Top Senior IT Jobs in Las Vegas, NV

Serve as Product Owner for Oracle/Cerner clinical solutions, partnering with stakeholders to define workflows, write user stories, manage backlogs, configure systems, support enterprise deployment and adoption, and provide SME through the product lifecycle. Requires risk mitigation, cross-team collaboration, and occasional travel.

Serve as strategic advisor to assess and optimize end-to-end hospital revenue cycle operations using Epic workflows. Lead performance improvement, analytics, change management, compliance, and operational initiatives to improve financial and patient financial experience.

Provide senior-level remote IT support and operations for a distributed workforce: troubleshoot macOS/Windows/Linux/mobile, manage onboarding/offboarding, administer identity (Rippling/Okta) and MDM, maintain asset inventory, build AI-driven automations (Console.com, Risotto, Unthread), support SOC 2/HIPAA/ISO compliance, write runbooks in Notion, and contribute to the IT roadmap while mentoring the team.

The Senior IT Program Manager leads program development and implementation, ensuring projects align with business needs and are delivered on time and budget. They manage stakeholder relationships and facilitate communication with senior leadership, oversee financial management, and develop risk management strategies.

Lead and execute IT audit and assurance engagements (SOX, SOC 1, SOC 2), perform ITGC/ITAC and automated controls testing, prepare workpapers and RCMs, provide technical guidance to clients, and mentor junior team members while contributing to practice development.

Serve as first-line IT support for hardware, software, networking, and enterprise applications. Triage and resolve support tickets, manage onboarding/offboarding, administer Okta and endpoint management (Intune, Jamf), maintain device health and access controls, collaborate with Security and Engineering, document processes, and improve support workflows to ensure a secure, compliant, and user-friendly hybrid work environment.

The role involves designing and developing enterprise-grade software solutions, integrating AI tools, collaborating with teams, and maintaining documentation while enhancing productivity for Yahoo personnel.

Support global infrastructure as an SME across databases, servers, networks, storage, and application platforms. Provide medium-to-high complexity run-the-business support, incident resolution, project resources, requirements gathering, solution implementation, knowledge articles, and mentoring. Cover 24/7 shifts as required.

Provide administration, maintenance, development, and troubleshooting for Oracle IAM (OAM, OIG, OID, OIM) including provisioning, authentication, RBAC/ABAC controls, custom Java/REST integrations, BI Publisher reporting, and IAM continuous monitoring. Produce SOPs, coordinate with SMEs, and apply secure coding and audit practices to support production and non-production environments.

Design and guide secure, scalable enterprise and cloud architectures (DNS, Azure, AWS, on-prem). Lead cloud migrations, implement monitoring, integrate hybrid environments, present technical briefings, and mentor staff while ensuring security and performance for a mission-focused government client.

Lead Data QA for the Enterprise Data Warehouse: define QA strategy, design and execute source-to-target validations, CDC and ETL checks, data masking verification, build quality dashboards and automations, mentor QA analysts, manage defects and release readiness, and collaborate with Data Engineering, BI, Product, and stakeholders to ensure data is accurate, complete, and audit-ready.

Senior IT leader partnering with Commercial leadership to define and deliver pharma commercial technology strategy, oversee Veeva and digital platforms, lead product launch technology readiness, manage vendors/agencies, ensure compliance and governance, and lead IT teams to deliver scalable, secure commercial applications and digital experiences.

The IT Project Manager leads multiple IT Infrastructure projects, ensuring they meet scope, quality, and budget requirements while managing resources and communication among stakeholders.

Lead enterprise IT sourcing and software procurement for complex renewals and strategic sourcing initiatives. Drive savings, establish governance, create vendor strategies and KPIs, partner with IT and stakeholders, mentor procurement staff, and manage contract negotiations and renewals.

Lead and mentor the Infrastructure team and deliver the enterprise infrastructure roadmap. Design and maintain resilient on-prem and cloud (Azure) network and server environments, oversee capacity planning, monitoring, backup/recovery, disaster recovery, vendor management, and infrastructure automation. Support ERP/Sage X3 infrastructure, collaborate with InfoSec on vulnerability remediation and OT teams for manufacturing environments, and manage infrastructure projects and on-call escalations.

Remote IT Manager responsible for analyzing, upgrading, and administering IT systems (networks, servers, email, backups), evaluating vendors and technologies, managing projects, tracking inventory, training staff, and providing technical support to improve operational efficiency.

Lead design, build, test, and maintain scalable cloud data platforms and pipelines (ETL/ELT, batch and streaming). Ensure data quality, governance, security, CI/CD deployment, performance tuning, migration/archival, and mentor data engineering teams to support analytics and AI/ML use cases for a federal modernization program.

Design, develop, and maintain BI dashboards, self-service reporting, and predictive analytics for a cloud-based federal case management program. Translate business requirements into technical designs, implement SQL/data transformations, ensure governance and compliance, support AI/ML capabilities, and drive adoption and performance of analytics solutions.

Serve as Senior Scrum Master for SAFe teams: facilitate Scrum ceremonies, maintain JIRA, coach Agile practices, remove impediments, coordinate releases with Product Management, drive continuous improvement, participate in Scrum of Scrums, and ensure delivery transparency and team maturity.

Serve as the bridge between business stakeholders and technical teams to elicit, document, and govern data and reporting requirements. Produce source-to-target mappings, user stories, acceptance criteria, and audit-ready documentation. Coordinate data governance, validate data models with engineers, support testing and UAT, contribute metadata definitions, and maintain Agile artifacts to deliver compliant cloud-based reporting, analytics, and AI/ML data products.

Lead front-end development using React and JavaScript to build responsive, high-performance web applications. Collaborate with UX designers, build reusable components, implement dynamic forms and drag-and-drop features, optimize for cloud deployment and security, mentor junior developers, and maintain design standards and testable, maintainable code.

Serve as a senior strategic technology advisor between Managed Business and IT, develop multi-year roadmaps, prioritize investments, lead AI/automation/analytics and digital transformation initiatives, manage governance and value realization, and drive customer experience and operational scalability.

Design, deploy, and maintain enterprise Identity Provider (IdP) and ADFS services for DoD-scale authentication. Implement and troubleshoot SAML/OAuth/OIDC federation, MFA, PKI/CAC authentication, claims/policy mappings, SSO, and high-availability architectures. Integrate applications, manage federation trusts, produce documentation, and collaborate with cybersecurity, AD, cloud, and application teams to support Zero Trust and identity modernization.

Design, deploy, and sustain enterprise Identity Provider (IdP) services and ADFS infrastructure for DoD-scale authentication. Implement and troubleshoot SAML/OAuth/OIDC/WS-Fed, PKI and certificate-based/MFA authentication, manage federation trusts, support SSO and onboarding, and produce technical documentation while collaborating with cybersecurity, AD, cloud, and application teams to ensure highly available, secure authentication services.

Lead end-to-end deployments of Medicaid MMIS/MES and related Health IT systems. Plan, schedule, and manage go-lives, deployment readiness, integrations, and installation of network equipment. Maintain implementation plans, coordinate cross-functional teams and stakeholders, ensure CMS/state compliance, and provide status reporting. Remote role with 25–50% travel.