Systems Administrator; Healthcare IT

We are seeking an experienced Systems Administrator to support, maintain, and secure our IT infrastructure in a healthcare environment. The ideal candidate will have strong hands-on experience with Active Directory, cloud services (AWS), VPN technologies, DNS/DHCP, and network security, along with a solid understanding of healthcare IT systems and compliance requirements such as HIPAA.

• Administer, maintain, and support Active Directory, including user provisioning, Group Policy, AD sync, and identity lifecycle management
• Manage directory synchronization between on-premises environments and cloud platforms
• Design, implement, and support AWS infrastructure, including EC2, IAM, VPCs, security groups, and monitoring
• Configure and maintain VPN solutions for secure remote access and site-to-site connectivity
• Administer DNS and DHCP services to ensure reliable network name resolution and IP management
• Implement and maintain network security controls, including firewalls, access controls, intrusion detection/prevention, and endpoint security
• Monitor system performance, availability, and security, responding to incidents and outages as needed
• Support and maintain healthcare IT systems, including EHR/EMR platforms and clinical applications
• Ensure compliance with HIPAA, HITECH, and internal security policies through audits, documentation, and risk assessments
• Perform system patching, upgrades, backups, and disaster recovery testing
• Collaborate with clinical, administrative, and security teams to support healthcare workflows
• Document system configurations, procedures, and change management activities

• 3–5+ years of experience as a Systems Administrator or similar role
• Strong experience with Active Directory, including AD sync and identity management
• Hands-on experience with AWS services in a production environment
• Proficiency in VPN technologies, DNS, and DHCP
• Solid understanding of network security principles and best practices
• Experience working in a healthcare IT environment
• Knowledge of HIPAA compliance and healthcare data security requirements
• Strong troubleshooting and problem-solving skills
• Excellent documentation and communication skills

• Experience with Azure AD, hybrid identity, or M365
• Familiarity with scripting (Power Shell, Bash, or Python)
• Experience with security frameworks (NIST, CIS)
• Healthcare certifications or IT security certifications (e.g., Security+, AWS, HCISPP)
• Healthcare/clinical setting requiring high availability and data security