Job Description

Pelago is the world’s leading virtual clinic for Substance Use Management. Our program provides guidance, support and treatment for members seeking to overcome their tobacco, alcohol and opioid use. From unhealthy habits to active substance use disorders, Pelago delivers a personalized solution based on individual health, habits, genetics, and goals, providing care for members wherever they might be on the substance use spectrum.
Pelago's suite of virtual services ranges from education, to cognitive behavioral therapy (CBT) to comprehensive medication-assisted treatment (MAT). Pelago enables employers and health plans to deliver accessible, affordable, and effective treatment for substance misuse.
Pelago has scaled to helping hundreds of employers and health plans and has already helped more than 750,000 members manage their substance use better. We have recently closed our Series C and raised over $151m from leading global investors. If you are passionate about making an impact on the health of others, join us and make it happen!

About Pelago Engineering:

Our engineering team operates as empowered, outcome-oriented problem solvers, working in close partnership with product, design, and clinical teams to improve member outcomes at scale.

As AI transforms how software is built, we are intentionally evolving our development lifecycle so we spend less time on mechanical implementation and more time on system design, judgment, and impact.

How We Work:

• Outcome-driven: Engineers are given problems to solve, not just features to build. Success is measured by learning, impact, and outcomes—not velocity alone
• AI-native: We use AI across the SDLC to accelerate implementation, testing, and review. Engineers focus on defining intent, validating behavior, and designing resilient systems
• High autonomy, high accountability: Teams have real ownership over their domains. With autonomy comes responsibility for quality, safety, and results
• Cross-functional by default: Engineers partner deeply with Product, Design, Data, and Clinical. Discovery, experimentation, and delivery are shared responsibilities
• Quality and safety matter: We build in a regulated, member-impacting domain. Reliability, observability, and correctness are first-class concerns

What We Look For:

We explicitly assess for empowerment:

• You start with "why" before diving into "how"
• You're energized by ambiguity and collaborative problem-shaping
• You use AI to amplify your judgment and move faster on what matters
• You think in systems and anticipate second-order effects
• You want to own outcomes, not just ship features

of the Role:

Pelago is hiring an IT Operations Engineer to help scale the systems, support, and operational foundations behind a high-growth healthcare company. This role sits at the intersection of employee experience, security, and infrastructure - ensuring our team has reliable, secure, and thoughtfully designed technology workflows from onboarding through day-to-day operations.

You’ll own a broad area across endpoint management, SaaS administration, identity and access management, security operations, and internal support. We’re looking for someone who is deeply hands-on, highly organized, and motivated by reducing friction at scale. The right person for this role doesn’t just fix problems - they improve the systems underneath them.

As Pelago continues to grow, you’ll help modernize and evolve our IT operations environment through automation, process improvement, and strong operational judgment in a regulated healthcare setting.

This is a hybrid role with a high-collaboration rhythm (3 days/week in our NYC office).

In this role you will…

• Serve as the primary owner for internal IT support across hardware, software, networking, and employee productivity tooling
• Manage endpoint lifecycle operations across macOS and Windows devices, including provisioning, security policy enforcement, patching, and device recovery
• Administer core SaaS systems including Okta, Google Workspace, Slack, Zoom, Atlassian, and other business-critical platforms
• Own onboarding and offboarding workflows, ensuring employees have secure, seamless access from day one through departure
• Help maintain Pelago’s security and compliance posture by supporting endpoint security standards, audit readiness, access reviews, and operational controls tied to HIPAA and SOC 2
• Improve operational efficiency through documentation, automation, self-service tooling, and scalable IT workflows
• Support and maintain office technology infrastructure including networking, AV systems, and hybrid meeting environments
• Partner closely with Engineering, Security, HR, and Finance to support company-wide operational initiatives and future growth

The background we are looking for…

• 3–5 years of experience in IT operations, systems administration, or internal IT engineering within a fast-paced technology environment
• Strong experience managing device fleets through MDM platforms such as Jamf, Kandji, Intune, or similar
• Deep familiarity with identity and access management workflows, particularly Okta or comparable SSO/MFA platforms
• Experience administering enterprise SaaS applications including Google Workspace, Slack, Zoom, Atlassian, and related tools
• Strong understanding of endpoint security, vulnerability management, patching strategy, and operational compliance practices in regulated environments
• Excellent troubleshooting and communication skills with a high-empathy, employee-first mindset
• Experience creating operational documentation, knowledge bases, and repeatable support processes
• Strong prioritization instincts and operational judgment in balancing responsiveness, security, and scalability

What you’ll love about us:

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

• Generous and meaningful equity package
• Full Medical, Dental, & Vision coverage
• 401k Plan
• Unlimited PTO Policy, 10 paid holidays, & company wide “Me Time” Days
• Paid maternity, paternity & new parent leave
• Flexible working environment
• Annual Learning and Development stipend to support continued learning and career development
• Wellness Reimbursement Program
• Access to Reproductive & Family Planning Care
• Substance Use Support for employees and family members

At this time, we are unable to offer visa sponsorship for this position.

Please note that Pelago is dedicated to providing accommodations to candidates upon request. If you need accommodations at any point throughout the interview process, please reach out to your recruiter.

Before you apply, see how we build.

We write about our technical decisions, product philosophy, and the real challenges of scaling behavioral health. Read the blog → https://pelagohealth.ai/

The provided range reflects our US target salary range for this full-time position, which is part of our broader total compensation package, including incentive bonus program, stock options, comprehensive benefits, and incentive pay applicable to eligible roles. Individual pay within the range will vary based on a variety of factors like role-related experience and education, internal pay equity, and other relevant business factors. At Pelago, we are committed to an equitable and fair pay philosophy and review total compensation for our employees at least twice a year.

Base Pay Range $105,000—$115,000 USD