Deploy, manage, and optimise cloud VMs (Azure Virtual Desktop and/or AWS WorkSpaces) for 60+ remote contractors across India, Egypt, and the Philippines
Own on/offboarding workflows, access provisioning, monitoring, and incident response
Architect the VM estate as we scale, including platform decisions (AWS vs Azure) and cost optimisation
Own the core treatment planning application used by our designer team
end to end: server performance, database management, disk space, version updates, and multi-server architecture as we grow
Build runbooks and escalation paths so day-to-day application issues are handled without senior engineers being the only escalation path
Work directly with the software vendor on scaling and architectural decisions
Enrol and manage all company laptops via Microsoft Intune MDM, enforcing encryption, antivirus, and patch compliance
Administer users, licences, SSO, and security settings across the organisation
Be the primary point of contact for IT support across 40 London staff and 60+ remote contractors
Own account creation, access provisioning, and tool permissions end-to-end for all new starters and leavers
Support 32Co's ISMS and GDPR, ISO 27001 and HIPAA compliance programmes
Patching, monitoring, licensing management, and capacity planning across all systems

4-7 years in IT infrastructure, cloud ops, or similar
ideally in a high-growth startup or scale-up
Hands-on with cloud VM environments: Azure Virtual Desktop, AWS WorkSpaces, or equivalent
Experience administering Microsoft Intune MDM and Google Workspace at an organisational level
Comfortable owning a full IT function independently
helpdesk, device management, access control, vendor management
Thinks in systems and automation
your instinct after solving a problem is "how do I never solve this manually again?"
Comfortable with ambiguity and making sensible decisions without detailed specs
Excited about AI as a practical tool
to automate workflows, build internal bots, or reduce toil
Strong spoken and written English; communicates clearly with non-technical stakeholders
Available for meaningful UK hours overlap
roughly 6am-3pm UK time

A rare opportunity to be the first IT/Infra hire at a fast-scaling health-tech company
you'll build the function from scratch with real autonomy
Real infrastructure challenges from day one
cloud VM architecture, HIPAA compliance, scaling a production server-side application across a global team
Opportunity to work closely with a strong engineering team and direct exposure to senior leadership
32Co is growing fast
your scope and impact grow with it
AI-first from the ground up
a chance to reshape what an IT function looks like with AI at its core

Cloud & IT Infrastructure Engineer

Key skills