Systems Administrator

At Hopscotch Primary Care, we believe great healthcare should be accessible to all people across all communities. Today, almost 20% of Americans live in a rural community, yet only 11% of physicians practice in those same communities. We are on a mission to transform healthcare in rural America. We provide high-quality primary care tailored to meet the needs of our patients through our robust care model and comprehensive care team, delivering care in our clinics, and across settings, and wrapping resources around the patients who need them most.

Our patients and the care teams who serve them sit at the center of everything we do scotch Primary Care takes a team approach to serve patient needs and provide the best care possible. Our goal is to provide the care each of us would want for ourselves or for our family members, in the right setting, and at the right time.

Today, we are serving thousands of patients in our value-based care model and the number is growing every day. If you want to bring your experience, skill and passion to make a lasting impact in healthcare, we’d like to meet you.

We are looking fora Systems Administrator to join our team at a critical and exciting time for the company. In this role, you will be responsible for ensuring that Hopscotch’s core IT platforms are reliable, well-operated, and continuously improving as the organization scales. You will be trusted to operate independently, lead projects end-to-end, and proactively identify improvements that strengthen clinical operations, service quality, and IT system experience.

Near-term focus areas for this role will include, but are not limited to:

• Own and support the full lifecycle of core IT systems used across corporate and clinic environments.
• Lifecycle management of all hardware and software.
• Endpoint and server management, configuration, and support.
• Cloud platform and SaaS administration, including licensing and access governance.
• Identity & Access Management (IAM) administration and support across systems.
• Ensure systems are configured to meet security, compliance, and operational standards.
• Ensure the reliability, scalability, and performance of IT infrastructure through proactive improvement and automation.
• Monitor and improve service quality across IT systems and networks using defined metrics (e.g., Availability, performance, incident trends, etc).
• Identify recurring operational issues and drive corrective actions within assigned systems, through change management and improvements.
• Drive infrastructure efficiency and performance within assigned systems, including design, implementation, and ongoing iteration.
• Design and build internal tools and automations to solve operational needs (e.g., AI agents, Foundry pipelines, Azure Playbooks).
• Maintain clear, consistent, and well‑documented IT standards that support scale, security, and operational reality.
• Contribute to the creation, review, and implementation of IT policies and procedures.
• Support disaster recovery and business continuity planning, testing, and implementation.
• Ensure system changes are implemented thoughtfully and consistently to reduce variance, risk, and configuration drift.
• Provide high-quality technical support while continuously improving service delivery and user experience.
• Serve as the escalation point for complex or high-impact technical issues.
• Own the quality, accuracy, and usefulness of IT ticket data.
• Use operational signals (ticket trends, response times, failure patterns) to inform prioritization and drive improvements.
• Propose and implement improvements to support workflows based on measured impact and feedback.

• Business‑oriented with the ability to articulate business needs, scope solutions and…