Senior Systems Engineer

in Greenville, SC

Are you a seasoned Microsoft systems expert ready to lead enterprise-level infrastructure, security, and modernization initiatives in a dynamic, healthcare-driven environment? Interim Health Care is seeking a Sr. Systems Engineer with deep technical expertise, a strategic mindset, and a passion for designing secure, scalable, and resilient solutions.

In this pivotal role, you’ll serve as a senior technical authority across Microsoft systems, cloud technologies, cybersecurity, and VOIP—leading architecture decisions, driving infrastructure improvements, and strengthening our overall technology posture. You’ll operate as a Tier 3 escalation point, partner with cross-functional teams and franchise stakeholders, and play a key role in shaping the future of our IT environment.

If you thrive in complex environments, enjoy solving high-impact technical challenges, and want to influence how technology supports healthcare delivery at scale, this is the opportunity for you.

• Competitive Pay: $115,000 - $125,000 per year, based on experience
• Meaningful impact:
  Use your technical expertise to design and support systems that directly enable patient care and operational excellence.
• Supportive Culture:
  Join a collaborative, family-oriented environment that values innovation, accountability, and continuous improvement.
• Comprehensive Benefits:
  Enjoy PTO, holiday pay, medical, dental, and vision coverage, along with 401(k) benefits.

• Administer and optimize On-Premises Active Directory and Azure AD Connect, ensuring secure hybrid identity, SSO, and efficient replication.
• Oversee Microsoft 365 services (Exchange, SharePoint, One Drive, Teams), ensuring reliable collaboration and system performance.
• Design, implement, and support VMware virtual infrastructures and VOIP systems, focusing on scalability, resilience, and successful migrations.
• Act as a Tier 3 escalation point for complex technical issues, driving root cause analysis, long-term solutions, and operational improvements.
• Lead cybersecurity initiatives, including vulnerability mitigation, incident response, and system hardening.
• Develop and maintain backup, recovery, and disaster recovery strategies to ensure business continuity.
• Collaborate with internal teams and franchise locations to provide expert guidance, document technical procedures, and support IT project delivery.

• This will be a full-time, onsite position in Greenville, SC.
• Bachelor’s degree or equivalent experience in a related field.
• 5+ years of progressive experience as a Senior Systems Engineer.
• 10-15 years as a Microsoft Systems Engineer or in a similar technical role.
• 10+ years managing VMware virtual infrastructures and VOIP environments, including migration leadership.
• Strong expertise in cybersecurity principles, risk mitigation, and enterprise system hardening.
• Exceptional problem-solving, analytical, and conceptual skills with the ability to influence technical decisions.
• Ability to work independently while effectively collaborating with leadership, stakeholders, and cross-functional teams.

Why Work for Interim Health Care?

Founded in 1966, Interim Health Care is the nation’s first home health company and a trusted leader in compassionate, patient-centered care. With 300+ locations nationwide, we foster a family-oriented culture that values every team member. As a Senior Systems Engineer, you’ll play a critical role in supporting and advancing the technology that enables exceptional care delivery—ensuring systems are secure, reliable, and built for the future.

Interim Health Care is an equal‑opportunity employer committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.