IT Systems Administrator

MVP Ventures · New Orleans, LA · 2 wk ago

Full-time

About the role

Nest Health is the first value-based care provider built for families, offering comprehensive medical, behavioral, and social care to America’s highest-risk families. As a startup, Nest operates in a fast-paced, ever-changing environment where you’ll have the opportunity to make a high-impact contribution to disrupting the U.S. healthcare system. This hybrid role requires you to reside in New Orleans, Louisiana, and serve as the primary on-site IT presence for Nest’s Louisiana footprint while also providing remote multi-tier support to employees company-wide.

You’ll own the end-user experience, ensuring seamless integration of Nest’s multi-vendor IT stack—including Microsoft 365, Entra ID, Intune, and RMM tools—into a cohesive, governed platform. Your responsibilities will include managing the identity lifecycle, endpoint management, patching, device health, asset inventory, and hands-on staging and repair for Louisiana sites. You’ll drive automation to scale IT operations, reduce repetitive tasks, and implement self-service solutions using PowerShell, Power Automate, or AI-assisted workflows. Security and compliance at the endpoint are critical, with a focus on phishing-resistant authentication, Conditional Access, least privilege, and device compliance. You’ll also partner with Security & Compliance on SOC 2 audits and act as the Knowledge Steward for Louisiana IT, maintaining up-to-date documentation.

Responsibilities

Own the end-user experience for Nest’s Louisiana footprint, including hardware, connectivity, setup, and in-person support for the New Orleans office and Louisiana sites.
Provide remote multi-tier support to employees company-wide, ensuring a seamless user experience across Microsoft 365, Entra ID, Intune, and other tools.
Manage the identity lifecycle (joiner-mover-leaver) across Microsoft 365 and Entra ID, endpoint management, patching, and device health via Intune and RMM.
Oversee asset inventory and lifecycle, including hands-on staging and repair for Louisiana sites.
Automate repetitive tasks and implement self-service solutions using PowerShell, Power Automate, or AI-assisted workflows to scale IT operations.
Drive security and compliance at the endpoint, including phishing-resistant authentication, Conditional Access, least privilege, and device compliance.
Partner with Security & Compliance on SOC 2 audits, evidence collection, and remediation.
Act as Knowledge Steward for Louisiana IT, maintaining current and trustworthy documentation for both people and AI retrieval.
Collaborate with other teams on frontline support and contribute to the modernization of Nest’s IT stack, including transitioning from Salesforce to an owned application platform.

Requirements

5–7 years of experience in internal, customer-facing IT operations, with healthcare experience strongly preferred.
3+ years of hands-on experience with help desk and RMM tooling.
2+ years of system administration experience with Microsoft 365, Entra ID, Intune, and support for Windows/macOS/iOS.
Proven experience with scripting/automation (PowerShell, Power Automate, or similar) to scale a growing end-user environment.
Hands-on experience with governed AI and AI-assisted support workflows.
Reside in the New Orleans metro area (Orleans/Jefferson Parish) and be able to work on-site at the New Orleans office at least weekly.
Strong customer-service orientation and solid grasp of endpoint management, networking fundamentals, and IT operations best practices.
Experience supporting hybrid and distributed teams.
Bachelor’s degree in IT, Computer Science, Information Systems, or equivalent experience.

Preferred Qualifications

Startup experience with comfort in ambiguous, fast-changing environments.
Experience with virtual/mobile healthcare delivery and Athena EHR support.
Salesforce administration/support and interest in transitioning to an owned application platform.
Experience with modern endpoint/RMM tools (e.g., NinjaOne) and Zero Trust architectures.
Certifications: Microsoft Endpoint Administrator, CompTIA A+/Network+, ITIL Foundation.

Skills

Deep expertise in Microsoft 365, Entra ID, Intune, and Windows/macOS/iOS support.
Automation mindset with a track record of scripting repetitive tasks (PowerShell, Power Automate).
Fluency in security at the endpoint, including Conditional Access, MFA, least privilege, and password-less authentication.
Ability to balance on-site and remote support, with strong organizational skills for asset management and lifecycle.
Strong collaboration and communication skills, with a focus on giving and receiving feedback.
Contagious enthusiasm and a commitment to building a beloved Product & Technology team.

Travel & Physical Requirements

On-site at the New Orleans office at least weekly, with additional in-person support across Louisiana sites as needed.
Occasional travel to other Nest markets, roughly quarterly.
Prolonged computer work; ability to lift and move up to 50 lbs for equipment setup.

Why choose Nest Health?

Nest Health and its leaders have received multiple awards, including Rock Health’s Next-Gen Pediatric Innovations, New York Times Top Five Who Spread Hope, New Orleans City Business Power 50, and CB Insights Digital 150. The company has also been recognized on Inc.’s Female Founder 500 List for 2025 and featured in national outlets such as 60 Minutes, Business Insider, The New York Times, and Axios. Nest is a thought leader in healthcare innovation, with a mission to make comprehensive care radically accessible to high-risk families.

Learn more about Nest Health at https://www.nesthealth.com/. For an inside look at the Nest care model, watch this video by award-winning HBO filmmaker Edward Buckles, Jr.: [video link].