Top Senior IT Jobs in San Francisco Bay Area, CA

Lead regional Corporate IT Operations to deliver employee IT support, oversee service desk, office launches/decommissions, vendor/procurement management, partner with InfoSec and IT Engineering, monitor IT KPIs, mentor teams, and apply AI to improve workflows and service delivery.

Provide Tier 2 technical support and own escalations across devices, apps, and cloud platforms. Administer enterprise SaaS (Google Workspace, Atlassian, Okta, Jamf, Slack), perform root cause analysis, build SOPs/KB content, partner with cross-functional teams, and use automation and generative AI responsibly to reduce tickets and improve service.

Lead multi-site IT operations for a 250-person healthcare nonprofit, managing a 6–8 person IT team, cloud and workplace environments, security and HIPAA privacy programs, vendor and vCISO relationships, disaster recovery, IT budgeting, and compliance/audit support.

Lead and execute remote technical implementations for dental practices from signing through go-live. Configure PMS integrations, set up remote access and network configurations, manage AWS-hosted Windows VMs/ETL, handle support volume, liaise with MSPs, and improve onboarding processes and automation while partnering with cross-functional teams.

Provide on-site Tier 2 IT support for San Francisco and Bay Area offices, handling hardware, OS, SaaS, networking, user identity/access, onboarding/offboarding, AV and device provisioning. Resolve and document incidents in a ticketing system, participate in on-call rotation, maintain asset inventory and documentation, collaborate on IT projects, and promote security-first operations and self-service documentation.

Provide Tier 2/3 IT support and escalations, architect and automate internal IT systems (especially macOS), manage MDM/RMM and identity systems, handle procurement and asset management, document processes, and optimize IT operations using scripting and AI-driven automation.

Lead and govern global IT change management lifecycle: intake, risk-based assessment, approvals, execution, validation, post-change review, reporting, and continuous improvement. Coordinate across IT teams, vendors, MSPs, and regions to minimize service disruption, maintain audit-ready records, deliver training, and drive tooling and process automation opportunities to support high-availability and data center operations.

Lead and build Plaud's central IT function across SF and Asia. Own identity/SSO, MDM, and core SaaS stack; execute Feishu-to-Slack/Notion migrations with zero downtime; implement automated joiner/mover/leaver provisioning, MFA, and least-privilege access; run IT service desk, asset lifecycle, and onboarding/offboarding with SLAs and AI ticket deflection.

Build and run a white-glove executive support function: own intake, SLAs, runbooks, and escalations for executives, ABPs, and board. Provide AV support for board meetings and exec rooms, handle urgent tech incidents, work shared ticket queue, participate in on-call rotation, maintain San Francisco on-site presence, and document processes and KB content.

Administer and secure enterprise IT and OT environments across sites, supporting Windows Server, virtualization, networking, cloud (Azure/M365), PLC/SCADA integrations, backups, DR, segmentation and Zero Trust initiatives. Provide Tier 2/3 escalation, network/OT troubleshooting, monitoring, documentation, compliance support, and collaborate with infrastructure, security, and manufacturing teams to maintain production uptime.

Lead IT operations and strategy for enterprise systems, cloud infrastructure, networks, servers, and business applications. Ensure 24/7 production support, implement monitoring and security, manage maintenance/patching/backups, document inventories and processes, coordinate cross-site support, recommend technology improvements, and recruit/lead IT staff while prioritizing and delivering multiple projects.

Provide end-user IT support across hardware, software, networking, and accounts (primarily macOS), manage onboarding/offboarding and access workflows, maintain documentation and runbooks, troubleshoot devices and AV/conference systems, participate in on-call rotation, and automate operational tasks using scripting and tools to improve scale and reliability.

Lead and build Terabase's internal IT organization: transition from MSP, establish end-user support, identity and endpoint management, corporate network and infrastructure, IT service delivery, security/compliance, vendor management, and hire/coach IT staff to support a global, high-growth technology company.

Hands-on IT Manager responsible for day-to-day IT operations and support for Neon Redwood and clients: administer cloud and identity infrastructure, implement endpoint security and compliance controls, manage device lifecycle and onboarding/offboarding, assist incident response, conduct vendor evaluations, support office networking and physical security, and enable AI tooling with security guardrails.

Lead global IT operations for a HIPAA-regulated healthtech company, managing a small support team and hands-on ticketing. Build and maintain systems for compliance and visibility, optimize vendor costs, implement security/onboarding processes, drive process improvements with KPIs and automation, and serve as primary IT liaison to leadership and partners.

Provide frontline and advanced application support for radiology imaging workflows: incident triage, user provisioning, configuration changes, DICOM troubleshooting, monitoring interfaces, coordinating with networks/storage/vendors, maintaining SOPs and knowledge base, delivering end‑user training and on‑call doctor support to meet SLAs.

Manage and grow a remote helpdesk team while providing hands-on tier 2/3 support. Own ticket triage, SLAs/KPIs, onboarding/offboarding, M365/Google Workspace and Azure AD administration, endpoint management via Intune/MDM, vendor and asset lifecycle, security policy enforcement, documentation, and process improvement.

Lead and grow the IT team, develop and document IT policies, manage onboarding and endpoint/cloud services, oversee vendor relationships, budgeting and procurement, ensure security and compliance (ISO/SOC2), and implement SSO and domain rebranding.

Lead and operate a comprehensive help desk for VA EHR modernization: design support workflows, manage incident triage/escalation, establish SLAs and knowledge systems, lead staffing and training, produce executive reporting, manage projects/changes, and drive continuous improvement and business continuity for large-scale EHR implementations.

Build and lead a centralized IT function across a holding company and portfolio. Run acquisition IT workstreams and create a Day 1-100 integration playbook. Select and operate identity and access systems, build joiner/mover/leaver processes, maintain living inventory of tools/accounts/licenses, manage MSP relationships and vendor contracts, and connect back-end systems to the cross-portfolio data platform while engaging business stakeholders.

Provide tier 1-2 IT support across hardware, software, SaaS apps, and remote connectivity; administer identity and access management; maintain device fleet via MDM; build automation for lifecycle workflows; support SOC 2/ISO/HIPAA evidence and access reviews; document workflows; partner with People, Security, and Engineering on cross-functional projects.

Manage and improve cloud-based SaaS IT environment, administer M365 and identity systems, operate and tune security platforms (Arctic Wolf, Zscaler, Okta, Mimecast), monitor alerts and lead incident response, oversee helpdesk (Freshservice), manage vendors, enable users through training and documentation, and apply AI and automation to streamline IT operations.

Serve as first-line IT support for hardware, software, networking, and enterprise applications. Triage and resolve support tickets, manage onboarding/offboarding, administer Okta and endpoint management (Intune, Jamf), maintain device health and access controls, collaborate with Security and Engineering, document processes, and improve support workflows to ensure a secure, compliant, and user-friendly hybrid work environment.

Provide senior-level remote IT support and operations for a distributed workforce: troubleshoot macOS/Windows/Linux/mobile, manage onboarding/offboarding, administer identity (Rippling/Okta) and MDM, maintain asset inventory, build AI-driven automations (Console.com, Risotto, Unthread), support SOC 2/HIPAA/ISO compliance, write runbooks in Notion, and contribute to the IT roadmap while mentoring the team.

Lead a Service Desk team supporting external financial clients; manage daily support operations, escalations, SLAs, and client communications; partner with engineering on incidents and continuous improvement; provide hands-on technical leadership across monitoring, integration, and database tools.