IT System Administrator
Listed on 2026-08-25
-
IT/Tech
Systems Administrator
Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Nashville and Middle Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic surgery throughout the state.
There are a number of reasons why TOA is an employer of choice; here are a few of them:
- Stability - TOA has been in Middle Tennessee since 1926 and has expanded to 35 locations.
- Impact - TOA's team members use our careers -- whether in our clinics or our business office -- to make a positive difference in the community by building relationships and helping patients live their best life.
- Work Environment - The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement.
- Total Rewards - TOA offers competitive salaries based on the current Middle Tennessee wage market, plus a comprehensive suite of benefits, including Medical, Dental, Paid Time Off, and more. Our 401(k) plan provides a company match, safe harbor match and profit sharing match to go along with your contributions.
Here is an overview of the IT System Administrator role:
They are responsible for TOA's on-premises and cloud server environment, Microsoft 365 hybrid tenant, identity and access management, and the enterprise voice platform. Installs and maintains server hardware and software, and troubleshoots issues with programs, slowness, and outages. Remediates security vulnerabilities and maintains system backups and recovery testing. Completes assignments as part of new projects, upgrades, break/fix, or other initiatives as directed.
Cross trains and backfills the Network Administrator. Specifically, they will:
- Administer physical and virtual servers, including storage allocation, operating system patching, software configuration, and lifecycle management
- Administer Azure Virtual Desktop, ensuring availability of host pools and that scheduled reboots and updates complete successfully
- Configure monitoring software to ensure issues are addressed proactively, and respond to correct issues
- Maintain all server grade equipment in switch closets at locations
- Ensure system backups complete successfully and perform restores and routine recovery testing as needed
- Maintain accurate technical documentation and standard operating procedures
- Administer Active Directory: manage users, groups, and devices; audit and clean up stale accounts; and maintain overall directory health using tools such as Ping Castle
- Administer the Microsoft 365 environment, including users, groups, applications, and license assignment and reclamation
- Build and maintain single sign-on integrations with third party applications, including AD group mapping, SCIM provisioning, claims, and exchange of SSO values with vendors
- Administer Microsoft Intune in partnership with the desktop support team, including applications, compliance and configuration policies, and device enrollment
- Manage file share and folder permissions, including security groups, read/write access, and periodic access reviews and cleanup
- Administer self-service password and account management tooling, including certificate renewal, user enrollment assistance, and policy configuration
- Maintain Active Directory auditing and reporting tools, including data connectivity, account re-authentication, and license installation
- Administer the cloud VoIP phone system, including call routing, menus and options, call groups, and extension management
- Maintain phone schedules across all locations, including rolling phones, holiday schedules, and unplanned closures
- Administer voicemail transcription services, including adding and removing users
- Configure and support overhead paging systems at existing and new care center locations, coordinating break/fix work with the vendor
- Submit and track spam and robocall mislabeling removal requests for TOA phone numbers
- Remediate findings from routine…
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).