Senior Systems Administrator

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Adaptive Innovations

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

🤖 Artificial Intelligence

Healthcare • Artificial Intelligence

Adaptive Innovations is an AI-native healthcare provider focused on rebuilding how care is delivered in America, starting with home health. It combines an AI operating system for coordinating physical in-home clinicians with human care delivery to reduce administrative burden, improve access, and lower rehospitalization. The company positions itself as both a large home health provider (noted presence in Texas) and a technology-first operator that uses AI to streamline clinician documentation and referrals.

📋 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 • Manage endpoints across a distributed workforce • Partner with operations to enable fast, secure growth

🎯 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

• Opportunity for growth in a fast-growing company • Collaborative team valuing innovation and problem-solving • Competitive salary and equity compensation • Flexible time off policy—we expect most employees to take at least 3 weeks of vacation per year • 401(k) retirement plan with employer contribution • Comprehensive health insurance, dental, and commuter benefits