Senior Systems Administrator
Adaptive Innovations
| Company | Adaptive Innovations |
| Category | Operations & Admin |
| Location | Houston |
| Remote | Remote |
| Employment | Not stated |
| Level | Senior |
| Salary | Not stated by the employer |
| Posted | 22 Jan 2026 |
| Last verified | 8 Aug 2026 |
| Source | Employer ATS (ashby) |
Description
ABOUT US
We are fixing US healthcare by building an AI-native physical care platform, starting with home health.
Home health is a $140B industry with less than $10B in EBITDA — 40% of revenue is spent on pure administrative waste. We automate this work with AI, creating a fundamentally different cost structure compared to incumbents. This lets us rapidly take market share by serving the 30% of patients who go untreated today.
By reshaping the cost structure of this industry, we unlock its growth.
We’ve built one of the best AI teams in the world (from Character AI, Scale, Palantir, Citadel, Jane Street) and paired them with a team of healthcare veterans and ex-MBB strategists to build a new type of healthcare company: one that delivers care at the speed of an AI company.
Our physical care platform already operates with 30pp higher gross margins than traditional home health providers. With our AI advantage, we pay nurses more, remove their admin burden, and unlock the scale economics that have been missing from this fragmented industry. If we served this entire $140B market, instead of $10B in EBITDA, we’d drive $60B.
We're starting with home health, then expanding to all delivered care. Our mission is “any care, any where”.
Fundamentally, our incentives are aligned with America. Every dollar in revenue we make is two dollars taken out of the healthcare system. If we succeed, so does US healthcare.
THE OPPORTUNITY - SYSTEMS INFRASTRUCTURE
We're scaling from 500 to 2,500 employees over the next year while integrating multiple acquired entities. Our IT infrastructure needs to match the speed of an AI company—not the bureaucracy of traditional healthcare.
We're insourcing IT operations and building a unified, secure platform across all business units. This means consolidating fragmented systems, hardening security and compliance, and creating the infrastructure that lets our clinical and AI teams move fast without breaking things. Think of it as a blend of:
• Defensive design (prevent attacks at every layer, but also prepare for breaches, minimize blast radius, and detect incidents fast)
• Greenfield architecture (you'll have latitude to design best-in-class infrastructure, not patch legacy systems)
• Frictionless operations security (tight access control with low friction — make the secure path the easy path)
You'll be one of the earliest members of our internal IT team, working directly with leadership, engineering, and operations to build the infrastructure foundation that powers care delivery across the USA.
This role is designed for you if you have a low ego, love solving problems that matter, and are ready to build infrastructure for an industry-changing company.
WHAT YOU'LL DO
You'll own and drive high-impact, ambiguous problems end-to-end, such as:
1. OWN SECURITY POSTURE ACROSS ALL SYSTEMS
• Implement and enforce cybersecurity controls: MFA, conditional access, EDR, vulnerability scanning, and secure remote access
• Lead incident response and coordinate with our security partners
• Maintain HIPAA-aligned technical safeguards and support CMS and state audits
• Build and maintain security documentation, policies, and system diagrams—we cannot secure what we cannot see
2. ARCHITECT AND MAINTAIN CLOUD INFRASTRUCTURE
• Deploy and maintain Microsoft 365, Entra ID, Intune, VPNs, and virtual desktop environments
• Manage backups, disaster recovery, monitoring, and patch management
• Lead system upgrades, migrations, and integrations as we consolidate business units
3. DRIVE M&A SYSTEM INTEGRATION
• Lead post-acquisition integration: directory consolidation, email migrations, endpoint standardization, network integration, legacy decommissioning
• Participate in IT due diligence for acquisitions—system inventories, security posture assessments, risk identification
• Develop repeatable IT integration playbooks to support our ongoing acquisition strate