Top Remote IT Jobs in Sacramento, CA

Serve as first contact for helpdesk tickets, resolve Tier 1/2 issues across macOS/Windows, manage onboarding/offboarding and hardware lifecycle, lead IT knowledge management (Confluence/Helpdesk KB) with machine-readable documentation for AI assistants, and perform Tier 2 SaaS administration (Okta, Google Workspace, Slack, Atlassian, Intune, Freshservice).

Administer, maintain, and optimize PACS and related imaging systems; support DICOM/HL7 integrations; troubleshoot imaging workflows; coordinate with radiology, cardiology, vendors, and IT to ensure secure, accessible patient imaging and compliance with HIPAA.

Perform IT audits to ensure compliance with regulations and internal policies. Assist planning, execution, and reporting of IT audit engagements including SOX ITGC testing and risk-based reviews. Analyze data to identify control deficiencies, validate remediation, and communicate findings and recommendations to stakeholders. Use data analytics to enhance audit coverage and monitor remediation status.

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.

Lead development and implementation of preventive and predictive maintenance for onshore mechanical equipment, use CMMS to plan and monitor maintenance, analyze reliability data, perform RCA, support operations and maintenance teams, ensure safety and compliance, and recommend improvements to reduce downtime and costs.

Design, build, and operate AWS-native AI/ML systems: RAG pipelines, fine-tuned LLMs, and microservices. Implement IaC (Terraform), CI/CD, policy guardrails, and production deployments integrating Bedrock/SageMaker, LangChain, and telemetry for secure, scalable enterprise use.

Lead development and implementation of preventive and predictive maintenance programs for offshore mechanical equipment, use CMMS to plan and track work, perform RCA for failures, support offshore teams in troubleshooting, monitor equipment reliability, and ensure compliance with safety and maintenance standards.

Administer and support IT operations automation for ClaimsXM. Maintain and troubleshoot automation workflows and related infrastructure, collaborate with stakeholders, and ensure systems operate within required US-based work and citizenship constraints.

Lead enterprise application implementations and integrations for electric energy clients. Manage scope, schedule, budget, risks, Agile ceremonies, Azure DevOps artifacts, testing, data migration, vendor coordination, stakeholder alignment, and deployment/transition activities to deliver business value.

Conduct clinical reviews and investigations to detect and prevent Medicare/Medicaid fraud, waste, and abuse. Write and review edits, consult on policy and coding, analyze data to identify risk, respond to CMS requests, and support implementation of pre- and post-payment detection models and edits.

The Lead IT Telecom Architect designs and optimizes Telecom and Contact Center architecture to meet business goals, ensuring security and performance. Responsibilities include strategy development, technology evaluation, system implementation oversight, and stakeholder collaboration.

This is a spontaneous application opportunity where candidates submit their CV and motivation for potential job matches.

The Director of IT is responsible for strategizing and managing the company's technology infrastructure, overseeing IT operations, and leading the technical team to align with business goals.

The Senior Technology Specialist oversees the design and support of technology solutions, ensuring they meet business needs and compliance standards, while mentoring junior staff and optimizing operations.

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.

Design, modify, and program software for local, networked, cloud, or internet applications. Write code, test and debug, document installation and maintenance procedures, gather user requirements, implement enhancements, and perform related duties.

Design and implement scalable, secure cloud and virtualization architectures; manage system installations, upgrades, backups, disaster recovery, capacity planning, and integrations. Troubleshoot complex hardware/software issues, coordinate vendors, follow change management, mentor team members, and support off-hours/on-call operations while ensuring compliance and operational excellence.

Design, develop, and support enterprise analytical and operational data solutions (ETL/ELT, data models, integrations, reports). Lead metric/technical design, manage medium-to-large projects, provide production support, documentation, training, and mentor junior team members. Maintain certifications and stay current with EHR/ERP, cloud, SQL, and BI technologies.

Provide functional administration, maintenance, and troubleshooting for Oracle IAM (OAM/OIG/OID) 12c+, implement SSO/SSO integrations, develop customizations using Java and APIs, manage provisioning and access controls, perform IAM monitoring, create SOPs/documentation, and support audits and BI/LDAP reporting.

Design, develop, and maintain cloud-native applications using Node.js and React.js on AWS. Implement infrastructure-as-code (Terraform/CDK), build CI/CD pipelines, perform Linux troubleshooting, ensure secure-by-design patterns, and collaborate with architects, UI/UX, and DevOps teams to deploy and operate scalable AWS services.

Provide first-line remote technical support to students and parents for devices and learning platforms via email, chat, ticketing, and phone. Troubleshoot hardware/software/connectivity across Mac, Windows, iOS, and Chromebooks, escalate complex issues, maintain knowledge base articles, and report on ticket volume and trends. Weekend coverage and clear written communication required.

The Business Development Manager will focus on acquiring new clients and expanding accounts within the IT staffing sector, managing the full sales cycle and meeting revenue targets.

Lead and develop an IT team to run secure, scalable infrastructure and support services. Oversee daily operations, project delivery, vendor management, compliance with security/regulatory frameworks, performance metrics, budgeting, and continuous improvement while partnering with business leaders.

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.

The Senior IT Systems Administrator oversees the administration, security, and optimization of financial systems, ensuring reliability and compliance while leading system enhancements and integrations.