Top Senior IT Jobs in Nashville, TN

Supports Department of the Navy civilian HR operations through DCPDS, DCPS, and DCHRMS transaction processing, testing, quality assurance, troubleshooting, and regulatory compliance. The role analyzes personnel/pay interface issues, prepares system change requests and transmittals, validates releases, maintains salary tables, resolves service tickets, and coordinates with DoD, DFAS, DON, and other stakeholders.

Leads Advocate Health’s Epic Factory AI Program and cross-application strategic initiatives. Translates business needs into optimized clinical workflows, coordinates complex technology projects, manages risks and implementation plans, measures project outcomes, and drives change adoption. The role also provides technical direction, mentors analysts, supports portfolio planning, and partners with IT leadership and business stakeholders to deliver healthcare technology improvements.

The role involves leading the data governance team, managing IT projects, collaborating with stakeholders, and ensuring continuous improvement of processes. Responsibilities include strategic planning, client management, and optimizing resource utilization, while overseeing governance activities and departmental management.

Manage end-to-end enterprise IT projects involving ERP, laboratory, manufacturing, quality, and regulated GxP systems. Coordinate stakeholders across IT, engineering, manufacturing, quality, validation, laboratory operations, vendors, and implementation partners. Responsibilities include project planning, budgeting, scheduling, governance, risk and dependency management, vendor oversight, validation documentation, executive reporting, and transition to operational support.

Administers Oracle Fusion Cloud environments across development, testing, and production. Leads environment strategy, refreshes, releases, service requests, Oracle support coordination, troubleshooting, and OCI/OIC enhancements. Manages RBAC, segregation of duties, SSO, OCI IAM, and SailPoint provisioning. Communicates maintenance, outages, fixes, and root-cause analyses while maintaining technical documentation and coordinating with business, IT, security, and vendor stakeholders.

Own day-to-day IT operations, service management, endpoint security, identity and access administration, cloud infrastructure support, vendor and MSP oversight, business-unit technology integrations, and SOC 2 or other audit readiness. The role manages Microsoft 365, Google Workspace, AWS, Azure, endpoint tools, security platforms, device compliance, operational documentation, procurement, and technical evidence across multiple business units.

Leads the SaaS and AI application sourcing team, overseeing software procurement, RFPs, negotiations, renewals, supplier performance, compliance, and cost optimization. Manages agreements covering pricing, usage, data security, audit rights, and termination terms. Establishes procurement processes, playbooks, metrics, and automation while partnering with Finance, Legal, Technology, Security, and program teams. Coaches team members, supports executive supplier engagements, and ensures FAR-compliant government contracting practices.

Monitors government-funded care programs through on-site visits, provider interviews, documentation reviews, inventory assessments, and compliance evaluations. Identifies technical assistance needs, evaluates service quality and individual safety, conducts entrance and exit meetings, prepares monitoring reports, maintains records, and advises providers on child welfare best practices and corrective actions. The role is fully remote with frequent domestic travel to designated provider sites.

Supports IT procurement, purchasing, vendor management, third-party risk, privacy, compliance, audit readiness, and governance activities. Responsibilities include RFPs and vendor evaluation, purchase orders and invoice reconciliation, vendor due diligence, contract compliance, policy administration, remediation tracking, business continuity and disaster recovery governance, privacy documentation, reporting, and process improvement. The role also provides guidance to less experienced team members and partners with IT Security, Legal, Privacy, Finance, auditors, vendors, and business teams.

Lead the design, development, modernization, and governance of enterprise customer-data applications and integrations. Manage operational data stores, system dependencies, IAM integrations, security, compliance, DevOps practices, deployments, and production support. Define target-state architectures, guide technology modernization, oversee vendor teams, troubleshoot critical issues, and communicate technical strategies across business and technology teams while mentoring junior engineers.

Provide senior Oracle database administration for DOE applications across development, test, and production environments. Install, configure, patch, upgrade, monitor, secure, tune, and maintain Oracle databases, Fusion Middleware, WebCenter, OID, OAM, SSO, data warehouses, and ETL processes. Support backup, recovery, disaster recovery, cybersecurity remediation, A&A/ATO activities, incident resolution, documentation, capacity planning, and critical patch management. The role is fully remote but requires U.S. citizenship and the ability to obtain a DOE Q Clearance.

Leads complex, cross-regional IT programs from business case through deployment and stabilization, with emphasis on SAP implementations and transformations. Establishes governance, plans, budgets, risk controls, dependencies, and executive reporting. Coordinates business, technical, data, testing, integration, and deployment teams while managing consulting partners, systems integrators, and vendors. Also supports recovery planning, portfolio prioritization, PMO standards, and coaching of project managers.

