IT & Security Engineer Lead

Pharmacy1st Health is building the clinical infrastructure for rural America by transforming independent pharmacies into integrated care delivery hubs. Our model combines primary care, pharmacy services, and chronic disease management under one roof, creating a new, lower-cost site of care for underserved communities.

We operate across multiple states and are rapidly expanding a network of rural clinics co-located with pharmacies. Our goal is to deliver scalable, high-quality care while improving access, outcomes, and cost efficiency.

The IT & Security Engineer Lead will manage Pharmacy1st Health’s day-to-day IT operations, security controls, site technology readiness, and vendor coordination across corporate, pharmacy, and clinic environments. Operating in a HIPAA-regulated environment, this role will support the protection of patient, pharmacy, and company data while ensuring reliable technology operations across a growing rural healthcare network.

This is a hands-on manager role for someone who can execute effectively, build scalable processes, support new pharmacy and clinic launches, and partner cross-functionally to keep systems secure, compliant, and operationally efficient.

Key Responsibilities

Security & Compliance Operations

• Manage and support Pharmacy1st’s HIPAA-aligned security program, including policies, training, incident response coordination, and security best practices.

• Support ongoing risk assessments, vulnerability remediation tracking, and security documentation efforts.

• Coordinate security awareness initiatives for HQ, pharmacy, and clinic staff.

• Assist with vendor security reviews, BAAs, and third-party compliance documentation.

• Help maintain audit-ready processes aligned with HIPAA, SOC 2, and future compliance initiatives.

Identity & Access Management

• Manage day-to-day account provisioning, deactivation, and access requests across pharmacy, clinical, and corporate systems.

• Maintain joiner / mover / leaver workflows tied to HR onboarding and offboarding.

• Support role-based access controls and periodic access reviews for sensitive systems.

• Ensure accurate documentation and audit-ready access logs.

IT Operations & Infrastructure

• Support the centralized IT strategy across corporate offices, pharmacies, and clinics.

• Coordinate hardware setup, networking, software deployment, and device management for new and existing sites.

• Manage core IT systems including identity management, MDM, helpdesk, endpoint protection, email security, and asset tracking platforms.

• Maintain IT inventory, device lifecycle management, and standard operating procedures.

• Help improve helpdesk responsiveness, uptime, and operational support across the network.

PioneerRx & Site Technology Support

• Coordinate PioneerRx deployments, upgrades, and migrations for pharmacy locations.

• Support site go-lives by ensuring hardware, networking, and user readiness are completed on time.

• Partner with pharmacy software vendors and local contractors to resolve escalations and implementation issues.

• Standardize technology configurations across locations including printers, scanners, signature pads, and workstations.

Local IT Vendor & Contractor Management

• Coordinate local IT contractors and managed service providers supporting pharmacy and clinic locations.

• Maintain clear service expectations, escalation paths, and support workflows.

• Assist in building a reliable field support network across Pharmacy1st markets.

• Develop repeatable runbooks for routine onsite support and troubleshooting.

Cross-Functional Partnership

• Partner with Operations, Care Delivery, Finance, and HR to support operational technology needs.

• Support IT and security due diligence efforts for acquisitions and new site integrations.

• Contribute to process improvements that strengthen scalability, compliance, and user experience across the organization.

Qualifications

Required

• 5+ years of progressive IT and/or security experience in a multi-site environment.

• Experience supporting HIPAA-regulated or healthcare-adjacent environments preferred.

• Hands-on experience with endpoint management, identity/access administration, helpdesk operations, and vendor coordination.

• Strong organizational skills with the ability to manage multiple priorities across distributed locations.

• Clear communication skills and a service-oriented mindset.

Preferred

• Experience supporting pharmacies, clinics, or healthcare operations.

• Familiarity with PioneerRx or similar pharmacy management systems.

• Experience working in high-growth or rapidly scaling organizations.

• Relevant certifications such as CompTIA Security+, CISSP, CISM, or similar are a plus but not required.

What Success Looks Like (First 12 Months)

• Reliable onboarding, offboarding, and access management workflows across all locations.

• Improved helpdesk responsiveness and site support coordination.

• Standardized IT setup processes for pharmacy and clinic launches.

• Consistent security and compliance practices across the network.

• Successful coordination of PioneerRx and technology deployments for new acquisitions and openings.

• Strong working relationships with site teams, vendors, and local IT partners.

Why This Role Matters