Systems Engineer

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ECG, the most experienced healthcare consulting firm working in the U.S., is ranked as a Best Midsized Firm to Work For 2025 by Consulting Magazine. At ECG, our primary emphasis is on quality—in our people as well as our services—and we’re seeking others who appreciate our high standards of excellence.

At ECG, your contribution will have meaningful impact. The work you do will ultimately help health systems optimize performance and meet the needs of the communities they serve—and that’s just the beginning. We’re looking for team players, culture builders, problem‑solvers, and self‑starters to collaborate, take on challenging projects, and find new ways to make a positive impact in the healthcare services sector.

ECG is committed to ensuring a supportive, inclusive, and equitable work environment that embraces DEI, where we recognize performance, communicate openly and transparently, and value work‑life balance.

When you work in IT, we empower you to be your best. We hire you for your ability, integrity, and commitment to keeping pace with the ever‑changing technology landscape.

As a systems engineer at ECG, you’ll provide support and administration for ECG’s cloud‑based infrastructure. In this role, you will be responsible for deploying, configuring, and providing ongoing support for cloud‑based infrastructure and Microsoft 365 services to our consultants. You will work closely with internal teams and external stakeholders to ensure reliable performance, security, and optimization of cloud environments.

• Assisting senior systems engineers with the administration and maintenance of the ECG cloud environment.
• Maintaining ECG’s cloud‑based infrastructure, including Windows and Linux server environments, Entra, Group Policy, certificate services, DNS, DHCP, and Azure update service.
• Working with ECG business units to identify business requirements and implementing cloud‑based solutions to meet those requirements.
• Maintaining legacy AD and Entra‑based user accounts and Power Shell, runbooks, and Power Apps.
• Monitoring and reporting on Azure‑based resource costs.
• Administering and supporting the Exchange environment.
• Assisting in identifying and containing security‑related events, incident response procedures, and ensuring systems conform to security best practices.
• Providing tier 2 and tier 3 escalation and support for Azure and network infrastructure.
• Maintaining and performing backup and recovery of ECG cloud resources.
• Maintaining and regularly applying software upgrades and security updates to all cloud compute resources and network infrastructure.
• Working with vendors and other partners on cloud resource and network implementations, optimization, troubleshooting, and maintenance.
• Maintaining current and accurate system documentation and operating procedures related to network, backup and recovery, and cloud resources.
• Promoting system reliability and efficiency by implementing system standards and operational best practices.
• Maintaining a monitoring system for high availability and reliability, responding appropriately based on alert levels, and analyzing utilization trends (Azure Monitor, SNMP, Meraki).
• Performing root cause analyses of problems, recommending solutions, and implementing corrective measures to minimize future downtime and document procedures.
• Updating job‑related knowledge by participating in educational opportunities, including training and technical conferences, professional organizations, etc.
• Adhering to published IT support service‑level agreements.

• Three or more years of progressive experience working within a hybrid or cloud‑based environment
• Demonstrated expertise with Microsoft Azure, AWS, other cloud services, Active Directory, Microsoft 365, identity services (e.g., Entra), infrastructure as code, server and network virtualization
• Three or more years’ networking administration and infrastructure experience in an SMB environment
• Demonstrated expertise in supporting an…