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Junior Systems Engineer

Remote / Online - Candidates ideally in
Nashville, Davidson County, Tennessee, 37247, USA
Listing for: Healthcare Systems and Technologies, LLC
Remote/Work from Home position
Listed on 2026-02-23
Job specializations:
  • Engineering
    Systems Engineer
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below

Open Position:
Junior Systems Engineer

Reports to: Technical Operations Infrastructure Manager

Location: Remote

About Us

At HST Pathways, we’re passionate about transforming healthcare. Our innovative software empowers surgery centers to provide care that’s not only more cost-efficient but also leads to better outcomes for patients. Backed by Bain Capital, we’re a profitable, fully remote SaaS company that’s growing quickly and entering an exciting new stage of expansion. With that growth comes opportunity—for us, our customers, and the people who join our team.

What

We’re Looking For

We’re looking for someone who is authentic, inspiring, and motivated to grow. You’re a quick learner who enjoys working in a fast-paced, evolving environment. You value diversity and inclusion and want to be part of a company that puts people first. Our values resonate with you, and you’re ready to embody them in your daily work.

In this role, you’ll roll up your sleeves and take on a high-volume workload with energy and enthusiasm. You are data-driven and results-oriented, but you also know the importance of building strong relationships and contributing to a positive team culture. Most importantly, you’re excited about the chance to make an impact—not only within our company but also in the broader healthcare community we serve.

Why

Join Us

At HST Pathways, you’ll find more than just a job — you’ll find a place to grow, contribute, and belong. We offer the flexibility of remote work and the stability of a well-backed, profitable company. You’ll collaborate with talented teammates who are passionate about healthcare innovation and committed to each other’s success.

Responsibilities

The Junior Systems Engineer helps design, build, automate, and support infrastructure across our AWS first environment, with additional systems hosted in Azure, GCP, and our colocation facility.

This role is ideal for someone early in their engineering career who has foundational experience with cloud technologies, identity services, Windows/Linux systems, and basic automation—and who is ready to grow into a full systems engineer focused on architecture, performance, automation, and large scale systems work.

You will collaborate closely with other technical resources and cross functional teams to enhance the reliability, security, and scalability of our infrastructure while learning engineering best practices across cloud, identity, automation, and systems architecture.

  • Identity & Directory Services Engineering
    • Assist in the design, maintenance, and modernization of Microsoft Active Directory and related identity systems.
    • Support AD forest/domain structure, OU design, and Group Policy lifecycle management.
    • Troubleshoot complex identity and authentication issues involving AD, DNS, certificates, cloud identity connectors, and application integrations.
    • Participate in identity modernization projects such as:
      • Azure AD/Entra
      • Federation / SSO improvements
      • Conditional access and MFA hardening
      • Domain cleanup, consolidation, and lifecycle updates
        • Contribute to AD automation using Power Shell, DSC, or infrastructure as code patterns.
  • Cloud & Infrastructure Engineering
    • Assist in designing and implementing infrastructure in AWS (EC2, VPC, IAM, networking, storage).
    • Gain exposure to supporting parallel environments in Azure, GCP, and on prem/colo infrastructure.
    • Contribute to performance and capacity planning, load modeling, and cost/resource optimization.
    • Participate in design reviews and propose improvements to scalability, reliability, or architectural patterns.
  • Advanced Troubleshooting & Multi-Layer Diagnostics
    • Assist in diagnosing cross‑system, multi‑layer issues involving servers, networking, identity, storage, databases, or application dependencies.
    • Collect logs, telemetry, and performance data to support deep‑dive investigations.
    • Collaborate with senior engineers on root‑cause analysis for complex issues across cloud, OS, and application layers.
    • Help tune systems for performance, resiliency, and reliability.
  • Automation, Tooling & Infrastructure CI/CD
    • Contribute to building and maintaining infrastructure automation using:
    • Terraform
    • Cloud Formation
    • Ansible
    • Power Shell DSC
    • Bash…
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