Systems Administrator

Fusion is seeking an IT Systems Administrator to own the administration, maintenance, security, and reliable operation of our Windows-based infrastructure. This role is fully dedicated to the Microsoft technology stack, ensuring high availability, strong performance, and robust security across servers, endpoints, identity services, and cloud-integrated systems.

About Fusion Health
Most healthcare software is built for the easy cases. Fusion Health builds for the rest.

We support clinicians working in movement restricted communities, where care delivery is more complex and software reliability is critical. In these environments, systems need to work consistently because there is no room for failure. This has been our focus since 2006.

That is not an accident. It is who we hire.

We are driven, self aware, and we own what we do. That is the culture. No more, no less.

If this is the kind of work you've been looking for, this is where you do the best work of your career.

What we offer:

• Medical, dental, and vision coverage
• 401K
• Generous PTO

Our teams are based in Woodbridge, NJ and Topeka, KS. We operate in a hybrid environment.

What You'll Do

• Administer and maintain Windows Server environments both on‑premises and cloud‑integrated in Azure, including Active Directory, Group Policy, DNS, DHCP, NPS, and RDS services.
• Manage file, print, and Windows‑based application servers through IIS, including patching, upgrades, threat detection, and lifecycle management.
• Administer and troubleshoot Azure infrastructure, including virtual machines, Container Apps, Container Registry, Storage Accounts, and Key Vault, supporting containerized and hybrid workloads.
• Support modern cloud networking, including application gateways, web application firewalls, load balancing, private networking, and IPSEC VPN.
• Manage and support MS SQL Server databases.
• Build dashboards, alerts, and monitoring across on‑prem and cloud environments to proactively identify and resolve performance, availability, and security issues.
• Maintain storage systems, SAN/NAS connectivity, and virtualization performance across VMware and Azure VM environments, including backups and capacity planning.
• Administer Windows‑based backup and recovery solutions, test restores, and support disaster recovery across traditional and Azure‑hosted environments.
• Administer Active Directory and Microsoft Entra , including Conditional Access, MFA, privileged access, and Zero Trust initiatives.
• Support HIPAA, SOC 2, and internal compliance efforts, including audit readiness, vulnerability management, and coordination with Managed Detection & Response (MDR) providers.
• Administer Microsoft 365 services (Entra , Exchange Online, Teams) and endpoint management through Intune, supporting hybrid identity and device compliance.
• Use Power Shell and AI‑assisted tools to automate operational tasks, and maintain runbooks, architecture diagrams, and system documentation.

Who You Are

• Bachelor's degree in Information Technology or equivalent experience, with 5+ years administering Windows environments.
• Strong expertise in Windows Server, Active Directory, Group Policy, and virtualization, with a solid grasp of networking fundamentals.
• Proficient with Power Shell for administration and automation.
• Experience with Microsoft 365, Azure/Entra , and Intune/endpoint management is a plus.
• Advanced experience with disaster recovery, observability platforms, and monitoring tools is a plus.
• Experience with Microsoft Defender, MDR platforms, SIEM tools, or broader security operations, and supporting HIPAA, SOC 2, or other regulated environments is a plus.
• Experience working alongside software engineering or Dev Ops teams, and leveraging AI‑powered productivity tools, is a plus.
• Microsoft certifications (Windows Server, Azure, or networking/security) are a plus.
• Strong problem‑solving and troubleshooting skills, with excellent documentation and communication abilities.
• Security‑focused mindset with close attention to detail, and the ability to manage multiple priorities in a production environment.
• This is a hybrid position based out of our Woodbridge, NJ office.
• Occasional after‑hours work is required for maintenance and…