MSP Senior Systems Engineer
The MSP Senior Systems Engineer designs, implements, and supports client infrastructure across on-premises and cloud environments while serving as a tier-3 escalation point for complex issues.
House Rx is a healthcare technology company transforming how specialty medications are managed and delivered within physician practices. We operate in a highly regulated environment where security, reliability, and operational excellence matter every day. We're looking for a hands-on Senior Corporate IT Engineer to own and scale the technology that supports our workforce. This role spans endpoint management, identity and access, SaaS administration, automation, security, and the employee lifecycle.
House Rx is hiring a Senior Security Software Engineer to help us build, review, and harden security-sensitive software and infrastructure.
This role sits within Security & IT and will focus on secure code review, production hardening of internal tooling, and cloud/network security coverage. As we scale AI-assisted development, HITRUST readiness, clinic connectivity, and internal systems, we need a senior engineer who can move across code, infrastructure, and security risk with strong, independent judgment. This is someone who can dig deeply into another engineer's work, review it rigorously, push back where needed, and set the technical direction for how we secure what we build.
House Rx is moving quickly. We are building more tooling, expanding our cloud and clinic network footprint, and using AI to accelerate development. This role helps us keep pace without letting security review, secure architecture, or production hardening become bottlenecks.
You will help us ship faster, safer, and with more confidence.
In particular, we offer:
The base salary range for this role is $160,000 - $190,000 plus meaningful equity stake
This range represents the low and high end of the anticipated base salary. Actual compensation will depend on experience, knowledge, and skills. Packages also include equity, flexible paid time off, and benefits.
More About House Rx
Together, we build and maintain impactful solutions through our pharmacy management system and data insights platform. These tools enable our internal teams, pharmacists, care coordinators, and clinical operations to streamline medication access, while helping external healthcare providers and clinics deliver better patient care.
Our engineering work presents exciting technical challenges as we balance user-facing features with robust internal systems. We release updates daily, requiring thoughtful prioritization and technical excellence while maintaining high quality. This iterative approach means we're constantly delivering meaningful improvements to our healthcare platform.
We're a fun, thoughtful, supportive, and down-to-earth group focused on doing some of the best work of our lives. We know software is built by people, and we're committed to taking care of both the people we work with and the patients whose lives we touch through our technology.
The MSP Senior Systems Engineer designs, implements, and supports client infrastructure across on-premises and cloud environments while serving as a tier-3 escalation point for complex issues.
The Senior MSP Engineer designs, implements, and supports client IT infrastructure in managed services, acting as a technical escalation point and leading complex projects.
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