exacare ai is hiring an IT Manager to establish and lead the IT function supporting our Toronto office. This is the company's first dedicated IT hire and a foundational role within the organization.

exacare ai's IT environment, which includes device management, core business systems, office network infrastructure and physical security, is currently administered informally across the Operations and People teams. The IT Manager will assume full ownership of this environment and establish the standards, workflows and support model required to operate it effectively at scale. This includes determining the appropriate service delivery model, up to and including whether a formal ticketing system is introduced.

The IT Manager will be based in Toronto and work from our office three days per week, supporting a local employee population of approximately 50 to 100 people. exacare ai is scaling toward 150 employees across Current York, Toronto and Vancouver, and the successful candidate will be responsible for building an IT function capable of supporting that growth.

This role is well suited to an experienced IT professional who has owned the full technology surface at a single organization, spanning endpoints, identity, network and end-user support, and who is comfortable operating with a high degree of autonomy. The successful candidate will define this function rather than inherit an established one, and will be expected to identify priorities and recommend solutions independently.

What You’ll Do

Device lifecycle: Own the complete device lifecycle, including procurement, provisioning, MDM enrollment, ongoing maintenance and responsible end-of-life disposal

Onboarding and offboarding: Manage employee onboarding and offboarding, including automated provisioning and de-provisioning across core systems using SSO and SCIM

Core systems administration: Administer Google Workspace, Rippling, SentinelOne, 1Password , and manage access and licensing across the broader software stack

Network infrastructure: Own the office network and Wi-Fi, including oversight of the network provider relationship and internal visibility into network performance

Office technology: Configure and maintain conference room and AV systems across the Toronto office, and manage employee peripherals including monitors, mice, keyboards, headphones and speakers.

Security and compliance: Support exacare ai's SOC 2 program, and own password management and endpoint protection

Physical security: Own access control systems, including the implementation of facial recognition

Internal support: Serve as the primary point of contact for technical support across the Toronto office

Building the function:



Establish the workflows, service delivery model and processes required to scale IT support as headcount grows

Cross-functional partnership: Partner with People Operations and Operations on new hire setup, office projects and cross-functional initiatives

Procurement: Support software procurement and vendor evaluation as the technology stack expands

What You’ll Bring

Experience: A minimum of five years in a comparable IT role, with demonstrated ownership of the full IT environment at an organization with a laptop-based workforce

Identity and access: Practical implementation experience with SSO, SAML and SCIM

Device management: Experience administering an MDM platform such as Jamf, Kandji or Intune, and managing the complete device lifecycle from procurement through end-of-life disposal

Breadth of ownership: Experience covering the full technology surface at a single organization, spanning endpoints, identity, network and end-user support

Building from zero: A demonstrated record of building IT processes and infrastructure from the ground up, with the ability to operate effectively without an established playbook or internal escalation path

Independent problem solving: A proven ability to work through unfamiliar technical problems independently. This is exacare ai's only dedicated IT role, and the successful candidate will research, decide and implement without a mentor or coach to elevate to.

Communication: Strong interpersonal skills, with experience partnering closely with People Operations, Operations and the wider employee base

Judgment: Sound judgment in process design, with the ability to apply appropriately scaled solutions within a high-growth environment

Bonus Points

You have administered Rippling, Okta or Workday

You have Google Workspace administration experience

You have Wi-Fi and network administration experience

You have exposure to SOC 2 or a comparable compliance program

You have experience with physical security and access control systems

You find healthcare genuinely interesting

Competitive salary and equity in a high-growth startup

Flexible PTO, take what you need

Medical, dental, and vision coverage

Great startup culture, including company off-sites

High-achieving team,



including ex-Amazon engineers and alumni of Bain, BCG, Goldman Sachs, and more

Only the best belong here
We are unapologetic about talent. This should be the best team you have ever been on. Protecting that standard is how we honor each other’s time, ambition, and craft.

We work even harder to keep our partners than we did to earn them initially
The work does not stop when a customer first onboards to our platform. It deepens over time. We partner with operators, listening and learning about real problems, and translate that into solutions that help them succeed in practice. We earn trust through consistent delivery.

We keep the patient downstream of every decision
At the end of the day, this is about the patient. We get there by deeply respecting and reflecting on our purpose: to develop software that aids teams in delivering better care.

Raise the bar on ownership
We grow because people here go beyond the minimum. We invest extra effort, care, and ownership into what we build.

The world is moving fast. We move faster.
This is a race. We work hard, we move early, and we stay ahead of problems and competitors. If we slow down, someone else will pass us.

Bring good vibes and win together
We win as a team. We bring energy, support each other, and make the workplace somewhere people are excited to show up. If this sounds like you, we'd love to have a chat!

#LI-Hybrid

About exacare ai
exacare ai is a leading health tech company on a mission to build the AI operating system for post-acute care. Our platform turns messy, unstructured referral packets into clear clinical insights and next steps, so teams can make faster, safer placement decisions with less administrative burden. Today, exacare ai powers more than 2,000 facilities, and is growing rapidly.

We recently raised a $30M Series A led by Insight Partners, and are bringing world-class talent together to transform healthcare. If you like building, learning, and want to make a real impact, come join us!

About exacare ai
exacare ai is a leading health tech company on a mission to build the AI operating system for post-acute care. Our platform turns messy, unstructured referral packets into clear clinical insights and next steps, so teams can make faster, safer placement decisions with less administrative burden. Today, exacare ai powers more than 2,000 facilities, and is growing rapidly.

We recently raised a $30M Series A led by Insight Partners, and are bringing world-class talent together to transform healthcare. If you like building, learning, and want to make a real impact, come join us!

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📌 IT Manager (Ontario)
🏢 ExaCare AI
📍 Ontario