Senior Platform Engineer

• 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.

• 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.

• 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.

Salary range

$132,600—$179,400 USD

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 Akidolabs.com.