.

New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed.