Top Senior IT Jobs in Nashville, TN

Provides second-line remote IT support for client end users, resolving escalated Windows, macOS, Microsoft 365, identity, Intune, application, printing, and collaboration issues. Manages onboarding, offboarding, access changes, endpoint deployment, patching, and security compliance. Works within ticket priorities and service-level objectives, documents solutions, creates knowledge articles, identifies recurring problems, and escalates infrastructure issues with detailed troubleshooting information.

Leads the design, implementation, administration, integration, testing, and enhancement of Veeva Vault RIM. Translates business requirements into functional specifications, manages application roadmaps, supports GxP compliance, oversees internal and external technical resources, and drives system optimization. The role also provides troubleshooting, root-cause analysis, user support, data migration assistance for M&A activities, and technology guidance involving emerging technologies and AI.

Supports governance, monitoring, and IT General Controls for third-party relationships and external users. Responsibilities include due diligence, risk classification, identity and access oversight, least-privilege reviews, access certifications, MFA and DLP monitoring, incident escalation, remediation tracking, audit support, reporting, business continuity and disaster recovery activities, offboarding controls, process documentation, and stakeholder coordination across IT, security, compliance, legal, HR, and vendor management.

Leads enterprise IT infrastructure and service operations, overseeing service-level performance, ITSM processes, project intake, business requirements, reporting, budgets, process improvement, escalations, and stakeholder relationships. Develops service delivery plans, manages providers and SLAs, supports healthcare and Medicaid contract compliance, and guides cross-functional initiatives. Hires, mentors, and develops a high-performing IT team while ensuring reliable services, operational efficiency, and alignment with organizational goals.

Leads enterprise technology execution as an extension of the CIO, overseeing data and analytics, responsible AI, process automation, outsourced IT services, digital product delivery, and technology operations. Manages roadmaps, governance, vendors, budgets, contracts, risks, cross-functional initiatives, and executive communications. Drives process redesign, adoption, continuous improvement, and measurable business outcomes while supervising employees, contractors, consultants, and external providers.

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.

Leads analysts and software engineers supporting Clinical and Provider applications. Oversees application support operations, incident management, lifecycle maintenance, system performance, availability, vendor relationships, and SLA management. Partners with clinical, provider, operations, product engineering, infrastructure, and business stakeholders to prioritize work, improve workflows, and enhance provider and patient experiences. Manages hybrid onshore and offshore teams while fostering performance, accountability, and continuous improvement.

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.

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.

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 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.

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.

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.

Senior QA Automation Engineer responsible for designing and maintaining UI, API, backend, performance, load, and stress testing solutions. Owns test strategy, automation architecture, quality standards, metrics, CI/CD integration, security testing, and continuous improvement. Collaborates with engineering and business stakeholders, troubleshoots test failures, communicates quality risks, participates in code reviews, and mentors junior QA engineers.

Facilitates IT demand intake, evaluation, prioritization, and portfolio governance. Develops business cases, dashboards, scoring frameworks, capacity views, and executive decision materials. Administers demand lifecycles and ServiceNow Strategic Portfolio Management workflows while coordinating compliance, risk, resource planning, and portfolio health activities. Partners with IT, business, PMO, project, and operational leaders to align initiatives with strategy, funding, capacity, and organizational priorities.

Leads business process reengineering and modernization projects for Defense Logistics Agency initiatives. Responsibilities include process mapping, data modeling, requirements analysis, stakeholder interviews, change management, training, methodology development, performance measurement, and quality improvement. The specialist collaborates with process, product, development, and functional owners to define system requirements, user stories, business rules, and acceptance criteria while tracking project risks, issues, milestones, and deliverables.

Manage and scale global Apple and Windows endpoint fleets using Jamf and Intune. Develop scalable device-management runbooks for M&A, enforce security baselines, support systems integration, lead technical projects, resolve cross-functional workflow issues, and participate in IT escalation support. The role requires expertise in cloud platforms, identity and SSO, API integrations, endpoint compliance, security frameworks, regulatory requirements, and IT strategy.

Leads OLIPOP’s IT strategy, operations, security, compliance, vendor management, and cross-functional technology projects. Oversees cloud systems, networking, endpoint management, SaaS lifecycle, helpdesk operations, onboarding and offboarding, access governance, and user support. Manages IT policies, budgets, audits, security tools, incident response, and vendor relationships while balancing strategic planning with hands-on technical execution.

Owns the strategy and execution of eDiscovery and information governance programs across business functions and enterprise platforms. Partners with engineering teams to improve EDRM capabilities, translates regulatory requirements into system controls, manages roadmaps, dependencies, risks, and audit documentation, and validates compliance tooling through comprehensive testing. The role also identifies automation opportunities, responsibly applies generative AI and workflow tools, and drives organizational adoption.

Leads IT QA teams and quality outcomes across products and delivery areas. Responsibilities include people management, talent development, QA governance, test automation strategy, release readiness, risk management, quality metrics, stakeholder partnership, resource planning, and continuous improvement. The role manages up to 15 QA analysts and drives scalable testing practices, automation adoption, delivery confidence, and customer-focused quality results.

Administer, configure, and support JD Edwards EnterpriseOne CNC environments, including architecture, security, performance tuning, integrations, upgrades, deployments, and lifecycle management. Manage incidents and changes using ITIL, ensure high availability and disaster recovery, troubleshoot complex issues, lead CNC projects, collaborate with infrastructure and database teams, and mentor team members. The role requires 24/7 operational support, including occasional night, weekend, and holiday shifts.

Lead architecture and delivery of IT automations and integrations across platforms (n8n, Airflow, Temporal, Jira). Act as technical DRI for complex automation projects, partner with Security and IAM, build reusable frameworks and documentation, establish engineering standards and code review practices, and mentor peers.

Designs and supports enterprise data integrations, ETL/ELT pipelines, APIs, data models, and transformations across Microsoft platforms. Maintains data quality, governance, security, and reliability while developing CI/CD pipelines, deployment automation, and release processes. Troubleshoots integration and deployment issues, manages environments, supports reporting and analytics, and collaborates with technical and business stakeholders to deliver scalable data solutions.