Pipeline
Browse Jobs
Sign inSign up
Pipeline
Browse jobsSign inContactTermsPrivacyCookiesPreferences
Logos provided by Logo.dev

© 2026 Pipeline. All rights reserved.

  1. Home
  2. Jobs
  3. Engineering
  4. Head of IT & Security
NexHealth logo

NexHealth

Head of IT & Security at NexHealth

Seattle, Washington, United StatesFull-timeEngineeringPosted 26 days ago
Apply with Pipeline→

About the Role

<div class="content-intro"><p><strong>About NexHealth</strong></p> <p>Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?</p> <p>NexHealth’s mission is to <strong>accelerate innovation in healthcare</strong> by connecting patients, providers, and developers.&nbsp;We’re building the <strong>infrastructure layer for modern healthcare, </strong>connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.</p> <ul> <li>Founded: 2017</li> <li>Headquarters: San Francisco, CA</li> <li>Funding: $177M Series C&nbsp;</li> <li>Employees: 200+</li> <li>Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs</li> </ul></div><h1><span style="font-size: 10pt;"><strong>About the Role</strong></span></h1> <p><span style="font-size: 10pt;">NexHealth is a technology company building infrastructure that's reshaping how patient data moves and how the HealthTech ecosystem connects. We're looking for a Security Lead to own our security governance, compliance, IT operations, vendor security, and incident response — establishing the function, embedding strong practices, and partnering closely with engineering, legal, and leadership.</span></p> <p><span style="font-size: 10pt;">This is a player-coach role with real hands-on expectation in year one. You'll drive the next phase of our security and compliance program, and build your team.</span></p> <h1><span style="font-size: 10pt;"><strong>What You'll Do</strong></span></h1> <ul> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Own NexHealth's security governance, compliance, and IT programs end-to-end.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Serve as named Information Security Officer and Privacy Officer for SOC 2 and HIPAA — own the policy manual (40+ documents), audit liaison relationship with A-LIGN, control mapping across overlapping regimes, and evidence collection pipelines.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Set security standards across application security, vulnerability management, cloud security (AWS), audit logging, and access controls — driving the technical program through Engineering via influence, not direct authority.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Build, hire, and develop the IT and workforce security program: endpoints, identity, SaaS administration, phishing simulations, role-specific training modules, and facilities security.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Own vendor security: intake, classification, assessment, BAA execution, ongoing oversight, and customer-facing trust artifacts including Trust Center and subprocessor disclosure.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Lead incident response in Officer capacity; partner with outside counsel on breach determinations, own IR tracking, and run annual tabletop exercises.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Own the risk register, risk acceptance decisions, privacy operations (DSARs, data subject rights, privacy complaints), BC/DR plan, and cyber insurance relationship.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Hire a Staff-level IT IC within year one and grow the function from there.</span></li> </ul> <h1><span style="font-size: 10pt;"><strong>What You'll Bring</strong></span></h1> <h2><span style="font-size: 10pt;"><strong>Experience</strong></span></h2> <ul> <li style="font-size: 10pt;"><span style="font-size: 10pt;">8+ years of relevant security experience, including 3+ years in a security leadership role where you were materially building the program, not maintaining it.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Has built (not inherited) a security program from a near-zero baseline at least once.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Has owned a recurring external audit cycle end-to-end (e.g., SOC 2, ISO, PCI, HITRUST) — designed evidence collection, mapped controls, ran the auditor relationship, and made the next cycle materially easier than the last.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Software engineering background. Can read a pull request, evaluate cloud configurations, and push back on Engineering with technical substance.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Experience hiring and developing senior security or IT individual contributors.</span></li> </ul> <p>&nbsp;</p> <p><span style="font-size: 10pt;"><strong>Qualifications</strong></span></p> <ul> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Hands-on experience with security tools and technologies such as SIEM, MDR, IDS/IPS, WAF, DLP, and vulnerability scanners.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">You've reshaped how a company engages with auditors, regulators, or customer security teams — moved questionnaires to Trust Centers, audits from manual to automated, or vendor reviews from one-off projects to continuous programs.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">You drive sustained operational change in functions you don't manage.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">You treat engineering velocity as a security input. Slow shipping creates security risk too.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">You can frame risk for a Board-level audience and for an engineering audience in the same week.</span></li> </ul> <p><span style="font-size: 10pt;"><strong>Behavioral Traits</strong></span></p> <ul> <li style="font-size: 10pt;"><span style="font-size: 10pt;">First-principles thinker.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Writes. NexHealth runs on documents; verbal-first operators struggle here.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Comfortable being the ranking voice on policy and risk.</span></li> </ul><div class="content-pay-transparency"><div class="pay-input"><div class="description"><p><strong>Compensation</strong></p> <p>Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.</p></div><div class="title">NexHealth Compensation Range</div><div class="pay-range"><span>$175,000</span><span class="divider">&mdash;</span><span>$220,000 USD</span></div></div></div><div class="content-conclusion"><p><strong>Benefits</strong></p> <ul> <li>Full Medical, Dental, and Vision (up to 100% covered)</li> <li>401K and commuter benefits</li> <li>Flexible PTO</li> <li>High-impact work that directly improves the healthcare experience for millions</li> </ul> <p><strong>Our Values</strong></p> <ul> <li><strong>Solve the customer’s problems, not yours</strong><strong><br></strong>When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers.</li> <li><strong>Do the things others are not willing to do</strong><strong><br></strong>As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace.&nbsp;</li> <li><strong>Take ownership<br></strong>Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses.</li> <li><strong>Say what’s on your mind, with positive intent<br></strong>Be direct, proactive, transparent, and frequent in your communication.</li> <li><strong>Default trust<br></strong>As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster.</li> <li><strong>Think in first principles<br></strong>We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.</li> </ul> <p>We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact <strong>[email protected]</strong> to request assistance.</p></div>

Related Roles

  • Platform Engineering Manager - Trust Infrastructure

    NexHealth

    Toronto, Ontario, Canada; Vancouver, British Columbia, Canada
  • Head of IT & Security

    NexHealth

    San Francisco, California, United States
  • Senior Software Engineer, Remote

    NexHealth

    United States
  • Senior Software Engineer, Security

    NexHealth

    Seattle, Washington, United States
  • Senior Software Engineer, Security

    NexHealth

    San Francisco, California, United States
  • Staff Software Engineer

    NexHealth

    Seattle, Washington, United States