M365 - Technical Lead, Infrastructure & Applications

WE ARE HEALTHCARE SYSTEMS OF AMERICA. Our mission is to elevate healthcare standards, improve patient outcomes, and create value for communities across the United States. Healthcare Systems of America (HSA) is more than a healthcare provider-we're a community built on excellence, innovation, and compassion. If you're looking for a career that makes a difference, empowers you to grow, and gives you the opportunity to impact lives, HSA is where you belong.

Healthcare Systems of America operates 8 community hospitals across 3 states. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities.

WHAT WE OFFER

• Career Growth & Development - We are an essential, stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members can benefit from.


• Supportive & Inclusive Culture - We foster an environment where every team member is valued, heard, and empowered to succeed.


• Meaningful Work - Every day, you'll contribute to patient care, cutting-edge medical solutions, and life-changing treatment and technologies.

POSITION SUMMARY

The Server & Application Administrator serves as the technical lead responsible for the administration, security, optimization, and lifecycle management of the teams' server infrastructure, cloud platforms, identity systems, and enterprise applications. This role provides leadership for infrastructure modernization initiatives, identity governance, privileged access management, and Microsoft cloud technologies while ensuring compliance with healthcare regulatory requirements and cybersecurity best practices.

The ideal candidate possesses strong hands-on expertise in Microsoft Azure, Microsoft 365, Active Directory, PowerShell automation, and Identity & Access Management (IAM). Experience with privileged access and identity governance platforms such as Imprivata VPAM/SecureLink, Delinea Secret Server, Saviynt IGA, and ShareGate Migration Tool is highly desirable.

This position partners closely with Information Security, Clinical Operations, Application Owners, and Executive Leadership to deliver secure, reliable, and scalable technology services that support patient care and business operations.

Essential Responsibilities

Infrastructure & Cloud Administration

• Manage hybrid cloud environments integrating on-premises infrastructure and Microsoft Azure services.


• Maintain high availability, disaster recovery, backup, and business continuity solutions.


• Lead infrastructure upgrades, migrations, and modernization initiatives.


• Resolve complex server, storage, networking, and application issues.

Microsoft 365 Administration

• Administer Microsoft 365 services including:
  
  
  • Exchange Online
  
  
  • Microsoft Teams
  
  
  • SharePoint Online
  
  
  • OneDrive for Business
  
  
  • Microsoft Entra ID (Azure AD)
  
  


• Manage tenant configuration, security controls, licensing, and governance.


• Support Microsoft 365 migrations and optimization initiatives.


• Implement and maintain Zero Trust security principles.

Identity & Access Management

• The administration of enterprise identity systems and access controls.


• Assist with managing Active Directory, Group Policy, Microsoft Entra ID, federation services, and authentication solutions.


• Design and maintain role-based access control (RBAC) models.


• Implement and support identity lifecycle processes including:
  
  
  • Provisioning
  
  
  • Deprovisioning
  
  
  • Access reviews
  
  
  • Certification campaigns
  
  
  • Privileged account management
  
  


• Collaborate with HR, Security, and Compliance teams to ensure appropriate access governance.

Privileged Access Management

• Administer privileged access management platforms and privileged credential controls.


• Manage vaulting, credential rotation, session monitoring, and privileged account lifecycle processes.


• Support PAM implementation and optimization using technologies such as:
  
  
  • Imprivata VPAM / SecureLink
  
  
  • Delinea Secret Server
  
  
  • Microsoft Privileged Identity Management (PIM)
  
  


• Participate in privileged access reviews and audits.

Identity Governance & Compliance

• Support identity governance initiatives using solutions such as Saviynt IGA.


• Develop and maintain automated provisioning and attestation workflows.


• Ensure compliance with healthcare regulatory requirements and security frameworks.


• Support internal and external audits by providing documentation, evidence, and remediation activities.

Automation & Process Improvement

• Develop, maintain, and enhance PowerShell automation for infrastructure and identity management processes.


• Identify opportunities to improve operational efficiency through scripting and automation.


• Create reusable automation for user lifecycle management, reporting, monitoring, and compliance validation.

Application Administration

• Administer and support enterprise and healthcare applications.


• Coordinate application upgrades, testing, patching, and maintenance activities.


• Manage application integrations with identity and authentication services.


• Troubleshoot complex application performance and availability issues.

Collaboration & Technical Leadership

• Serve as an escalation point for infrastructure and application-related issues.


• Provide technical leadership and mentoring to IT team members.


• Participate in infrastructure architecture and strategic planning efforts.


• Develop and maintain technical standards, documentation, and operational procedures.


• Lead or participate in cross-functional technology projects.

Required Qualifications

Education

• Bachelor's degree in Information Technology, Computer Science, Information Systems, or related field; or equivalent combination of education and experience.

Experience

• 5+ years of experience administering enterprise server and cloud environments.


• 3+ years of experience with Microsoft Azure and Microsoft 365 administration.


• 3+ years of Active Directory and identity management experience.


• 3+ years of PowerShell scripting and automation experience.


• Experience leading infrastructure and application-related projects.


• Experience supporting highly regulated environments such as healthcare, finance, or government.

Technical Skills

• Microsoft Azure


• Microsoft Entra ID (Azure AD)


• Microsoft 365 Administration


• Active Directory and Group Policy


• PowerShell scripting


• Identity and Access Management (IAM)


• Multi-Factor Authentication (MFA)


• Single Sign-On (SSO)


• Hybrid identity architectures


• Security and compliance administration

Preferred Qualifications

• Healthcare industry experience.


• Experience with:
  
  
  • Imprivata VPAM / SecureLink
  
  
  • Delinea Secret Server
  
  
  • Saviynt Identity Governance Administration (IGA)
  
  
  • ShareGate Migration Tool
  
  
  • Microsoft Purview
  
  
  • Azure Automation
  
  


• Experience with mergers, acquisitions, tenant consolidations, or large-scale migration projects.


• Familiarity with ITIL best practices and service management processes.

Working Environment

This position may participate in an on-call rotation and provide after-hours support for critical infrastructure and application systems. Occasional travel may be required to support organizational initiatives, acquisitions, or project implementations.

The Server & Application Administrator plays a critical role in ensuring the availability, security, compliance, and performance of technology systems that directly support patient care and healthcare business operations.