Lead IT Infrastructure Support Engineer

Lead IT Infrastructure Support Engineer Remote | Full-Time | Infrastructure & Cloud Platforms Who We Are

Nuvem Rx helps community health providers deliver on their mission by simplifying the complexity of pharmacy operations, with a suite of scalable solutions that integrate software, intelligence, and expert support to illuminate savings, expand access, and elevate patient care.

At Nuvem Rx, we hold a high bar because our work directly impacts patient care. We look for people who embody our core values:

• Mission Always:
  Every choice is a chance to serve our customers and improve healthcare
• Be a Pioneer:
  Take initiative, solve problems, and build what does not yet exist
• Do the Right Thing the Right Way:
  Lead with integrity, compliance, and thoughtful execution
• Stronger Together:
  Own your role, collaborate deeply, and elevate the team

We are also a fast-growing company, which means you bring strong ownership, comfort with ambiguity, resilience, and a bias toward action.

The Lead IT Infrastructure Engineer is a senior technical role responsible for implementing and maintaining Nuvem Rx’s cloud and on-premises platforms. In this role you will be a primary contact for our Microsoft Azure, Microsoft 365, EntraID, Pharmacy Management and call centre technology environments. You will work cross‑functionally with Cloud Infrastructure, Engineering, and business teams to translate business needs into reliable, secure, and scalable technology solutions.

Success in this role means measurably improved infrastructure stability, problem resolution, reduced manual toil through automation, and a high‑performing support team you help to develop.

• Lead the ongoing administration of Microsoft Azure, Microsoft 365, and EntraID, ensuring alignment with enterprise security standards and identity architecture.
• Partner with Cloud Infrastructure, Engineering, Architecture & Security to design and enforce cloud security controls, identity governance policies, and access management frameworks.
• Implement, monitor, and maintain Azure solutions across compute, storage, networking, and security, driving reliability and cost efficiency.
• Collaborate with Application Development to ensure cloud infrastructure meets application performance and availability requirements.
• Support Pharmacy Management Implementations and Migrations
• Manage the Call Center Technology Solution(s).
• Configure, deploy, support PC/Mac/IOT devices, network printers, mobile phones, camera's, DVR and related end‑user equipment.
• Provide support for computer hardware/software, network infrastructure accurately and quickly.
• Liaise with third‑party software support vendors and equipment vendors.

• Provide technical leadership for Active Directory, Intune, RMM and Security Vulnerability software and platforms, driving stability, optimisation, and modernisation initiatives.
• Assist current Infrastructure leadership in assigning, prioritising, and tracking work items across the infrastructure team; conduct daily stand‑ups to review status and address emerging issues.
• Lead and mentor infrastructure team members, providing day‑to‑day technical direction and professional development guidance.
• Manage KPI’s and support tool platform consistency.
• Support provisioning and deprovisioning activities of users and endpoints, and maintain accurate documentation of team tasks and progress.
• Follow up on remediation of audit and penetration testing findings; provide after‑hours support for infrastructure emergencies and occasional weekend maintenance.

Core Capabilities (What you need to be successful in this role)

• Seven or more years of experience administering enterprise infrastructure environments including virtualization, cloud platforms, and identity systems.
• Demonstrated ability to implement and manage Microsoft Azure, Microsoft 365, and EntraID with measurable outcomes in stability, security, and efficiency.
• Comprehensive knowledge of Active Directory administration—Users & Groups, Group Policy, DNS, and RBAC—and proven application of best practices.
• Power Shell automation expertise: design, develop,…