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IT and Security Generalist

Galileo · Remote, United States

remotemid$110,000–$120,000Posted Sep 23, 2026OktamacOSMDMLLMsGenAIAWSGCPSIEM

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About this role

**About Galileo** Galileo is a team-based medical practice improving the quality and affordability of healthcare for all. Operating across 50 states, we deliver high-touch, data-driven, multi-specialty, longitudinal care for diverse and complex patients—on the phone, in the home, and everywhere in between. **About the Role** The Galileo IT and Security team runs identity, endpoints, workforce tooling, security monitoring, and the automation that connects it all. This role focuses on operating and improving that environment—handling exceptions, reviewing outcomes, and building workflow automation (rather than managing a high volume of tickets). This is a **full-time remote** position, reporting to our **Head of IT and Security**. --- ## What you will do ### Identity and endpoints - Administer identities in **Okta** (users, groups, applications, device trust) - Manage the **MacBook fleet** through the **MDM** platform (enrollment, configuration, compliance, remote actions) - Monitor and refine **onboarding/offboarding** through automated lifecycle workflows and handle exceptions ### Automation - Maintain and extend the automation estate that runs lifecycle, monitoring, and reporting workflows (including **LLM-assisted triage** steps built with GenAI) - Own the workflows you build: monitor them, fix failures, retire what no longer serves a purpose - Build new automation for manual processes across the company with the teams that own those processes ### Security operations - Respond to alerts from endpoint protection, cloud monitoring, and identity systems within defined **SLAs** - Investigate and document security events; escalate incidents per the incident handling procedure - Support **vulnerability management**: review findings, track remediation with engineering, report status ### Application security (part-time) - Participate in security review of engineering changes, integrations, and vendor connections - Review authentication, authorization, and data handling patterns in internal applications and workflows - Work with engineering to set secure defaults from the start ### Audit and evidence - Ensure automated evidence collection continues to work; investigate gaps flagged by the reconciler - Gather and prepare evidence samples for **SOC 2** and **HITRUST** when automation can’t handle a request ### Workforce support - Handle support requests requiring system access or judgment beyond the helpdesk bot/knowledge base - Write and update end-user documentation in clear, simple language --- ## How we work - Small team with a focus on **trust** and **clear communication** - Prefer **automation** over repeat manual work (alert triage, lifecycle actions, and evidence collection already run this way) - Keep clear records of decisions, changes, and status updates - Test changes before they go live—work only happens when it works in production --- ## Growth path This role is designed to help you develop into a **Security Engineer** with a focus area (e.g., identity, detection & response, or application security). Your specialty will be chosen together with the Head of IT and Security based on your strengths and Galileo’s needs. --- ## About you - Communicates clearly in writing; can explain a problem, decision, and status in a few sentences - Takes ownership and ensures what you build keeps working; monitors systems and fixes issues quickly - **4–5 years** experience in fast-moving IT, security operations, or systems administrat

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