IT Manager

Ladders; United States; Remote; USD 110,000 - 120,000; Full time

Benefits offered by this job

Unlimited PTO after 90 days

Comprehensive medical, dental, and vis

Stock option grants

Life and disability insurance

401(k) retirement plan

Job summary

Ladders seeks an IT Manager to lead technology operations for a healthcare-focused client. This hands-on role ensures day-to-day IT support, IAM governance, and endpoint security in a fast-paced environment.

You will act as the primary technical contact for employees, balancing support execution with security discipline, and coordinating onboarding, offboarding, and user access governance with security leadership.

Qualifications

• 7+ years in IT support and operations, including senior/sole IT resource roles.
• Startup-style experience in infra, security, device management, IAM and end-user support.
• Strong security fundamentals and experience with IAM and onboarding/offboarding.

Responsibilities

• Serve as the primary point of contact for Tier 1-3 technical support requests.
• Support end users across Windows and macOS environments.
• Triage and resolve tickets within defined SLAs.
• Own end-to-end onboarding and offboarding processes for new hires and departing employees.
• Manage identity and access management (IAM) strategy and user access reviews.
• Administer Microsoft Intune and enforce security policies across endpoints.
• Partner with security leadership on access-related security requests.

Skills

IT operations

SLA management

Security fundamentals

Communications

Identity and access management

Tools

Microsoft Defender

Microsoft Intune

Google Workspace

IAM tooling

Job description

For our client, we are seeking a IT Manager to join the team of a leader in the Healthcare space.

This role will serve as a hands-on technology operations leader responsible for keeping day-to-day IT support, access management, and endpoint security running smoothly in a fast-paced healthcare environment. You will act as the primary technical point of contact for employees, helping ensure systems, devices, and identities are secure, reliable, and easy to use. The position partners closely with security leadership and internal stakeholders to support onboarding, offboarding, and user access governance. It is a strong fit for someone who has operated as a senior or sole IT resource and enjoys balancing support execution with security discipline.

Location: Remote

Compensation: $110,000 – $120,000 annually

Responsibilities

• Serve as the primary point of contact for Tier 1-3 technical support requests
• Support end users across Windows and macOS environments
• Triage and resolve tickets within defined SLAs
• Own end-to-end onboarding and offboarding processes for new hires and departing employees
• Manage identity and access management (IAM) strategy and user access reviews
• Administer Microsoft Intune and enforce security policies across endpoints
• Partner with security leadership on access-related security requests

Qualifications

• 7+ years of IT support and operations experience, including experience as a senior or sole IT resource
• Startup experience managing infrastructure, security, device management, IAM, and end-user support
• Strong knowledge of security fundamentals, including endpoint protection, identity and access security, encryption, and patch management
• Hands-on experience with Microsoft Defender, Microsoft Intune, and Google Workspace administration
• Experience supporting both Windows and macOS environments
• Proficient in IAM and access management strategy, including onboarding and offboarding processes
• Strong communication skills to explain technical issues to non-technical staff

Benefits

• Unlimited paid time off after the 90-day introductory period for full-time salaried employees
• Comprehensive medical, dental, and vision insurance starting the first of the following month
• Stock option grants to share in the company's success
• Life and disability insurance for financial protection
• 401(k) retirement plan to help save for the future

Our client is an equal opportunity employer. We encourage you to apply even if you don’t meet every qualification—your background could be exactly what this team needs.