Senior Systems Engineer

🔥 15 hours ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🟠 Senior

⚙️ Systems Engineer

👻 Ghost score 10%

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Healthcare Outcomes Performance Co. (HOPCo)

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

☁️ SaaS

💰 Private equity on 2019-02

Healthcare • B2B • SaaS

Healthcare Outcomes Performance Co. (HOPCo) is the largest orthopedic value-based care organization in the U. S. , specializing in comprehensive musculoskeletal (MSK) care delivery, management, and value creation. Led by orthopedic physicians and executives, HOPCo operates an accredited MSK clinically integrated network and offers practice partnership and health system solutions, payor-facing population health and value-based care programs, analytics and outcomes reporting, and digital patient engagement tools to align stakeholders, improve outcomes, and lower total MSK costs.

📋 Description

• Serve as the senior escalation point for infrastructure, identity, and platform issues • Drive complex issues to root cause through advanced troubleshooting • Design, build, and maintain Windows Server, virtualization, storage, and Azure infrastructure • Translate requirements into detailed designs, build documents, configuration standards, and reference patterns • Evaluate emerging technologies and make written recommendations • Perform capacity analysis, lifecycle planning, and growth forecasting • Contribute to reference architectures, technical standards, and architecture review submissions • Administer and engineer Active Directory, Entra ID, Group Policy, conditional access, and privileged access configurations • Design and maintain Azure subscriptions, networking, compute, storage, and governance controls • Engineer and maintain Microsoft 365 workloads including Exchange Online, SharePoint, Teams, Intune, and Purview • Maintain tenant separation, delegation models, and administrative boundaries in a multi-client environment • Design, implement, and test backup, replication, and disaster recovery • Harden systems, remediate vulnerabilities and configuration drift, and maintain patching, monitoring, alerting, and logging • Produce technical documentation and control artifacts supporting HIPAA, HITRUST, and SOC 2 requirements • Participate in infrastructure and security incident response, root cause analysis, and corrective action • Execute changes through formal change management, including risk assessment, testing, rollback planning, and post-change validation • Support major incidents outside business hours as part of an on-call rotation • Automate administrative and deployment work using PowerShell and infrastructure-as-code tooling • Build and maintain runbooks, build documents, as-built records, and infrastructure diagrams • Reduce manual effort and configuration variance through standardization and tooling • Provide technical direction and mentorship without direct reporting authority • Partner with Implementation, IT, Security, and Applications functions • Support client-facing technical discussions when senior infrastructure expertise is required

🎯 Requirements

• Bachelor's degree in Computer Science, Information Technology, or a related field preferred; equivalent professional experience will be considered • Industry certifications preferred, including Microsoft Azure or Microsoft 365 certifications, VMware or Hyper-V credentials, and ITIL Foundation • Seven or more years of progressive experience in systems engineering, infrastructure engineering, or enterprise IT operations • Deep hands-on experience with Windows Server administration, configuration, and troubleshooting • Deep hands-on experience with virtualization, including VMware or Hyper-V • Production experience with Azure infrastructure and Microsoft 365 administration at scale • Experience designing and testing backup and disaster recovery for production systems • Experience operating within formal change management and serving as a senior escalation point • Experience in a managed services or multi-client environment preferred • Healthcare IT experience strongly preferred • Must reside within a HOPCo corporate or clinical market • Ability to participate in an on-call rotation and work after-hours and weekend maintenance windows • Ability to document work to a standard that other engineers and auditors can rely on • Position is based in the United States and supports United States operations • Legal authorization to work in the United States without employer sponsorship is required • Knowledge of Windows Server, Active Directory, Entra ID, Group Policy, identity and access management, virtualization, storage, backup and recovery, Azure, Microsoft 365, networking, security, vulnerability management, patching, PowerShell, infrastructure-as-code, IT service management, HIPAA, HITRUST, and SOC 2 • Ability to occasionally lift and position server and network equipment and work in server rooms and network closets

🏖️ Benefits

• Remote work environment • On-call rotation compensation is not specified • Opportunity to provide technical direction and mentorship • Occasional regional and national travel • Required annual training

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