In-House IT Support Specialist / IT Manager

We’re bringing critical IT functions in-house that are currently handled by a third-party managed service provider (MSP). This is a chance to build and own a complete, single-source IT operation - covering everything from servers and security to hardware procurement and helpdesk support - rather than being one voice among many at an outsourced vendor.

What You’ll Do

• Deploy, configure, and maintain on-premise and virtual servers (Windows Server 2022, VMs)
• Set up and manage remote access solutions for overseas and remote/office staff (RDS, Splashtop, VPN)
• Provide network administration across all company offices, including network setup, VLAN segmentation, and staff/guest Wi-Fi
• Install and manage the full security stack: firewalls, gateway security, intrusion prevention, EDR, antivirus, patch management, ransomware detection, email/content filtering, DMARC, and MFA
• Own backup and disaster recovery (BDR), including local and cloud backups and regular verification
• Manage networking hardware (Unifi/UDM-Pro or equivalent firewalls, switches, access points)
• Handle end-to-end procurement, installation, and setup of computers, workstations, servers, and networking hardware - no outside vendors for standard hardware refreshes
• Troubleshoot, repair, and replace hardware (workstations, printers, scanners, networking equipment)
• Install, license, and support software including Microsoft 365/Office, practice management systems, and other line-of-business applications
• Manage user accounts, domain environment, groups, and permissions org-wide
• Serve as the escalation point for office-level IT issues, with travel to locations as needed for hands-on support
• Maintain IT documentation, asset inventory, and vendor/license records
• Evaluate and recommend new IT tools and processes to improve efficiency, security, and cost
• Provide after-hours/emergency support as needed

Full IT Ownership

This role fully replaces our outsourced MSP arrangement. Unlike a fixed-fee vendor model that excludes hardware and extra service work, this role owns the complete IT lifecycle in-house, including:

• Hardware and software procurement, installation, and replacement
• Server and network deployment and maintenance
• Remote access setup for overseas and remote staff
• Security stack management (firewall, endpoint protection, backup/DR)
• Day-to-day helpdesk support for all offices
• IT strategy, budgeting input, and vendor management (internet, licensing, cloud services)
• HIPAA-compliant management of India-based remote team members using personal devices - deploying endpoint security, MFA, encryption, VPN/remote access controls, monitoring, and device compliance policies

• 3+ years of hands-on IT support, network administration, or systems administration experience, ideally across multiple office locations
• Strong knowledge of Windows Server administration, domain environments, and Active Directory
• Experience with remote access tools (RDS, Splashtop, VPN) and supporting a remote workforce
• Experience with network hardware and security (firewalls, VLANs, Unifi or similar)
• Experience with backup and disaster recovery solutions (e.g., Veeam or similar)
• Working knowledge of Microsoft 365 administration and licensing
• Hands-on hardware troubleshooting and replacement experience
• Healthcare/dental office IT experience is a strong plus, including familiarity with practice management software and HIPAA
• Required: knowledge of securing and managing remote/BYOD environments - endpoint protection, encryption, VPN, and access controls for offshore/remote staff on personal devices - to ensure HIPAA compliance
• Strong communication skills; comfortable working directly with clinical and administrative staff at all levels
• Willingness to travel between office locations and be available for after-hours emergencies