Remote Surgical First Assistant Jobs
Remote surgical first assistant jobs are open across the U.S. at remote-first firms and distributed surgical support teams, with demand concentrated in telehealth infrastructure, healthcare staffing platforms, and surgical education companies. Employers hiring remotely right now include Korrus, Rithum, and SECURITY FIRST. Find a role that fits below and apply directly.
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Rithum™ is the world's most trusted commerce network, accelerating how brands, suppliers, and retailers work together to deliver seamless e-commerce experiences. We provide an unmatched platform for brands and retailers, enabling them to accelerate growth, optimize operations across channels, scale product offerings and enhance margins.
Today, more than 40,000 companies trust Rithum to grow their business across hundreds of channels, representing over $50 billion in annual GMV. Using our commerce, marketing, and delivery solutions, our customers create optimized consumer shopping journeys from beginning to end.
Overview
As an AI-first organization, Rithum expects employees across all roles to leverage AI and technology to improve efficiency, streamline workflows, and create scalable ways of working.
Rithum is embedding AI into every corner of how it operates — and security is no exception.
As a Staff AI-First Information Security Engineer, you own the intersection of AI adoption and information security: designing guardrails for AI-powered products, building automated security tooling, designing security controls and monitoring for an AI-First workforce, helping every team at Rithum move fast without creating risk they cannot see. This is not a typical security role. You spend as much time building and automating as you do reviewing, turning a repeating control into infrastructure-as-code, a manual review into a workflow, and a vague AI risk into a concrete, enforced guardrails. You work autonomously, balancing research with fast-paced delivery, and collaborating closely with Platform Engineering, IT, Security Champions, and external auditors.
Responsibilities
- Act as the bridge between architectural intent and operational reality; mediate conflicts between security requirements and feasible implementation, propose compensating controls where gaps exist and help register, track and remediate residual risks.
- Implement preventive, default-on security controls across cloud and enterprise environments, codified as policy- and infrastructure-as-code so security is enforced by design, including controls that govern how AI tools and models may be used.
- Implement and enforce identity and access controls to an agreed standard, including access boundaries for AI systems and non-human/agent identities by partnering with Platform Engineering and IT to align tooling and policy to the architecture.
- Assist in maintaining the InfoSec risk register; track emerging threats and translate them into actionable guidance for engineering teams.
- Support third-party and vendor risk assessments, with a focus on vendors who process data through AI pipelines.
- Automate repetitive security workflows (evidence collection, access reviews, alert enrichment) and build or operate AI-assisted security agents — with human-in-the-loop approval gates, least-privilege credentials, and explicit attention to each agent's own blast radius.
- Integrate security tooling (SIEM, CSPM, DAST/SAST, vulnerability scanners) with LLM layers to surface actionable insight and automated responses.
- Define and enforce security requirements for AI-powered features: model access controls, prompt-injection mitigations, output validation, and data-handling boundaries.
- Conduct threat modelling on agentic and LLM-based systems, accounting for novel attack surfaces such as tool misuse, indirect prompt injection, and supply chain risk.
Qualifications
Minimum Qualifications
- 5+ years of security engineering experience with demonstrated AI/ML security depth (prompt injection, model supply chain, adversarial inputs, RAG).
- Experience using AI tools (ChatGPT, Copilot, Claude, etc.) and LLM frameworks and APIs (OpenAI, Anthropic, LangChain, or similar) to accelerate and elevate your work.
- Hands-on identity and access expertise across modern enterprise and cloud identity stacks, including access models for AI systems and non-human identities.
- Infrastructure and policy-as-code (e.g. Terraform, OPA/Rego) and proficiency in a scripting language for automation (Python preferred).
- Cloud security expertise: AWS Solutions Architect / Security Specialty or equivalent demonstrated expertise, including multi-account governance, preventive guardrails, and policy-as-code.
- Application security (OWASP Top 10 and the OWASP LLM/GenAI Top 10, secure SDLC) and threat-modelling methodologies (STRIDE, PASTA, or equivalent). Practical experience building or operating AI agents, and integrating security tooling (SIEM, CSPM, SAST/DAST/SCA) so it surfaces action rather than raw alerts.
- Working knowledge of SOC 2 and/or ISO 27001 control frameworks.
Preferred Qualifications
- Experience building or operating AI agents in a production environment.
- Awareness of privacy regulation (GDPR/CCPA) as it touches AI including privacy-by-design and DPIAs.
- Red teaming or adversarial ML research backgrounds.
- Experience implementing privileged-access, key-management, posture-management, or data-protection programs.
- Experience with EDR, CASB, DLP, Security automation and SAST, DAST, IAST and SCA tools.
- Cloud Architecture or Security certifications (CCSK, TAISE, AWS).
Travel Required
Up to 10%
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
What it's like to work at Rithum
When you join Rithum, you can expect to work with smart risk-takers, courageous collaborators, and curious minds.
As part of the Rithum team, you are valued, supported, and included. Guided by a transparent culture and accessible, approachable leadership, we offer career opportunities aligned to your ambitions and talents. To ensure work and life balance works for you, we also offer an array of resources to support you and your families, including comprehensive benefits and wellness plans.
At Rithum you will:
- Partner with the leading brands and retailers.
- Connect with passionate professionals who will help support your goals.
- Participate in an inclusive, welcoming work atmosphere.
- Achieve work-life balance through remote-first working conditions, generous time off, and wellness days.
- Receive industry-competitive compensation and total rewards benefits.
We believe in transparency and fairness in our compensation practices.
For this position, the expected base pay range is: $170,000-$220,000 per year.
This range represents the base pay for the role across all U.S. locations and is determined based on market data, internal equity, and experience. Final compensation may vary depending on geographic location, skills, and relevant experience.In addition to base pay, we offer a discretionary bonus for non-sales roles, a comprehensive benefits package, and, where applicable, sales incentives.
For this position, the expected discretionary bonus is 12% of the annual base salary.
Benefits
- Medical, dental and vision benefits: Affordable health care plans and company HSA contributions, starting on Day 1
- A 6% 401(k) match
- Competitive time off package with 20 days of Paid Time Off, 9 Company-Paid holidays, 2 paid floating holidays, 7 paid sick days, 2 Wellness days, and 1 Paid Volunteer Day; at 3 years of service PTO increases to 22 days, and at 5 years it increases to 25 days
- 12 weeks primary caregiver leave & 4 weeks secondary caregiver leave
- Accident, critical illness, and hospital indemnity insurance
- Pet insurance
- Legal assistance and identity theft insurance plans
- Life insurance 2x salary
- Access to the Calm app and the Employee Assistance Program
- $65/month Remote work stipend for internet
- Culture and team-building activities
- Tuition assistance
- Career development opportunities
- Charitable contribution match up to $250 per year
Rithum is an equal opportunity employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates without regard to race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other protected characteristic. All employment is decided on the basis of qualifications, merit, and business need.
We're committed to providing reasonable accommodations in accordance with the law for qualified applicants. If you require assistance during the interview process due to a medical condition or need support accessing our website or completing the application process, please reach out to us by completing the Accommodations Request Form. Your comfort and accessibility are important to us, and we're here to ensure a seamless experience as you explore opportunities with our team.
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Find JobsRemote Surgical First Assistant Job Market
Who's Hiring
- Korrus1

