Top Senior IT Jobs in Nashville, TN

The Director, IT Operations oversees daily IT operations, ensuring reliability and security of IT infrastructure and cloud services, while driving efficiency and improvement through automation and collaboration with different teams.

Hands-on technical manager who leads a small development and data engineering team to design, build, and deliver software, data pipelines, integrations, and BI solutions. Oversees CRM/platform development, API integrations, data warehousing, reporting, release management, and compliance/data governance while contributing to architecture and coding.

Design and manage database solutions, ensuring optimal performance, security, and compliance, while collaborating with teams for effective data use.

The IT Project Manager will oversee large-scale IT projects for public sector clients, ensuring deliverables meet project goals, timelines, and budgets while applying project management best practices.

Provide 100% onsite IT field services at a hospital: troubleshoot, configure, install, maintain and retire hardware/software; manage incidents and requests to SLAs; perform deployments, change control, inventory/ITAM, end-user training, and participate in projects. Travel and on-call support required.

As Director of IT, you'll lead IT services including Helpdesk, identity, and corporate infrastructure, focusing on automation, user experience, and team growth.

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 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.

The IT Systems Engineer III will improve Ophelia's IT systems through integration, automation, and security while managing IT projects, overseeing service providers, and ensuring compliance.

Support CMS QPP/MIPS quality measurement efforts by designing and reviewing documentation, training, policy analysis, and technical assistance. Partner with clinical teams on requirements, testing, and implementation, analyze measure data and specifications (claims, QRDA/DEQM, HL7), produce reports and guidance, and liaise with stakeholders to resolve policy and technical issues.

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.

Design, build, and operate production-ready distributed systems and microservices. Deliver new features, improve reliability and scalability, identify bottlenecks, mentor junior engineers, and contribute to architecture and modernization efforts.

Design, develop, and maintain ServiceNow solutions including integrations, MID Server setup, SAM Pro configuration, Service Catalog and portal items, CMDB alignment, and automation using Flow Designer and APIs. Collaborate with stakeholders, estimate work, write and execute tests, support UAT, and keep the platform aligned with SDLC and ITIL best practices.

The Director of IT Applications leads the delivery of enterprise applications, ensuring that business systems effectively support operations across Finance, Sales, Marketing, HR, and more while driving automation and system improvements.

Lead global IT business enablement for Manufacturing and Quality, forging partnerships, driving innovation, and ensuring operational excellence through technology.

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.

Partner with stakeholders to gather and analyze requirements, improve Warehouse and Inventory systems, author and execute test plans/scripts, validate APIs and data via SQL and Kafka, support Agile delivery using VersionOne/ServiceNow, and coordinate cross-functional teams to drive system optimization and process improvements.

Lead a Service Desk team supporting external financial clients; manage daily support operations, escalations, SLAs, and client communications; partner with engineering on incidents and continuous improvement; provide hands-on technical leadership across monitoring, integration, and database tools.

Lead and manage a remote US IT support team to deliver high-quality technical support. Oversee daily operations, SLAs, ticket triage, knowledge base, training, metrics reporting, and escalation for complex issues while coordinating cross-functional initiatives and adopting industry best practices to improve customer satisfaction.

Provide day-to-day IT support for a globally distributed AI company: triage help-desk tickets, provision and ship laptops, manage Google Workspace, enforce endpoint security and device compliance, run onboarding/offboarding, maintain SaaS seat/license management, support office networking/AV, write runbooks, and contribute to security, infrastructure, and automation projects as the first EMEA IT hire.

Lead subcontract strategy for large federal captures: advise capture leadership, develop multi-tier subcontracting plans, conduct market/supplier research, manage proposal inputs and FAR/DFARS compliance, lead negotiations, identify and mitigate subcontract risks, leverage analytics/AI for supplier performance, brief senior leadership, mentor junior staff, and ensure accurate documentation in source-to-pay and proposal systems.

Lead budgeting, forecasting, and financial analysis for IT, HR, and I&HS organizations. Build and maintain forecasting models using Oracle Cloud, SmartView, and advanced Excel. Support audit readiness (DCMA/DCAA), collaborate with department managers, and drive capital expenditure and depreciation analysis to ensure accurate financial planning and reporting.

Project Manager leads IT projects across global business units, balances scope and resources, ensures effective communication, and coordinates team activities.

Work with cross-functional teams to elicit and document business and functional requirements, lead workshops, create specs and interface designs, support testing, and investigate and resolve production issues with vendors and technical teams in a hybrid production environment.

Serve as the primary US IT contact, providing first-line support, managing helpdesk tickets, configuring and imaging devices via Workspace ONE, handling onboarding/offboarding and device lifecycle, maintaining IT asset records, and coordinating office infrastructure with vendors to ensure secure, reliable workplace technology.