> Markdown version of [/jobs/ext/1449036-tech-support-specialist-ii](https://www.wearedevelopers.com/jobs/ext/1449036-tech-support-specialist-ii). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Tech Support Specialist II - **Company:** Mid-America Transplant Services - **Location:** St. Louis, MO, United States - **Experience:** Experienced - **Contract:** Temporary contract - **Skills:** User Authentication, Multi-Factor Authentication, Identity and Access Management, Networking Basics, Windows Remote Assistance, User Provisioning Software, User Accounts - **Published:** July 26, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=1ce5355ad9d7e503 ## About the Role * Associate degree, technical training, or IT certification (Preferred) * 4+ years of IT support, help desk, or systems support experience. * Experience supporting user accounts, access requests, devices, applications, licensing, and end-user troubleshooting in a healthcare or other regulated environment * Knowledge of IAM concepts, role-based access, least privilege, access reviews, and audit documentation ## Description The IT Tech Support Specialist II is responsible for application and access management for both internal and external applications, while also supporting first- and second-level IT helpdesk service tickets for end users. Ensure secure, timely, and compliant access to systems and data while troubleshooting hardware, software, application, account, and connectivity issues. Execute user provisioning and access requests while enforcing access control policies, role-based permissions, and audit requirements. Serve as both the operational processor and control point for access decisions, balancing efficient end-user support with security and compliance. Support licensing optimization and collaborates across teams to maintain scalable, audit-ready identity and support processes. What You'll Do * Provide first- and second-level IT support for employees through support tickets, phone calls, walk-up requests, and remote assistance. * Troubleshoot and resolves workstation, laptop, mobile device, peripheral, printer, phone, software, application, account, EMR access, MFA, authentication, and basic network connectivity issues. * Document support work clearly, maintain accurate ticket records, communicate status updates to end users, and escalate issues when specialized assistance is required. * Serve as a Tier 2 escalation point for complex end-user support, access-related, application, and recurring operational issues. * Identify recurring support trends, perform basic root cause analysis, recommend corrective actions, and contribute to process improvements. * Maintain SOPs, job aids, troubleshooting notes, and knowledge base articles for service desk, access management, and end-user support processes. * Process access requests and fulfills user provisioning, deprovisioning, and role changes in accordance with approved workflows. * Execute joiner, mover, and leaver processes while ensuring access changes are timely, accurate, and auditable. * Perform access audits, recertifications, and access reviews to support compliance and security requirements. * Maintain audit documentation, access records, and compliance evidence related to IAM activities. ## Related Videos - [Delegating the chores of authenticating users to Keycloak](https://www.wearedevelopers.com/videos/1558-delegating-the-chores-of-authenticating-users-to-keycloak) - [No More Post-its: Boost your login security with APIs](https://www.wearedevelopers.com/videos/1043-no-more-post-its-boost-your-login-security-with-apis) - [Full-stack role-based authorization in 45 minutes](https://www.wearedevelopers.com/videos/312-full-stack-role-based-authorization-in-45-minutes) - [Uncertainty Estimation of Neural Networks](https://www.wearedevelopers.com/videos/227-uncertainty-estimation-of-neural-networks) - [SSO with Ethereum and Next JS](https://www.wearedevelopers.com/videos/288-sso-with-ethereum-and-next-js) - [Your Infrastructure Is Not a Playground: AI Agents for Infra Done Right](https://www.wearedevelopers.com/videos/2084-your-infrastructure-is-not-a-playground-ai-agents-for-infra-done-right) ## Related Articles - [The Best Job Search Websites of 2025](https://www.wearedevelopers.com/magazine/368-the-best-job-search-websites-of-2025) - [System change: restart as developer?](https://www.wearedevelopers.com/magazine/39-system-change-restart-as-developer) - [The Most Popular IT Jobs on the Market](https://www.wearedevelopers.com/magazine/376-the-most-popular-it-jobs-on-the-market) - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [Best Paying Jobs in Technology](https://www.wearedevelopers.com/magazine/256-best-paying-jobs-in-technology) - [Best Coding Boot Camps in Germany](https://www.wearedevelopers.com/magazine/237-best-coding-boot-camps-in-germany)