Top Senior IT Jobs in Sacramento, CA

Owners product vision and roadmap for clinical IT solutions; define business value, perform build vs buy, manage releases, vendors, demand, cross-functional delivery, ROI, KPIs, and product lifecycle/migration.

Senior Windows-focused Platform Engineer responsible for administering Windows server environments, supporting IBM FileNet/DataCap/BAW/ICN applications, ensuring security and performance, implementing monitoring, troubleshooting production issues, documenting systems, and collaborating with internal teams and clients to improve platform stability and processes.

Design, build, and maintain automated test frameworks and scripts. Lead test strategy, planning, and execution across functional, load, integration, security, server-side, and ETL testing. Create test artifacts, run automated tests, analyze results, report defects, participate in CI/CD, code reviews, and agile ceremonies, and drive issue resolution.

The Senior IT Planning Analyst will enhance the Service Introduction process, mentor staff, lead teams, communicate with stakeholders, and manage operational readiness for new IT services.

The Project & IT Budget Analyst manages project coordination and IT budget oversight, supporting strategic initiatives and ensuring financial accuracy.

The Senior IT Project Manager oversees the delivery of technology and business transformation projects, supports PMO standards, manages project risks, and mentors junior managers.

The Senior IT Risk and Compliance Analyst manages vendor risk, ensures compliance with regulations, documents controls, and supports risk mitigation efforts across IT teams.

The IT Systems Engineer will manage IT operations, support M&A integrations, and optimize Microsoft cloud systems, ensuring reliability and security.

Lead and grow the IT Engineering team while hands-on securing endpoints, offices, networks, and SaaS tools. Implement automation-first workflows (scripting, IaC), manage MDM and identity systems, support office buildouts, ensure SOC 2/ISO 27001 compliance, mentor engineers, and collaborate with Security and Operations.

Lead clinical applications initiatives by translating business needs into technical requirements, managing project portfolios, and delivering AI-enabled and Epic EHR solutions. Drive change management, mentor IT analysts, create process maps, measure project benefits, mitigate risks, and coordinate cross-functional stakeholders to improve clinical workflows and system usability.

The M&A Lead Integration Architect will strategize and implement integration plans for acquired entities, collaborating with various teams to ensure seamless transitions and alignment with business goals.

The LN Support Analyst III provides support for LN Finance, ensuring effective implementation, end-user training, and process mapping while resolving user issues and documenting solutions.

Lead the Global IT department, managing endpoint operations, software procurement, identity management, and IT team development. Drive proactive IT automation and ensure operational excellence across remote teams.

As Senior Manager of IT Commercial Data Management, you will lead data initiatives, manage product ownership, and develop data governance strategies in collaboration with stakeholders, ensuring high data quality and analytics capabilities.

The Senior Procurement Manager will oversee IT sourcing and software procurement, manage renewals, drive savings, and mentor team members in procurement practices.

We are looking for a Lead IT Engineer to oversee our IT infrastructure and manage technology-related projects in a dynamic global environment.

Lead and deliver major ServiceNow implementations aligned to ITIL v4 and CSDM. Translate business requirements into technical designs, oversee architecture and development, ensure quality assurance and security, coordinate stakeholders, supervise project teams, and recommend improvements to optimize service delivery and scalability.

Lead design and development of customer profile operational data stores and integration pathways. Drive architecture, security, compliance, DevOps and CI/CD practices, mentor engineers, govern vendor delivery, troubleshoot production, and align technical solutions to business outcomes across cross-functional teams.

Lead end-to-end IT sourcing for hardware, software, SaaS, and security services. Develop sourcing strategies, run RFx and negotiations, draft and manage contracts, perform market and TCO analysis, mitigate risks, manage supplier performance, and align cross-functional stakeholders to optimize cost, performance, and vendor portfolios.

Lead IT sourcing for applications, software, cloud services and consulting. Develop sourcing strategies, run RFP/RFI, manage vendor relationships and performance, negotiate contracts, analyze spend for cost savings, ensure regulatory compliance (medical device, data privacy), and collaborate with IT, Finance, Legal and business stakeholders to deliver required IT resources.

Manage multi-site IT support operations for a manufacturing organization: lead L1/L2 teams, resolve hardware/software issues, oversee infrastructure, enforce cybersecurity, coordinate vendors, manage imaging and deployments, document systems, and align IT with production goals.

Lead and own global hosting and infrastructure operations across cloud (Azure), co-location, and hybrid environments. Manage major incident response, reliability, capacity planning, M&A infrastructure integrations, core infrastructure projects, security/compliance (SOC2, GDPR), and a distributed hosting operations team. Drive observability, automation, and DR readiness while partnering with enterprise architecture, security, and senior leadership to deliver scalable, secure hosting services.

Design and implement Epic hospital billing and revenue cycle solutions. Gather business requirements, lead technical direction for projects, support claims/denials and cash posting/reconciliation, create process mappings, measure project outcomes, mentor IT staff, and coordinate with business stakeholders to achieve operational excellence.

Lead IT and cybersecurity governance, risk, and compliance programs including IT SOX/ITGC execution, ERM for IT risks, audit liaison, policy authoring, KRI/KPI tracking, GRC tool integration, third-party risk review, and people leadership to improve control maturity and regulatory alignment.

Provide frontline and advanced application support for radiology imaging workflows: incident triage, user provisioning, configuration changes, DICOM troubleshooting, monitoring interfaces, coordinating with networks/storage/vendors, maintaining SOPs and knowledge base, delivering end‑user training and on‑call doctor support to meet SLAs.