Why you should join us

Tandem is a generational opportunity to rethink how we bring new therapies to market, and our path to doing so is significantly de-risked – we have:

• Exponential organic growth: We have product-market fit and are growing rapidly through word-of-mouth. Tandem supports thousands of patients every day, is doubling doctor users every quarter, and is working with the largest biopharma companies in the world.

• An AI-first business model: Our approach is distinctly enabled by AI, but our business will get stronger (not commoditized) as foundation models improve. We are building durability through two-sided network effects that will compound over time.

• Top tier investors: With the traction to support conviction in our model, we raised significant funding from investors (including Thrive Capital, General Catalyst, Bain Capital Ventures, and Pear VC) to build an exceptional team of engineers and operators.

Our number one priority is scaling to market demand. We are looking for individuals who are high horsepower, high throughput, and hyper resourceful to help us increase capacity and grow. We move fast and need to move faster.

All full-time roles are in person in New York. You can learn more about working with us in the last section of this page.

About the role

As IT Lead at Tandem, you’ll be responsible for designing and operating the internal systems that keep our team fast, secure, and productive. You’ll oversee our infrastructure across identity, access, device management, and compliance — while also supporting day-to-day IT needs like access requests, device provisioning, and distributed workforce support.

This role requires both systems thinking and hands-on execution. You’ll help define foundational IT workflows and tooling as we scale, while also serving as the go-to person for diagnosing and resolving issues across the team. You’ll work closely with engineering, operations, and compliance to ensure the environment we’re building is robust, secure, and built for scale.

This is a demanding role, with a high level of autonomy and responsibility. You will be expected to "act like an owner" and commit yourself to Tandem's success. If you are low-ego, hungry to learn, and excited about intense, impactful work that drives both company growth and accelerated career progression, we want to hear from you.

If you join, you will:

• Own our internal IT infrastructure — including identity, device, and systems management

• Administer and improve core tools like Google Workspace, Jamf, Zoom, Slack, and Twingate

• Build and automate onboarding and offboarding workflows, reducing manual setup and access errors

• Support a growing distributed workforce — including offsite device logistics, access controls, and endpoint security

• Handle internal access requests and technical escalations with speed and context

• Write and maintain automation scripts and lightweight integrations across internal systems

• Partner with engineering and compliance to support SOC2/HITRUST posture and audit readiness

We’ll be most excited if you:

• 4–8 years of experience in IT operations, internal systems, or infrastructure support

• Deep familiarity with Google Workspace administration and device management (Jamf, MDMs)

• Experience with cloud IAM systems (AWS preferred), and Zero Trust or identity governance tools

• Proficiency in scripting and infrastructure-as-code tooling (e.g., Terraform, Bash, Python)

• Comfort designing workflows and automation to support scale and compliance

• Strong communication and support instincts, with a user-first mindset

• High NPS with your former teammates

This is a list of ideal qualifications for this position. If you don't meet every single one of them, you should still consider applying! We’re excited to work with people from underrepresented backgrounds, and we encourage people from all backgrounds to apply.

Working with us

Tandem is based in New York, with our full team working out of a beautiful and spacious office in SoHo. 

We run as a high-trust environment with high autonomy, which requires that everyone is fully competent and operates in line with our principles:

• Commit to audacity. "Whether you think you can, or you think you can't – you're right.”

• Do the math. Be rigorous, assume nothing.

• Find the shortest path. Use hacks, favors, and backdoors. Only take a longer road on purpose.

• Spit it out. Be direct, invite critique, avoid equivocation – we want right answers.

• Be demanding and supportive. Expect excellence from everyone and offer help to achieve it.

• Do what it takes to be number 1. We work hard to make sure we win.

We provide competitive compensation with meaningful equity (for full-time employees). Everyone who joins early will be a major contributor to our success, and we reflect this through ownership and pay.

We also provide rich benefits to ensure you can focus on creating impact (for full-time employees):

• Fully covered medical, vision, and dental insurance.

• Memberships for One Medical, Talkspace, Teladoc, and Kindbody.

• Unlimited paid time off (PTO) and 16 weeks of parental leave.

• 401K plan setup, FSA option, commuter benefits, and DashPass.

• Lunch at the office every day and Dinner at the office after 7 pm.

Our salary ranges are based on paying competitively for our company’s size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Tandem (for full-time employees). Individual pay decisions are ultimately based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity.

Tandem is an equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition, or any other basis protected by law.