Senior Azure Cloud Engineer

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Medical Review Institute of America, LLC

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1983

🛡️ Insurance

💼 Consulting

⚖️ Legal

Insurance • Consulting • Legal

Medical Review Institute of America, LLC is a company specializing in clinical and utilization review services. They offer a comprehensive suite of data-driven solutions, including prior authorization optimization, second opinions, and specialty drug reviews, aimed at ensuring the right care is delivered at the right time and in the right place. MRIoA provides services to health plans, pharmacy benefit managers, government entities, and self-insured employers, among others. They leverage technology and a network of professionals to streamline clinical decisions, enhance provider performance, and ensure compliance with regulatory requirements across all 50 states. Their tools and platforms are designed to optimize clinical reviews, reduce costs, and improve patient outcomes through evidence-based care pathways and telehealth solutions.

📋 Description

• Serve as the highest-level technical authority and subject matter expert for Azure cloud infrastructure and architecture • Define cloud engineering standards, architectural patterns, and governance practices • Lead cloud infrastructure projects end-to-end from design and planning through execution, delivery, and post-deployment operations • Support cloud strategy, architecture roadmap, and platform investment decisions • Mentor and develop Systems Administration and Information Security teams • Evaluate and onboard new cloud engineering talent • Collaborate with Development teams to design and deliver application infrastructure on Azure • Provide Tier 2/3 escalation support for complex infrastructure and cloud issues • Implement and evidence compliance controls for HITRUST 11.3r2 and SOC2 • Architect, deploy, and manage secure Azure environments, including hub-spoke networks, Virtual Networks, NSGs, Azure Firewall, Application Gateway, API Management, and Private Endpoints • Define and enforce cloud governance, subscription management, Azure Policy, resource organization, tagging, and cost management • Establish Infrastructure as Code practices using Terraform and/or Azure Bicep • Build and own CI/CD pipelines with automated security scanning, testing, and progressive delivery • Establish change management and release governance processes • Lead cloud migrations, including workload assessment, strategy, cutover, validation, and legacy decommissioning • Design reusable Azure infrastructure patterns and templates for application onboarding • Manage hybrid connectivity using ExpressRoute, VPN Gateway, and site-to-site connectivity • Design and maintain observability for metrics, logs, alerting, and SLOs • Establish incident response processes and own disaster recovery and business continuity planning • Manage Azure identity and access architecture, including Entra ID, RBAC, PIM, Key Vault, and Managed Identities • Implement cloud security controls, audit logging, evidence generation, and access-review processes for HITRUST, SOC2, and HIPAA • Manage DNS, certificate lifecycle, and network connectivity for healthcare data exchange • Develop PowerShell, Python, or Bash automation solutions • Define engineering standards, runbooks, documentation, vendor relationships, and SLAs • Maintain architecture diagrams, runbooks, standard operating procedures, and how-to guides • Support after-hours availability and on-call response for critical infrastructure events • Complete other duties as requested

🎯 Requirements

• 7–10 years of experience in infrastructure, systems, or cloud engineering • 5 years of senior or principal-level experience in Microsoft Azure • Experience building or establishing a cloud engineering practice or function • Expert-level Azure networking knowledge, including hub-spoke topology, Virtual Networks, NSGs, Azure Firewall, Application Gateway, ExpressRoute, Private Endpoints, and DNS • Ability to independently architect Azure environments, including governance, security, and operational frameworks • Expert-level Infrastructure as Code experience with Terraform or Azure Bicep, including module design, state management, CI/CD integration, and no-manual-change disciplines • Experience with CI/CD tooling such as Azure DevOps, GitLab, or GitHub Actions, including automated security scanning and progressive delivery • Experience leading cloud migration projects and legacy decommissioning • Strong project leadership and ability to drive multiple complex initiatives with minimal oversight • Experience mentoring and developing technical staff across multiple teams • Experience establishing incident response, disaster recovery, and business continuity practices with defined and tested RPO/RTO targets • Expert-level knowledge of Azure identity and security services, including Entra ID, RBAC, PIM, Key Vault, and Defender for Cloud • Strong networking and security fundamentals, including network segmentation, secrets management, least-privilege access, and certificate lifecycle management • Proficiency in PowerShell, Python, or Bash • Working knowledge of HITRUST, SOC2, and HIPAA compliance frameworks, with experience building audit evidence processes • Clear written communication and sound judgment under production pressure • Experience with Zero Trust Network Access solutions preferred • Experience with Azure AI and platform services preferred • Familiarity with healthcare data exchange standards such as EDI, HL7, or SFTP-based interfaces preferred • Bachelor's degree in Information Technology, Computer Science, Information Systems, or a related field, or equivalent professional experience • AZ-104 (Azure Administrator Associate) required — must already hold • AZ-700 (Azure Network Engineer Associate) required — must already hold • AZ-305 (Azure Solutions Architect Expert) required — must already hold • AZ-400 (DevOps Engineer Expert) strongly preferred • Ability to work at a desk and use a computer, telephone, and basic office equipment • Must pass a background screen before employment • Must complete a drug screen after hire • Must agree to necessary compliance regulations on the first day • Must adhere to applicable HIPAA regulations and company confidentiality, privacy, and security policies

🏖️ Benefits

• A competitive compensation package • Healthcare insurance • Vision insurance • Dental insurance • Generous 401(k) match • Paid vacation • Personal time • Holidays • Growth and training opportunities • Award-winning remote work environment