- Rithum1

- SECURITY FIRST1S
- Thermo Fisher Scientific1

Top Industries Hiring
- Science & Research1
- Consulting & Professional Services1
What Employers Look For
The qualifications that appear most often in remote surgical first assistant jobs.
- Current CNFA or CSFA certification from a nationally recognized credentialing body
- Minimum two years of first-assist experience in an operating room setting
- Proficiency in open, laparoscopic, and robotic-assisted surgical procedures
- BLS and ACLS certification current at time of hire
- Completion of an accredited surgical first assistant or surgical technology program
- Familiarity with sterile field management, instrumentation, and surgical site preparation
Tips for Your Remote Surgical First Assistant Job Search
Apply early to remote roles that fit
Migrate Mate lists remote surgical first assistant openings from across the U.S. in one place. Search current listings by role, find positions that match your credentials and availability, and apply directly before competitive postings close.
Document your async case communication skills
Remote employers hire surgical first assistants who can relay pre-op and post-op case details clearly in writing. Build a sample case summary or procedure note you can share during the hiring process to show written clinical communication that works without a face-to-face debrief.
Highlight EHR and telehealth platform proficiency
Remote surgical support roles run on digital infrastructure. Name the specific EHR systems and telehealth platforms you have used in your resume and cover letter. Familiarity with tools like Epic, Meditech, or similar platforms signals you can contribute from day one without on-site onboarding.
Show self-directed caseload management
Remote hiring managers screen for candidates who track their own schedules, prioritize cases independently, and flag issues without waiting for a supervisor to notice. Describe a situation where you managed a surgical caseload or resolved a scheduling conflict without direct oversight.
Prepare for video-based clinical scenario interviews
Remote surgical first assistant interviews frequently include a scenario round conducted over video where you walk through a case decision or procedural step verbally. Practice narrating your clinical reasoning clearly and concisely on camera, since distributed teams evaluate communication style as much as technical knowledge.
Remote Surgical First Assistant Jobs: Frequently Asked Questions
How do I get a remote surgical first assistant job?
Remote surgical first assistant roles go to candidates who can demonstrate they work independently without on-site supervision and communicate precisely through written channels. Remote employers screen for proficiency in electronic health record systems, surgical case documentation, and async communication practices. Strong remote candidates also show experience with virtual case reviews or telehealth-adjacent workflows, which signals you can operate effectively on a distributed team without direct hands-on oversight.
Which companies hire remote surgical first assistants?
Companies hiring remote surgical first assistants right now include Korrus, Rithum, and SECURITY FIRST, based on current remote listings on Migrate Mate as of June 2026. These tend to be remote-first healthcare staffing platforms, telehealth infrastructure companies, and surgical education or training organizations that coordinate distributed clinical support teams.
Can you get a remote surgical first assistant job with no experience?
Yes, but remote entry-level roles are harder to land because employers expect you to manage complex surgical documentation and case coordination without on-site mentorship from day one. Telehealth training platforms and surgical education companies are the most likely to hire entry-level remote candidates. Showing proficiency with EHR software, completing a certified surgical first assistant program, and building a portfolio of documented case reports can substitute for direct OR experience.
Do you need a degree for remote surgical first assistant jobs?
Not always, but most remote employers require at minimum a surgical technology diploma or an accredited surgical first assistant certificate program. Remote hiring managers weigh hands-on procedural competency, EHR documentation accuracy, and professional certification heavily alongside or instead of a four-year degree. Credentials from organizations such as the National Board of Surgical Technology and Surgical Assisting carry real weight with distributed surgical teams.
Which industries hire the most remote surgical first assistants?
The sectors hiring the most remote surgical first assistants are Science & Research and Consulting & Professional Services, based on current remote listings on Migrate Mate as of June 2026. These industries rely on distributed clinical and surgical support teams that coordinate case planning, documentation, and education functions remotely across multiple facilities or care networks.
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