Thales Senior ServiceNow System Administrator

Monogram Health, Inc
Brentwood, TN, United States
20 days ago

Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Experience level
Expert
Experience required
4 years minimum
Compensation
$80,000.0
Working hours
Regular working hours

Tech stack

Secure Shell (SSH) Microsoft Windows Active Directory Artificial Intelligence Microsoft Azure Big Data Health Informatics Cloud Computing Cyber Security Dynamic Host Configuration Protocol Disaster Recovery Integrated Windows Authentication
+32 more
Domain Name System (DNS) Human Resources Information System (HRIS) Identity and Access Management Subnetting Virtual Private Networks (VPN) Kerberos (Protocol) Simple Mail Transfer Protocols Network Architecture Routing Windows PowerShell Remote Access Technology Azure Active Directory Remote Infrastructure Management Microsoft SharePoint Security Information and Event Management Simple Network Management Protocols Software Deployment SQL Databases Systems Integration TCP/IP Enterprise Application Integration Network Routing File Transfer Protocol (FTP) Firewalls (Computer Science) Microsoft InTune Azure Security Center Information Technology Deployment Automation Performance Monitor Microsoft Sentinel GXP Servicenow

Job description

  • Monitor, maintain, and continuously harden Monogram’s Azure environment, including Compute, Storage, Networking, and Security services.
  • Automate scaling and capacity management using Azure-native tools and PowerShell scripting.
  • Implement and manage new Azure environments and services as the organization grows.
  • Administer Azure AD / Entra ID, including SSO configuration for enterprise applications, Conditional Access policies, and GPO management.
  • Manage Windows Server and SQL database environments: provisioning, configuration, upgrades, migrations, and patching.
  • Administer the full M365 E5 tenant including Exchange Online, Teams, SharePoint, OneDrive, and the Microsoft Purview and Defender suite.
  • Manage user lifecycle, licensing assignments, and role-based access controls across the M365 platform.
  • Configure and maintain Microsoft Defender for Endpoint, Identity, and Cloud Apps as part of the E5 security stack.
  • Support and optimize Microsoft Sentinel alerting and SIEM integration in partnership with the Cybersecurity team.
  • Administer Privileged Identity Management (PIM) for just-in-time, time-bound role elevation, and support MFA / passwordless authentication initiatives.
  • Manage MDM/MAM environment for Windows and mobile devices used by a distributed clinical workforce.
  • Build and maintain device configuration profiles, compliance policies, and application deployment packages.
  • Manage Autopilot provisioning for new device onboarding across remote and office-based staff.
  • Troubleshoot endpoint issues across CPU, memory, disk, and connectivity on Azure-joined devices.
  • Administer and troubleshoot Cisco Meraki network infrastructure including routing, switching, firewalls, and wireless.
  • Support DNS, DHCP, SMTP, SNMP, SSH, SFTP, and TCP/IP in hybrid Azure and on-premises environments.
  • Manage VPN connectivity and client-side troubleshooting for remote clinicians.
  • Maintain and test backup, restore, and disaster recovery procedures for Azure workloads.
  • Provide escalated Tier 2/3 support to end users and service desk technicians.
  • Document infrastructure configurations, runbooks, and standard operating procedures.
  • Participate in on-call rotation with occasional evening and weekend availability for critical incidents.
  • Work autonomously on projects while keeping stakeholders informed at key milestones.
  • Support internal and external compliance audits by gathering evidence and documentation related to infrastructure controls., Deploy and maintain AI enablement infrastructure (MCP servers, AI agents, AI features in SaaS), manage service accounts and API keys, automate and containerize services, support enterprise IT systems, document integrations and runbooks, and mentor IT support staff. Top Skills: Ai AgentsAnthropicAPIsAtlassian RovoAWSBashChatgptDockerGitGCPGoogle GeminiJSONMcpMcp ServersOauthOktaOkta AiPythonSlack AiSsoYaml Thorne, Manage and validate the organization’s Learning Management System to ensure regulatory compliance (FDA, TGA, NSF). Oversee system configuration, validation lifecycle, change control, audit readiness, training administration, data reconciliation with HRIS, reporting, and end-user support. Partner with Regulatory and Quality to maintain inspection readiness and support L&D operations., Lead administration, configuration, and optimization of the ServiceNow platform. Manage upgrades, integrations, performance monitoring, and architecture. Act as technical escalation, liaise with stakeholders and vendors, create operational documentation and KPIs, and participate in a 24x7x365 on-call rotation to ensure platform stability and scalability. Top Skills: Active DirectoryAjaxAPIsCsmCSSDomain RegistrationHTMLItsmJavaScriptJSONLdapOracleRestServicenowSoapSsl/CertificatesWeb ServicesXhtmlXML

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  • Notable Investors: Access Venture Partners, Ridgeline Ventures, Techstars, Blackhorn Ventures
  • Research Centers and Universities: Colorado School of Mines, University of Colorado Boulder, University of Denver, Colorado State University, Mesa Laboratory, Space Science Institute, National Center for Atmospheric Research, National Renewable Energy Laboratory, Gottlieb Institute

Requirements

  • Bachelor’s degree in Computer Science, Information Technology, or a related field, or a minimum of 4 years systems administration experience in a cloud-first or hybrid environment. Previous background in healthcare IT or other regulated environments (HIPAA familiarity) preferred.
  • Demonstrated expertise administering Microsoft Azure: Compute, Storage, Networking, Azure AD / Entra ID, and Security services.
  • Advanced working knowledge of Microsoft Intune for endpoint and mobile device management.
  • Proficient in PowerShell scripting for automation, reporting, and infrastructure management.
  • Experience with Microsoft 365 administration at scale (Exchange Online, Teams, SharePoint, OneDrive).
  • Solid understanding of Active Directory, LDAP, DNS, DHCP, Kerberos, and Windows Authentication.
  • Knowledge of TCP/IP, network routing and subnetting, and VPN technologies.
  • Ability to troubleshoot Azure server and SQL database performance issues including CPU, memory, I/O, and disk.
  • Experience managing Azure backup, recovery, and high-availability strategies.
  • Microsoft certifications: AZ-104 (Azure Administrator), MD-102 (Endpoint Administrator), MS-900, or equivalent preferred.
  • Experience with Microsoft Defender for Endpoint and/or Microsoft Sentinel., configuring SSO and enterprise application integration in Azure AD/Entra ID preferred.
  • Familiarity with Cisco Meraki administration including routing, switching, and firewalls and NinjaOne RMM or similar remote management and monitoring platforms preferred.
  • Knowledge or experience with Privileged Access Management and Identity Security solutions.

Benefits & conditions

  • Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
  • Financial & Retirement Support - Competitive compensation, 401k with employer match, and financial wellness resources
  • Time Off & Leave - Paid holidays, flexible vacation time/PSSL, and paid parental leave
  • Wellness & Growth - Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts, In-Office or Remote 2 Locations 93K-173K Annually Senior level 93K-173K Annually Senior level

About the company

Posted 11 Hours Ago Be an Early Applicant Remote Hiring Remotely in USA Mid level Remote Hiring Remotely in USA Mid level Manage and harden Azure infrastructure, M365 E5 tenant, and Intune-managed endpoints. Automate with PowerShell, support Azure AD/Entra ID, Defender and Sentinel, administer Windows Server/SQL, maintain networking (Cisco Meraki), handle backup/DR, provide Tier 2/3 support, document runbooks, and participate in on-call rotation. The summary above was generated by AI, Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram Health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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