Senior Manager, IT & Business Systems — StemWave
Boston, MA · Full-time, in office · Reports to Head of Finance & Admin
About StemWave
StemWave is a non-invasive regenerative medical device company reshaping healthcare alongside our provider partners. Our technology helps people live pain-free by activating the body’s natural healing process, without drugs or surgery. We’re a ~100-person company scaling fast, and our systems need to scale with us.
The opportunity
This is a builder role for someone who would rather fix it than file a ticket about it. You’ll own every system that runs StemWave (Salesforce, NetSuite, RF-Smart, Shopify, Zapier, etc.). You’ll set the IT strategy and roadmap, lead a lean team (today, an IT Manager and a Salesforce Administrator), and still be the person who jumps into an API integration, debugs a broken Zapier flow, or sets up a new hire’s laptop on their first morning. You’ll report to our Head of Finance & Administration and partner closely with Sales, Marketing, Finance and Operations.
If you’ve built IT from the ground up at a startup, like owning both the strategy and the screwdriver, and pick up new platforms quickly, this role is for you.
What you’ll do
Own IT, end to end and in person
Run day-to-day IT for the office: hardware and equipment, device setup and lifecycle, onboarding/offboarding, accounts and access, network, printers, conferencing and end-user support.
Manage IT asset inventory, software licenses and vendor contracts.
Own security basics and standards: permissions frameworks, access reviews, backups, documentation and SOPs.
Serve as the escalation point for systems issues and cross-functional technical blockers.
Build and run our business systems
Administer and optimize Salesforce: automation, workflows, permissions, configuration and integrations.
Design, build and maintain integrations across Salesforce, NetSuite, HighRadius, RF-Smart, Shopify, marketing platforms, analytics tools and our website.
Own the technical infrastructure behind the website: backend logic, lead capture, routing, tracking, attribution and performance.
Build marketing attribution and marketing-to-Salesforce connectivity across Meta, Google, YouTube and Bing.
Write and maintain APIs, middleware and automation (Zapier or similar) that remove manual work.
Build our AI and cloud infrastructure
Stand up and manage cloud infrastructure (AWS or similar) as the business grows.
Lead the rollout of AI tools and AI-powered workflows across the company: selecting tools, connecting them to our data and systems, and setting guardrails.
Evaluate, learn and implement new platforms quickly as needs change.
Lead the team and the roadmap
Build, own and execute the IT strategy and a multi-year systems roadmap.
Lead and develop the IT and Business Systems team (an IT Manager and a Salesforce Administrator today) and grow it as the business scales. Delegate based on each person’s strengths and coach where they’re still growing.
Manage contractors, external developers, agencies and platform vendors.
Prioritize competing requests from across the company and say clearly what gets done when.
Bring your manager options, trade-offs and honest pushback, not just status updates.
Who you are
Startup builder. You’ve worked on a small startup team or built an IT function from scratch. You know what “good enough for now” looks like and when it isn’t.
Scrappy and hands-on. No task is beneath you. You’ll unbox a monitor in the morning and write an integration in the afternoon. The team is lean, so you’re comfortable covering any part of the stack yourself when it’s needed.
Fast learner. You pick up new platforms on the fly and are excited, not anxious, about tools you haven’t used yet.
Flexible, and leads by example. You adapt as priorities shift, set the standard for your team by doing the work, and can have direct, constructive conversations with your manager.
Organized and structured. You run a clean backlog, document as you go, delegate well, and can read the strengths and gaps of the people around you to put the right person on the right work.
What you bring
4–6 years of IT leadership, including building IT strategy and systems roadmaps (startup or high-growth required; building a team or function from the ground up strongly preferred).
Hands-on ownership of day-to-day IT: hardware, end-user support, onboarding/offboarding, access and security.
2+ years of hands-on Salesforce administration (automation, configuration, integrations).
2+ years building and supporting integrations (APIs, middleware, automation tools) in a company with substantial sales and marketing operations.
Experience with Zapier or similar, Shopify, NetSuite, and AWS or another cloud environment.
Experience building or deploying AI infrastructure or AI-powered workflows.
Strong experience connecting websites, SEO systems and marketing platforms to Salesforce.
Solid grasp of marketing attribution across paid media (Meta, Google, YouTube, Bing).
Experience managing contractors, agencies or external developers.
Clear communicator who can explain technical trade-offs to non-technical teams.
Why join us
Real ownership: You’ll design the systems a growing medical device company runs on, not inherit someone else’s.
Leadership access: Work directly with the decision-makers shaping the company.
End-to-end exposure: See the full business, from manufacturing and fulfillment to sales, marketing and service.
Growth: As we scale, so does your team and your scope.
Compensation
Base salary of $150,000–$170,000, based on experience.