Lead a 24/7 production support team using Scrum and SAFe practices. Establish operational goals, facilitate ceremonies and incident reviews, coordinate high-severity incident response, manage backlogs and SLAs, maintain Jira visibility, drive root-cause analysis and corrective actions, and improve team workflows. Collaborate with product owners, development, security, platform, and operations teams while communicating risks, incidents, and performance to stakeholders.

Designs DevSecOps automation strategies for a federal mainframe modernization program. The role develops cloud-native architectures, modernizes CI/CD pipelines, integrates security and testing, evaluates legacy workflows, creates technical roadmaps, and guides engineering teams and customer stakeholders through adoption of containerized, scalable modernization solutions.

Lead the IT workstream for complex business separations, divestitures, and Transition Services Agreements. Manage integrated plans, milestones, dependencies, risks, issues, vendors, and technology impacts across applications, infrastructure, data, cybersecurity, networks, and end-user technology. Coordinate internal teams and service providers, align technology requirements with business needs, and deliver executive reporting and recommendations throughout transition, stabilization, and exit activities.

Administer and secure identity, email, network, firewall, and collaboration infrastructure for a distributed workforce. Responsibilities include Okta or equivalent SSO management, email security controls, incident response, network administration, routing, switching, VPNs, firewall policies, documentation, vendor management, and infrastructure improvement. The role partners with Security and Help Desk teams, troubleshoots complex issues, supports onboarding and offboarding, and manages moderately complex projects independently.

Owns IT infrastructure, endpoint management, identity and access, security, compliance, vendor relationships, and employee support across corporate and clinical teams. The role designs scalable systems, resolves hardware and software issues, manages provisioning and deprovisioning, develops IT policies and documentation, supports HIPAA and SOC 2 compliance, and maintains disaster recovery and cybersecurity response practices. Periodic travel to regional offices is required.

Leads security operations and corporate IT for a healthcare technology company handling PHI. Responsibilities include incident response, application and cloud security, IAM, endpoint management, vendor reviews, security policies, compliance support for HIPAA, SOC 2, and HITRUST, and management of three direct reports. The role also builds AI-driven automation tools and workflows for IT and security operations while partnering with executives, engineers, customers, auditors, and compliance leaders.

Leads IT procurement and strategic sourcing for healthcare technology categories. Develops category strategies, manages competitive sourcing, negotiates complex software, SaaS, cloud, data, and technology-services agreements, and oversees strategic supplier performance throughout the contract lifecycle. Advises senior stakeholders, analyzes costs and risks, supports contracting and implementation, drives savings and supplier consolidation, and promotes consistent procurement practices.

Evaluates the design and operating effectiveness of IT application controls for Sarbanes-Oxley compliance. Responsibilities include developing test plans, testing automated controls and reports, reviewing system interfaces and data integrity, documenting audit workpapers, coordinating with external auditors, and recommending process improvements. The role collaborates with business and technology teams, supports SOX planning and execution, and may participate in cross-functional transformation projects.

Lead implementation and ongoing management of ServiceNow Hardware Asset Management, Software Asset Management, and Software Bill of Materials solutions. Collaborate with GDIT and AmeriCorps teams to capture and deliver requirements, drive inventory management and control, and apply ServiceNow and Azure technologies. The role requires ServiceNow administration and implementation expertise, technical education or training, and at least eight years of related experience.

Own internal IT engineering across identity, devices, SaaS applications, Azure infrastructure, security solutions, and employee support. Manage Microsoft 365, Entra ID, Intune, Windows and Mac devices, access controls, and system integrations. Build automation and AI-powered workflows, establish AI governance, administer infrastructure as code, resolve escalated technical issues, and improve reliability, security, and operational efficiency. The role also supports onboarding, offboarding, documentation, monitoring, and cross-functional IT initiatives in a remote environment.

Supports the IHS Electronic Health Records Modernization program by designing, integrating, installing, configuring, testing, and maintaining biomedical and end-user devices. Develops solutions for complex device engineering, infrastructure, security, backup, and redundancy challenges; maintains technical documentation; collaborates with cyber and implementation teams; and may lead or mentor others. The role is fully remote, requires Oracle Health experience, and may involve up to 25% travel.

Leads the internal IT organization’s AI-first transformation, including systems strategy, AI tool deployment, platform uptime, governance, security coordination, helpdesk automation, budgeting, and cross-functional adoption. Owns IT roadmaps, prioritization processes, AI metrics, compliance frameworks, and teams of up to 30 contributors while partnering with security, infrastructure, legal, and other business functions.

Operate and improve IJM's Microsoft Azure environment: ensure availability, performance, security, monitoring, incident response, cost optimization, IaC deployments (Bicep/ARM/Terraform), automation with PowerShell/Azure CLI, governance (Azure Policy/RBAC), and collaborate across teams to maintain standardized, secure, and observable cloud platforms.