Top Senior IT Jobs in Nashville, TN

Leads governance, prioritization, roadmaps, and delivery for enterprise revenue cycle management platforms. Manages RCM technology initiatives, automation and AI programs, stakeholder relationships, vendors, dependencies, risks, and executive reporting. Oversees a team and coordinates cross-functional delivery through the full project lifecycle, ensuring solutions align with business priorities, regulatory requirements, quality expectations, and the Digital Technology Services roadmap.

Leads the IT Order to Cash function and roadmap across SAP platforms, including configuration, integration, customization, master data, reporting, and analytics. Manages SAP OTC process improvements, KPIs, OKRs, stakeholder communications, solution design, and SAP BTP innovation. Supervises and develops business analysts, software engineers, and subject matter experts while aligning technology delivery with business transformation goals.

Leads Order-to-Cash business process analysis and technology initiatives across customer data, pricing, orders, contracts, billing, rebates, receivables, and reporting. Translates business needs into process models, requirements, user stories, and solution designs; coordinates testing, deployment, issue resolution, and continuous improvement. Partners with business, technology, finance, operations, and vendors while supporting roadmap planning, change adoption, standards, and analyst mentoring.

Own Baseten’s internal identity and authentication infrastructure, including Okta architecture, SSO, MFA, lifecycle management, and application integrations. Build automated joiner, mover, and leaver workflows across HRIS, Google Workspace, MDM, and SaaS systems using scripting and APIs. Implement access controls, device trust, compliance processes, documentation, and audit evidence. Serve as a technical escalation point for IT Support and partner with Security on least-privilege access and SOC 2 requirements.

Leads the SAP S/4HANA Financials Record to Report workstream, specializing in COPA, product costing, fixed assets, and related SAP FI/CO processes. Oversees solution design, configuration, implementation, testing, integrations, cutover, and support readiness. Coordinates stakeholders, vendors, contractors, and delivery plans while managing risks and dependencies. Provides functional leadership, mentors team members, translates business requirements into SAP solutions, and drives process improvements throughout a multi-year SAP transformation.

Plans, initiates, and manages enterprise IT projects involving payments and core platform architecture. Leads technical staff, coordinates business and technical teams, develops project plans, manages execution, assesses risks, and oversees Agile delivery, roadmaps, backlogs, and the software development lifecycle.

Leads enterprise business analysis strategy across programs and portfolios, partnering with executives to define requirements, evaluate investments, measure business value, manage risks, and guide transformation initiatives. Establishes standards and governance, analyzes operational and financial data, supports regulatory compliance, and mentors analysts. The role also advances AI-enabled tools, automation, and analytics to improve decision-making and business outcomes within a healthcare payer environment.

Own IT operations and employee experience for a remote workforce. Support users, administer Google Workspace, Okta, and Apple device management, and optimize AI-powered ticketing, automation, self-service, and documentation. Analyze ticket trends to resolve root causes, manage onboarding and offboarding, maintain asset inventory, support security and compliance audits, deliver training and communications, and partner with teams to improve workflows and scale IT operations.

Designs, implements, configures, and supports enterprise cybersecurity solutions across IAM, endpoint, network, email, application, cloud, and security awareness domains. Conducts vulnerability assessments, threat hunting, incident investigation, security tool tuning, policy development, and security architecture reviews. Serves as a security subject matter expert on technology projects, collaborates with an MSSP, provides incident escalation support, and maintains availability for critical security operations.

Manage IT SOX assurance engagements for multiple clients, including planning, risk assessment, staffing, control testing, workpaper review, reporting, billing, and client communication. Evaluate SDLC, security, change management, cloud, ERP, operating system, and database controls. Lead teams, mentor staff, support business development, deliver training, and serve as a trusted client advisor while ensuring professional and regulatory standards.

Leads Jamf’s enterprise applications and digital workplace platforms, including ServiceNow and Atlassian. Owns platform roadmaps, architecture, governance, delivery, integrations, vendor relationships, budgets, licensing, and AI capability adoption. Manages and develops platform administrators, developers, and architects while serving as the escalation point for critical issues. Partners with IT, Security, and business stakeholders to improve employee productivity, automate workflows, control SaaS costs, and guide cross-platform strategy.

Leads technical support for federal business development, capture, and proposal efforts. Develops compliant architectures spanning data centers, cloud, cybersecurity, AI/HPC, edge computing, and classified hosting. Reviews solicitations, creates technical narratives and graphics, supports pricing, customer briefings, demonstrations, and bid decisions. Advises leadership on federal technology trends, compliance frameworks, and competitive positioning while engaging DoD, Intelligence Community, and civilian agency stakeholders.

