IT Senior Systems Engineer

Posted 4 Days Ago
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Baltimore, MD, USA
In-Office
145K-150K Annually
Senior level
Healthtech
We provide compassionate and integrated high quality health care that honors diversity and addresses health inequities.
The Role
Leads enterprise infrastructure architecture and integration for acquired environments, including Active Directory and Entra ID consolidations, Citrix and desktop virtualization, identity governance, certificate lifecycle management, automation, and healthcare compliance. Designs migration runbooks, improves infrastructure performance and availability, supports clinical applications, and applies PowerShell, cloud tools, Python, and AI automation to operational workflows.
Summary Generated by Built In

JOB SUMMARY:

The IT Sr. Systems Engineer (Senior Infrastructure & Systems Architect) acts as a principal technical authority leading the technical evaluation, design, and integration of newly acquired environments into our core enterprise infrastructure. This position is responsible for architecting Active Directory/Entra ID domain collapses and federations, optimizing enterprise desktop and application virtualization platforms (Citrix, RDS, IGEL), and embedding operational AI automation into repetitive deployment and maintenance workflows.

While not a dedicated Security Architect position, security diligence is central to this role. The IT Sr. Systems Engineer is directly responsible for enforcing baseline security hygiene across all migrated systems, managing SSL/TLS certificate lifecycles, and ensuring strict adherence to healthcare regulatory frameworks including HIPAA, HITECH, and patient data compliance standards.

MAJOR DUTIES AND RESPONSIBILITIES:

Analytical and Critical Thinking

• Lead technical due diligence on acquired entities by evaluating legacy IT estates, network topologies, identity structures, and clinical systems.

• Design, architect, and execute zero business hour downtime Active Directory forest consolidations, domain collapses, and identity synchronization into corporate Microsoft Entra ID (Azure AD) tenants.

• Architect, maintain, and tune multi-site virtualization environments utilizing Citrix Virtual Apps and Desktops (CVAD/Citrix Cloud), Remote Desktop Services (RDS), and thin-client OS solutions (IGEL OS/Universal Management Suite).

• Optimize image baselines and FSLogix profile containers to maximize host density and reduce compute resource usage.

• Configure and support remote access infrastructure, including NetScaler ADC / Citrix Gateway, load balancing, and Storefront.

• Identify high-frequency, repetitive infrastructure tasks (provisioning, image updates, patch testing, user offboarding/onboarding) and design automated workflows to streamline operations.

• Leverage modern generative AI tools and programmatic scripting (PowerShell, Azure CLI, REST APIs, Python) to accelerate script generation, log auditing, configuration troubleshooting, and automated runbook documentation.

• Maintain end-to-end management of SSL/TLS certificates, including automated renewals, private key security, gateway bindings (NetScaler ADC, IIS, reverse proxies), and cipher suite hardening to prevent service interruptions or protocol vulnerabilities.

Workplace Computers and Equipment

• Ensure peak application performance and high availability across distributed clinicians and office personnel accessing critical line-of-business and EMR platforms (Epic, NextGen, AthenaHealth, Allscripts).

Planning and Organizing

• Formulate standardized migration runbooks, baseline discovery checklists, and cutover playbooks to transition user profiles, mailboxes, and file services seamlessly with zero data loss.

• Build intelligent operational reporting and telemetry to proactively detect infrastructure bottlenecks, license drift, and capacity constraints before they impact end users.

Compliance, Policy, and Procedure

• Oversee identity governance post-acquisition, including Conditional Access policies, Microsoft Intune endpoint enrollments, and tenant consolidation.

• Enforce security best practices across all operating systems, hypervisors, and gateway access points (nFactor MFA, SAML/SSO federation, conditional access).

• Ensure all architectural designs and integrated systems strictly comply with HIPAA, HITECH, and clinical data governance guidelines.

• Conduct perimeter assessments and access reviews to protect protected health information (PHI) and enterprise identities against external compromise.

SKILLS AND ABILITIES:

• Directory & Identity Services: Proven track record architecting complex Active Directory forests, trusts, DNS/DHCP, and Microsoft Entra ID (Azure AD) Connect/Cloud Sync.

• Application & Desktop Virtualization: Deep hands-on expertise with Citrix (Virtual Apps and Desktops, Citrix Cloud, NetScaler ADC), Microsoft Remote Desktop Services (RDS), Azure Virtual Desktop (AVD), and IGEL thin client deployments/management.

• Scripting & AI Automation: Advanced proficiency in PowerShell or Azure CLI for systems administration; proven experience integrating AI assistance or automation tools into operational deployment routines.

• Security & Certificate Lifecycle: Strong understanding of Public Key Infrastructure (PKI), SSL/TLS certificate chain deployment, Web Application Firewalls (WAF), and multi-factor authentication (nFactor/MFA).

• Compliance Knowledge: Practical understanding of healthcare regulatory frameworks (HIPAA Security & Privacy Rules, Business Associate Agreements, clinical system audit readiness).

• Healthcare & Cloud Integration (Preferred): Experience supporting or migrating healthcare workloads and EMR/EHR platforms (Epic, AthenaHealth, NextGen), as well as migrating workloads across on-premises datacenters, VMware vSphere, and public cloud (Azure/AWS).

EDUCATION AND/OR EXPERIENCE:

• 8–10+ years in senior infrastructure systems engineering or solutions architecture, with demonstrated experience in multi-site migrations, M&A integrations, or large-scale domain consolidations.

• Bachelor’s degree in Computer Science, Information Technology, or equivalent military/professional experience.

• Citrix Certified Associate/Professional (CCA-V, CCP-V), VMware VCP, Microsoft Certified: Azure Solutions Architect Expert, or Entra/Security Administrator.

WORKING CONDITIONS/PHYSICAL DEMANDS:

Work is typically performed in an office environment. 

The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

Skills Required

  • 8–10+ years of experience in senior infrastructure systems engineering or solutions architecture
  • Experience with multi-site migrations, M&A integrations, or large-scale domain consolidations
  • Bachelor’s degree in Computer Science, Information Technology, or equivalent military/professional experience
  • Proven experience architecting Active Directory forests, trusts, DNS/DHCP, and Microsoft Entra ID synchronization
  • Deep hands-on experience with Citrix, NetScaler ADC, Microsoft RDS, Azure Virtual Desktop, and IGEL deployments
  • Advanced proficiency with PowerShell or Azure CLI for systems administration
  • Experience integrating AI assistance or automation tools into operational deployment routines
  • Strong understanding of PKI, SSL/TLS certificate deployment, WAFs, and multifactor authentication
  • Practical knowledge of HIPAA Security and Privacy Rules, Business Associate Agreements, and clinical system audit readiness
  • Citrix CCA-V or CCP-V, VMware VCP, Microsoft Azure Solutions Architect Expert, or Entra/Security Administrator certification
  • Experience supporting or migrating healthcare workloads and EMR/EHR platforms
  • Experience migrating workloads across on-premises data centers, VMware vSphere, Azure, or AWS
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The Company
HQ: Baltimore, Maryland
550 Employees
Year Founded: 1979

What We Do

At Chase Brexton Health Care, we believe everyone deserves great health care... because everyone’s health matters. As a 501(c)(3) non-profit medical center, we provide a range of clinical services from primary medical care and behavioral health services to dental and pharmacy, among others, and welcome more than 40,000 patients annually. And, though we continue to grow in size, our patient-centered approach remains; we work diligently to provide personalized care to each of our patients. We believe in educating and empowering our patients to become active participants in their own care. Complete health care – that is completely about you.

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