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Senior It Engineer Jobs in San Ramon, CA (NOW HIRING)

Trusted by tens of thousands of providers and hundreds of health-tech developers - forging the infrastructure layer that modern healthcare needs About the Role NexHealth is looking for a Senior IT ...

Client IT Engineer

San Francisco, CA · On-site +1

$75K - $90K/yr

About Us A Treeline business unit specialized in managed IT services for nonprofits, schools, and healthcare organizations is looking for a Client Engineer to work across the Bay Area. The Role We ...

Client IT Engineer

San Francisco, CA · On-site

$75K - $90K/yr

About Us A Treeline business unit specialized in managed IT services for nonprofits, schools, and healthcare organizations is looking for a Client Engineer to work across the Bay Area. The Role We ...

At Fin you'll be a Systems Engineer in IT, you will work on evolving our IT infrastructure with a focus on deliverability, identity & access management and compliance. This is a great opportunity to ...

We're looking for an IT Systems Administrator who wants to do more than keep the lights on. This is an early, high-impact role where you'll build the systems and automations that let our team move ...

Sr. IT Infrastructure Engineer

South San Francisco, CA · On-site

$130K - $177K/yr

About You and The Role We are looking for a Senior IT Infrastructure Engineer to help design, operate, automate, and scale the systems that support our employees and business operations. This role ...

As a Senior IT Consultant, you will be the main technical resource for your team. Managing associate techs, handling escalations, and being point on our biggest accounts. This may include providing ...

Senior IT Consultant

San Francisco, CA · On-site

$95K - $110K/yr

As a Senior IT Consultant, you will be the main technical resource for your team. Managing associate techs, handling escalations, and being point on our biggest accounts. This may include providing ...

Senior IT Consultant

San Francisco, CA · On-site

$95K - $110K/yr

As a Senior IT Consultant, you will be the main technical resource for your team. Managing associate techs, handling escalations, and being point on our biggest accounts. This may include providing ...

Sr. IT Systems Engineer

San Mateo, CA · On-site

$119K - $162K/yr

About This Role As a Senior IT Systems Engineer at Verkada, you will be responsible for driving technical ownership and delivering advanced solutions across our corporate cloud infrastructure, and ...

As a Senior IT Consultant, you will be the main technical resource for your team. Managing associate techs, handling escalations, and being point on our biggest accounts. This may include providing ...

Showing results 41-60

Senior It Engineer information

See San Ramon, CA salary details

$64.8K

$115K

$193.9K

How much do senior it engineer jobs pay per year?

As of Sep 3, 2026, the average yearly pay for senior it engineer in San Ramon, CA is $115,023.00, according to ZipRecruiter salary data. Most workers in this role earn between $92,800.00 and $129,100.00 per year, depending on experience, location, and employer.

What is the difference between Senior IT Engineer vs Network Engineer?

AspectSenior IT EngineerNetwork Engineer
Required CertificationsCompTIA Network+, Cisco CCNA, Microsoft certificationsCompTIA Network+, Cisco CCNA, Juniper JNCIA
Work EnvironmentIT departments, tech firms, enterprise environmentsNetwork infrastructure, data centers, ISPs
Employer & Industry UsageCorporate IT, tech companies, government agenciesTelecommunications, networking service providers, large enterprises

While both roles require networking knowledge and certifications, a Senior IT Engineer typically handles broader IT systems, including servers, security, and infrastructure, whereas a Network Engineer focuses specifically on designing, implementing, and maintaining network systems. The Senior IT Engineer often supervises multiple IT domains, while the Network Engineer specializes in network hardware and connectivity.

What does a senior IT engineer do?

A senior IT engineer designs, implements, and maintains an organization's technology infrastructure, including networks, servers, and security systems. They troubleshoot complex technical issues, oversee system upgrades, and often mentor junior staff, requiring strong problem-solving skills and knowledge of tools like virtualization and cybersecurity protocols.

What cities near San Ramon, CA are hiring for Senior It Engineer jobs?

Cities near San Ramon, CA with the most Senior It Engineer job openings:

Infographic showing various Senior It Engineer job openings in San Ramon, CA as of August 2026, with employment types broken down into 88% Full Time, 8% Part Time, and 4% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $115,023 per year, or $55.3 per hour.

Senior IT Systems Engineer

NexHealth

San Francisco, CA • On-site

$130K - $180K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 24 days ago


Job description

About NexHealth
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?
NexHealth's mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We're building the infrastructure layer for modern healthcare, 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.
  • Founded: 2017
  • Headquarters: San Francisco, CA
  • Funding: $177M Series C
  • Employees: 200+
  • Trusted by tens of thousands of providers and hundreds of health-tech developers - forging the infrastructure layer that modern healthcare needs

About the Role
NexHealth is looking for a Senior IT Systems Engineer to play a key role in securing and managing critical business applications while optimizing employee lifecycle operations. This position blends technical expertise with a strong focus on security and process automation to enhance efficiency, improve user experience, and scale with the growth of our organization.
What You'll Do
  • Develop and maintain scalable and automated IAM (Identity and Access Management) systems with self-service capabilities
  • Automate and manage employee onboarding and offboarding workflows for seamless access provisioning and de-provisioning
  • Oversee network, device lifecycle management and Audio Visual (AV) conferencing solutions
  • Implement proactive monitoring of IT systems for optimal performance and security
  • Drive corporate security initiatives, including deploying Zero Trust Access and managing EDR (Endpoint Detection and Response)
  • Support compliance efforts by providing evidence and documentation from an IT perspective

What You'll Bring
  • 8+ years of experience administering enterprise IT systems and SaaS applications
  • Strong knowledge of IAM, MDM, Mac OS and device lifecycle management best practices
  • Deep, practical Jira administration experience
  • Ability to automate and streamline workflows
  • Strong problem-solving and documentation skills
  • Detail-oriented with a focus on continuous process improvement

Compensation
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.
NexHealth Compensation Range
$130,000-$180,000 USD
Benefits
  • Full Medical, Dental, and Vision (up to 100% covered)
  • 401K and commuter benefits
  • Flexible PTO
  • High-impact work that directly improves the healthcare experience for millions

Our Values
  • Solve the customer's problems, not yoursWhen making decisions, think from the perspective of the customer. It's easy to make decisions that make our lives simpler, but not the customers.
  • Do the things others are not willing to doAs a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace.
  • Take ownershipAct like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses.
  • Say what's on your mind, with positive intentBe direct, proactive, transparent, and frequent in your communication.
  • Default trustAs 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.
  • Think in first principlesWe first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask "why" to validate our assumptions.

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 talent@nexhealth.com to request assistance.