Senior Platform Engineer

Akido builds AI-powered doctors. Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America’s physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accurate, and more compassionate care.

Serving 500K+ patients across California, Rhode Island, and New York, Akido offers primary and specialty care in 26 specialties—from serving unhoused communities in Los Angeles to ride-share drivers in New York.

Founded in 2015 (YC W15), Akido is expanding its risk-bearing care models and scaling ScopeAI, its breakthrough clinical AI platform. Read more about Akido’s $60M Series B. More info at .

The Opportunity

Akido's Global IT team is seeking a Senior Platform Engineer to lead the design and engineering of our identity, endpoint, and cloud infrastructure platforms. This is a design-and-build role with an automation-first mandate: you will architect the platforms the company runs on, develop the automation that operates them, and set the standards that keep them consistent as we grow organically and through acquisition. You'll define infrastructure and configuration as code, build controls that produce their own evidence, and design routine operational work out of the system rather than absorbing it. You'll also serve as a technical leader and mentor to IT engineers across the United States, India, and our affiliated medical groups.

What you'll do

• Own the Microsoft Entra ID identity platform, including Conditional Access, authentication methods, MFA, and application and workload identity governance.
• Engineer privileged access for least privilege, with just-in-time elevation, scoped administrative roles, and emergency access.
• Automate the identity lifecycle end to end, and make single sign-on and automated provisioning a repeatable standard for application onboarding.
• Establish cloud governance across accounts and subscriptions, including landing zone design, network architecture, RBAC, secrets management, centralized logging, and cost visibility.
• Define cloud and platform configuration as code, with peer review and deployment pipelines.
• Lead tenant, domain, and directory consolidation as new entities join, and retire inherited legacy environments.
• Own Microsoft Intune configuration, compliance, and targeting strategy, and its integration with Conditional Access.
• Build and maintain unattended production automation against platform APIs, with appropriate logging, monitoring, and failure alerting; use operational data to find and automate repeatable or bottlenecked work and measure the results.
• Partner with Security and Compliance to engineer controls that produce their own audit evidence, and plan rollouts and remediation to fail safe under change control appropriate to a clinical environment.
• Author enforceable standards, runbooks, and architecture decision records, and provide technical guidance and mentorship to IT engineers across the US, India, and our affiliated medical groups.

Who you are

• Bachelor's degree in Computer Science, Information Systems, or a related field, or equivalent professional experience.
• Strong written communication; this role produces standards and documentation that others rely on.
• 8+ years in enterprise IT infrastructure, platform, or systems engineering.
• 5+ years hands-on with Microsoft Entra ID at enterprise scale, including Conditional Access, authentication methods, privileged roles, and enterprise applications.
• 4+ years engineering Microsoft Intune at scale, including configuration and compliance policy, targeting strategy, Autopilot, update rings, and application deployment.
• 5+ years with Azure or AWS.
• 5+ years automating against platform APIs, including Microsoft Graph, in PowerShell, Python, or a comparable language.
• 3+ years of production Infrastructure-as-Code experience with Terraform, OpenTofu, Bicep, or ARM.

Key traits about you

• You look for the automated solution first, and you build it to last.
• You establish current state before changing it, and you can show how you know.
• You plan change carefully, design rollouts that fail safe, and are thorough about verification.
• You document clearly, to a standard a colleague can work from.
• You are pragmatic about inherited environments and effective at improving them incrementally.
• You collaborate well across organizational boundaries and build relationships before you need them.
• You invest in the people around you, and see standards and mentorship as leverage.
• You handle confidential material and protected health information with care.

Benefits

• Stock-options package
• Health benefits include medical, dental and vision
• 401K
• Long-term disability
• Unlimited PTO
• Life insurance
• Paid Leave Program

Physical Demands: Mostly sedentary work duties require exerting up to thirty pounds of force occasionally and/or small amounts of force frequently. Sedentary work typically involves sitting most of the time but may involve walking or standing for brief periods.

Akido Labs, Inc. is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.

Originally posted on Himalayas