Top IT Support & Helpdesk Jobs in St. Louis, MO

Lead and operate Vynca's IT function for a fully remote, HIPAA-regulated healthcare organization. Manage a distributed IT team, own day-to-day operations (hardware lifecycle, provisioning, identity and access), enforce security and compliance (HIPAA, SOC 2), administer MDM/SSO/endpoint tools, support audits, and drive operational improvements while mentoring staff.

Administer and sustain enterprise data platforms (Tableau Server, MOVEit, Linux, Windows Server) for military health analytics. Manage configurations, access controls, patching, monitoring, deployments, and documentation. Collaborate with engineers and analysts to troubleshoot performance and support compliance with RMF/NIST in AWS GovCloud environments.

Take escalations from L1 and the ticket queue to resolve moderately complex issues (data validation, workflows, configuration). Use SQL to investigate data and validate reports, document findings, escalate cleanly to L3, expand the internal knowledge base, assist frontline support as needed, and apply basic scripting (Python/JavaScript) to reproduce or check issues.

Provide advanced technical support for Intelerad medical imaging applications: troubleshoot complex issues, manage cases end-to-end, communicate with customers, collaborate with engineering and product teams, and maintain knowledge base content to improve customer outcomes and system interoperability.

Provide senior functional support for CAPPS HR/Payroll (PeopleSoft HCM 9.2): lead Fluid UI upgrades, configure PeopleSoft components and AWE, manage FY-end and ACA processing, handle Level 2 incidents with Managed Services, support audits/DR exercises, ensure WCAG 2.1 compliance, and train agency staff.

Provide advanced Tier-2 support for QAD ERP across functional and technical streams, resolving complex issues, mentoring junior staff, assisting client UAT, performing upgrades/changes, participating in DR/security/compliance activities, documenting runbooks/KBs, and improving processes following ITIL standards.

Investigate and resolve complex platform and integration issues, own escalations to Engineering with clear reproduction and impact assessment, coordinate P1 incidents, monitor Datadog and observability signals, document resolution patterns for the knowledge base, and provide overflow support for Delivery Support.

Lead Ivanti endpoint management including provisioning, enrollment, OS and 3rd-party patching, application packaging and deployment across Windows/Mac, monitoring and remediation, L2/L3 support, troubleshooting, documentation, security hardening, automation via scripting, and migration/coexistence with Intune.

Provide 1st–2nd line IT support for executives in the New York office, manage high-priority incidents via ServiceNow, troubleshoot Microsoft and mobile technologies, administer Active Directory, escalate to technical teams, support desk moves and out-of-hours events, and maintain compliance with FCA and ITIL practices.

Implement, configure, and support client networking and systems for an MSP environment. Provide level-2 technical support, troubleshoot hardware/software (Mac and Windows), manage backups, EDR remediation, RMM tasks, and update client documentation. Participate in projects, maintain certifications, meet KPIs (MTTR, CSAT, utilization, SLA), and perform occasional onsite work and after-hours support.