Conduct penetration tests across infrastructure, networks, web and mobile applications, and cloud environments. Perform application and cloud security testing, simulate adversary techniques, develop custom security tools, document vulnerabilities, validate remediation, and support HIPAA, SOC 2, and PCI DSS compliance. Collaborate with engineering and product teams, track emerging threats, and contribute to purple-team exercises, tabletop events, and security training.

Supports and manages business and IT projects, including ERP implementations, through planning, execution, reporting, risk management, stakeholder coordination, and change management. Maintains project plans, budgets, schedules, KPIs, documentation, and PMO standards while coordinating cross-functional teams, vendors, and system integrators. Facilitates meetings, tracks dependencies and issues, and escalates concerns to project leadership.

Leads technology delivery, operations, development, production support, quality assurance, and project execution for Guidewire PolicyCenter. Partners with Commercial Lines stakeholders to align technology initiatives with business goals, manages application architecture and change controls, and oversees staff development, resource allocation, and performance. Requires strong IT leadership, SDLC expertise, stakeholder management, and experience with Agile, DevOps, cloud environments, and insurance processes.

Provide hands-on IT support for a distributed workforce, managing endpoint devices, identity and access, SaaS platforms, onboarding and offboarding. Troubleshoot complex macOS, iOS, authentication, connectivity, browser, and application issues; administer MDM, Okta, Google Workspace, Slack, and Zoom. Build automations, maintain inventories and access reviews, improve workflows, document runbooks, and coordinate technical changes across IT, Security, People, and business teams.

The IT Business Analyst gathers and translates business requirements into technical solutions, partners with stakeholders and product owners, manages backlogs and roadmaps, and supports project delivery. The role creates requirements and UAT documentation, tracks software development, coordinates production issue resolution, and administers Genesys Cloud contact center capabilities including routing, IVR, queues, reporting, dialers, and workflows. It also identifies process improvements and serves as a subject matter expert across supported products and programs.

Assesses enterprise information security risks, performs vulnerability and security posture assessments, and coordinates remediation across networks, systems, applications, and vendors. Develops security policies and standards aligned with SOX, PCI, HIPAA, and NIST guidance; supports audits, incident response, training, access monitoring, and security projects. Communicates technical risks and corrective actions to technical and nontechnical stakeholders while mentoring teams and managing competing priorities.

Lead and support independent verification and validation, readiness assessment, quality assurance, and project health assessment engagements for state government clients. Provide expertise in project management, software implementation, data migration, integrations, cybersecurity, testing, architecture, and organizational change. Report risks and status to executive stakeholders, facilitate client meetings, advise clients, develop staff, support training, and contribute to proposals and team growth.

Leads IT projects from initiation through closure, managing plans, deliverables, budgets, timelines, risks, issues, communications, and cross-functional teams. Establishes and improves project management methodology, PMO processes, governance, reporting, KPIs, resource planning, demand management, and project roadmaps. Partners with business leaders to align technology initiatives with organizational goals and expected benefits while ensuring compliance with quality, safety, security, environmental, and regulatory requirements.

The IT Business Consultant validates healthcare business and technology solutions through requirements analysis, test strategy development, UAT, end-to-end testing, defect analysis, and process validation. The role collaborates with business, product, operations, technology, and vendor teams to ensure solutions meet Medicare, CMS, regulatory, and compliance requirements. Responsibilities include testing healthcare workflows involving claims, enrollment, providers, members, benefits, and digital platforms, while supporting Agile delivery and large-scale transformation initiatives.

Leads indirect procurement strategy with primary responsibility for IT categories, including SaaS, cloud, hardware, telecom, and IT services. Develops sourcing roadmaps, runs competitive bids, negotiates enterprise agreements, manages renewals, and delivers savings, cost avoidance, and working-capital improvements. Uses AI and automation for spend analytics, contract review, and RFP processes. Partners with IT, Finance, Legal, and other stakeholders while managing supplier performance, compliance, and procurement process improvements.

Administers and supports PACS systems within an outpatient radiology practice, ensuring reliable technology operations, customer service, equipment use, policy compliance, and a safe work environment. The role may involve prolonged sitting, frequent standing and walking, and lifting up to 40 pounds. Employment requires successful drug and background screening.

Owns the architecture, configuration, integration, governance, and continuous improvement of inRiver, Bynder, and Boomi platforms. Integrates PIM, DAM, CRM, commerce, analytics, and ERP systems; develops and monitors Boomi processes; establishes master-data standards; leads technical projects, vendors, budgets, and delivery risks; and provides technical requirements, documentation, training, and executive communication.

Leads Appen’s IT function, including support, enterprise technology, security governance, automation, vendor management and team development. Owns the IT roadmap, Microsoft 365 and SaaS environment, endpoint and identity controls, SOC 2 and ISO 27001 readiness, technology spend, and AI-enabled process improvement. Partners with executives, Engineering and Product to improve service delivery, eliminate manual work, manage risk and build a scalable, high-performing IT organization.