Senior Cloud Engineer - Remote

About Premise Health

Premise Health serves large organizations and their people with exceptional healthcare. The result? Better experiences, better health, and better value, all while helping organizations lower their healthcare costs.

Premise’s mission is to help people get, stay, and be well. Come join us and see for yourself why amazing health starts with amazing healthcare.

For more information, visit

Full-time, remote role. As a key team member, this Senior Cloud Services Engineer will collaborate closely to design, support, and enhance cloud solutions, emphasizing the integration of systems, application servers, databases, and third‑party services. The role will work in partnership with other IT team members to advance the company’s overall mission.

• Provide leadership and oversight with a strong understanding of cloud services, Dev Ops toolsets and platforms including compute, storage, networking, as well as security, governance, monitoring and logging technologies.
• Drive automation of cloud infrastructure provisioning and lifecycle management with Infrastructure‑as‑Code and configuration management.
• Develop and document operational standards that promote Dev Ops practices such as Continuous Integration and Continuous Deployment (CI/CD).
• Provide expertise and serve as a Subject Matter Expert (SME) for cloud services.
• Work with application teams with their digital transformation goals and provide cloud resource deployment orchestration, automation, security, and configuration expertise.
• Implement and institutionalize cloud security standards, reference architectures, patterns, and guidelines for cloud services.
• Participate in continuous improvement planning for cloud operations, including technology reviews, root cause analysis, action reports, and cloud portfolio reviews to ensure adequate infrastructure to provide a suitable operating environment(s) for critical applications.
• Work alongside architects, developers, and engineering team members to provide infrastructure solutions for products and services.
• Establish and maintain working relationships across disciplines within the organization.
• Participate in system design planning, review, and implementation to create enterprise solutions built on cloud services.
• Provide general and routine maintenance support including installation, patching, configuration, backups, and updates.
• Recommend modifications to systems to improve efficiency, reliability, and performance for delivering application and infrastructure in the cloud.
• Responsible for participating in IT change management and asset management processes.
• Work with the IT Security Team, Cloud Services Architect, and the rest of IT concerning any security‑related issues.
• Contribute to research and evaluation and build out of new enterprise technologies.
• Provides expert guidance and leadership to less‑experienced cloud services personnel.
• May serve as a task or project leader. May consult with executives and customers to deliver complex cloud‑based solutions.
• Stay up to date with technology. Adapt and quickly advance your technical skill sets.
• Requires occasional work during non‑business hours and on weekends.
• Participate in on‑call rotation.

• Bachelor’s degree in computer science, information‑technology, engineering, system analysis or a related field, or equivalent work experience preferred.
• Public cloud certifications preferred, not required.
• Minimum of seven years’ experience in overall IT, with at least five in public cloud management for large organizations.
• Detailed understanding of Azure cloud service offerings.
• Exposure to multiple, diverse technologies, platforms, and processing environments.
• Experience developing engineering diagrams, strategies, and roadmaps.
• Experience presenting to senior‑level technical executives and technical audiences.
• Healthcare industry work experience is preferred, but not required.
• Detailed understanding of public cloud engineering principles and strategies, as well as design, implementation, and operational support.
• Strong understanding across cloud and infrastructure components (compute, storage, network, security,…