IT Systems Engineer II

Summary

Emend Healthcare is focused on providing and supporting the technology infrastructure for mental health and substance abuse treatment operations. The IT Systems Engineer II will support and administer the IT environment, manage end-user support, and oversee routine administration, allowing senior staff to focus on more complex tasks.

Responsibilities

• Own day-to-day administration, monitoring, and performance of all VMware, Windows, and Linux systems, cloud infrastructure (Azure, Google Cloud, AWS), storage, and network systems
• Share ownership of the end-user support queue with the senior IT resource, handling escalations from a first-tier help desk (MSP or AI-assisted); provide troubleshooting and training for staff across multiple sites
• Administer Windows Server, Active Directory / Group Policy, Microsoft 365 / Entra ID, endpoint management (Intune/SCCM), and application-specific servers in a virtualized (VMware / CentOS) environment
• Perform OS administration for local and remote systems, including installation, patching, security hardening, data backup, and storage/array management
• Ensure backup, restore, and disaster-recovery capabilities meet or exceed defined service levels; test recovery procedures on a regular cadence
• Administer and support clinical and business applications, including KIPU EHR, the 8x8 phone/contact platform, and Microsoft SQL Server databases
• Administer network and security infrastructure (Cisco / Meraki / UniFi), including DNS, DHCP, VPN, firewalls, load balancing, and clustering
• Maintain HIPAA-aligned security controls; support audits, access reviews, and documentation of safeguards for protected health information (PHI)
• Create and maintain IT policies, procedures, runbooks, and technical documentation
• Manage vendor and MSP relationships; evaluate hardware, software, and service providers, and prepare purchase justifications and project benefit analyses
• Assist the senior IT resource with the design and delivery of infrastructure projects and continuously identify improvements to system performance, security, and cost
• Share rotational on-call coverage for emergencies in a 24/7/365 operation; occasional after-hours or extended work is required during incidents and planned maintenance
• Perform other related duties as assigned

Skills

• 3+ years of hands-on systems administration / IT support experience in a production environment
• Hands-on experience with Windows Server, Active Directory / Group Policy, and Microsoft 365; virtualization experience (VMware) required
• Working knowledge of Windows scripting and automation — PowerShell required; Batch/legacy scripting a plus
• Familiarity with enterprise storage (SAN/NAS), backup and disaster-recovery concepts, DNS, and DHCP
• Exposure to at least one major cloud platform (Azure, Google Cloud, or AWS); depth in any one is a plus
• Networking fundamentals with Cisco / Meraki / UniFi hardware; ability to diagnose common hardware and OS-level problems
• Comfortable being a broad generalist — willing to work across systems, networking, endpoints, and end-user support rather than specializing narrowly
• Understanding of HIPAA and safeguarding of PHI in a healthcare setting
• