Infrastructure Systems Manager

Premise Health is Different on Purpose

Premise Health serves large organizations and their people with exceptional healthcare. The result? Better experiences, better health, and better value, all while helping organizations lower their healthcare costs.

Premise's mission is to help people get, stay, and be well. Come join us and see for yourself why amazing health starts with amazing healthcare. For more information, visit

The Manager of Infrastructure Systems oversees daily operations and support of enterprise infrastructure systems across on‑premises and cloud environments. This role ensures stable, secure, and high‑performing services across server, storage, virtualization, cloud, directory services, Citrix, disaster recovery, data center operations, certificate management, and domain services. The manager provides hands‑on technical leadership and team oversight to maintain availability, reliability, and operational excellence.

This is a Full Time, hybrid,
Infrastructure Systems Manager role located in Brentwood, TN.

• Manages day‑to‑day operations of servers, storage, virtualization, and cloud infrastructure systems.
• Supervises Systems Engineers, including assigning work, monitoring performance, coaching, and developing team capabilities.
• Oversee administration of Directory Services (AD/Azure AD), including identity lifecycle, group policy, and authentication services.
• Manages server virtualization platforms such as VMware, Nutanix, or Hyper‑V.
• Oversees deployment, monitoring, and optimization of Cloud (IaaS) workloads.
• Provides leadership and oversight for Citrix Virtual Apps and Desktops environments including updates and troubleshooting.
• Ensures proper operation, monitoring, and documentation of backup and restore technologies.
• Coordinates Disaster Recovery planning, testing, and documentation updates.
• Supports data center operations including hardware lifecycle and capacity management.
• Oversees certificate lifecycle management, ensuring timely renewals and automation.
• Manages domain registration and DNS operations.
• Collaborates with IT teams, vendors, and stakeholders to meet operational requirements.
• Maintains infrastructure documentation including runbooks and configurations.
• Drives process improvements and automation initiatives.

• Bachelor’s degree or equivalent work experience required.
• 5+ years supporting enterprise infrastructure systems.
• 2+ years in a lead or supervisory role.
• Hands‑on experience with AD/Azure AD, virtualization, cloud IaaS, backup/restore, DR, Citrix, data centers, certificates, DNS.
• Strong troubleshooting and analytical skills.
• Understanding of infrastructure security best practices.
• Effective written and verbal communication skills.
• Ability to lead, mentor, and develop staff.
• Experience in mission‑critical environments.

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers full-time team members benefits including medical, dental, vision, life and disability insurance, a 401(k) program with company match, paid holidays and vacation time, a company-sponsored wellness program, EAP, access to virtual primary care and virtual behavioral health at no cost for team members and their dependents.

Additional benefits can be viewed here:

Premise is an equal opportunity employer; we value inclusion and do not discriminate based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including pregnancy and related conditions), gender identity or expression, sexual orientation, age, physical or mental disability, genetic information, past, current or prospective service in the uniformed services, or any other characteristic protected under applicable federal, state, or local law.