Top Senior IT Jobs in San Francisco Bay Area, CA

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.

The role involves providing Tier 3+ technical support to executives, ensuring seamless technology operations, managing AV setups for meetings, and overseeing compliance with IT security policies.

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.

Provide frontline IT support and systems administration for macOS and Windows users. Manage identity and device platforms (Okta, JumpCloud, Jamf, Intune), administer Microsoft 365, configure A/V conference systems, assist with networking, document solutions, and support onsite and remote employees while escalating issues to senior IT staff and contributing to IT projects and improvements.

Lead and operate Vynca's IT function for a fully remote, HIPAA-regulated healthcare organization. Manage a distributed IT team, own day-to-day operations (hardware lifecycle, provisioning, identity and access), enforce security and compliance (HIPAA, SOC 2), administer MDM/SSO/endpoint tools, support audits, and drive operational improvements while mentoring staff.

Lead and build Distyl's global IT organization, owning strategy, security controls, compliance (SOC 2, ISO, GDPR, HIPAA), identity and endpoint management, SaaS governance, office and global infrastructure, and hands-on execution to scale employee technology and support enterprise customers.

Remote IT Manager responsible for analyzing, upgrading, and administering IT systems (networks, servers, email, backups), evaluating vendors and technologies, managing projects, tracking inventory, training staff, and providing technical support to improve operational efficiency.

Lead and manage Level 1-3 Service Desk analysts supporting external clients, oversee daily operations, escalations, SLAs, and reporting. Improve service management, automation, and first-call resolution; partner with Engineering and Incident/Problem/Change Management to resolve production issues. Provide hands-on technical leadership across Splunk, Datadog, MuleSoft, SQL, and ServiceNow while managing client communications and operational metrics.

Hands-on senior IT systems administrator responsible for administering Google Workspace and Microsoft 365 environments, endpoint and MDM support across ChromeOS/Windows/macOS, SaaS administration, help desk support, and executing compliance controls (CMMC/NIST800-171/ISO27001/SOC2). Uses AI tools to automate IT workflows, supports engineering teams' toolchains, and assists in audit readiness and evidence collection.

Lead and manage a remote US IT support team to deliver high-quality technical support. Oversee daily operations, SLAs, ticket triage, knowledge base, training, metrics reporting, and escalation for complex issues while coordinating cross-functional initiatives and adopting industry best practices to improve customer satisfaction.

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.

First IT hire responsible for end-to-end IT: systems administration (Rippling, Google Workspace, SSO), device lifecycle, help desk, vendor and license management, security operations (endpoint protection, phishing simulations, awareness training), and establishing HIPAA compliance and documentation.

The IT Operations Engineer provides technical support for end-users, manages IT systems, and ensures seamless operations across locations, serving 30 employees in San Francisco and assisting with on-call support across other offices.

As Director of IT, you'll lead IT services including Helpdesk, identity, and corporate infrastructure, focusing on automation, user experience, and team growth.

The role leads IT Business Enablement, partnering with senior leaders to drive operational excellence in Manufacturing and Quality through technology and agile practices.