Senior Systems Administrator

🕒 March 18

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Adaptive Home Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2020

👥 B2C

🤝 B2B

B2C • B2B

Adaptive Home Health is an employee-owned, Texas-based home health provider delivering skilled nursing, specialty wound and infusion care, physical and occupational therapy, and orthopedic rehabilitation to patients in their homes. Led by a team of veterans and nurses, the company partners with hospitals, physician groups, wound centers and research institutions across North Texas, Austin, Houston and other Texas regions, is Medicare- and VA-accepted, and operates a 24/7 billing and patient advocacy hotline to support high-acuity and post-hospital recovery care. Adaptive emphasizes patient-focused, in-home clinical services with a large full-time clinical staff and regional offices across Texas.

📋 Description

• Own security posture across all systems • Implement and enforce cybersecurity controls: MFA, conditional access, EDR, vulnerability scanning, and secure remote access • Lead incident response and coordinate with our security partners • Maintain HIPAA-aligned technical safeguards and support CMS and state audits • Build and maintain security documentation, policies, and system diagrams—we cannot secure what we cannot see • Architect and maintain cloud infrastructure • Deploy and maintain Microsoft 365, Entra ID, Intune, VPNs, and virtual desktop environments • Manage backups, disaster recovery, monitoring, and patch management • Lead system upgrades, migrations, and integrations as we consolidate business units • Drive M&A system integration • Lead post-acquisition integration: directory consolidation, email migrations, endpoint standardization, network integration, legacy decommissioning • Participate in IT due diligence for acquisitions—system inventories, security posture assessments, risk identification • Develop repeatable IT integration playbooks to support our ongoing acquisition strategy • Manage endpoints across a distributed workforce • Secure Windows, macOS, and mobile devices using MDM platforms (Intune, Jamf, Knox) • Standardize device configurations, encryption, and compliance policies • Own asset tracking and lifecycle management for field and corporate staff • Partner with operations to enable fast, secure growth • Support and administer business-critical platforms: HRIS/Payroll (ADP, Rippling), EHR/EMR (Homecare Homebase), compliance systems (Relias) • Partner with HR on secure onboarding/offboarding—our target is same-day provisioning and immediate access revocation • Provide escalation support for complex issues impacting remote and field-based staff

🎯 Requirements

• 7+ years of enterprise systems administration experience • Demonstrated experience in HIPAA-regulated or highly compliant environments • Strong hands-on experience with Microsoft 365, Entra ID, and Intune • Experience with macOS administration, iOS device management, and cross-platform environments • Proven ability to manage VPNs, firewalls, network security, and backup/disaster recovery systems • Excellent documentation, troubleshooting, and communication skills

🏖️ Benefits

• Comprehensive benefits including medical, dental, and 401(k) matching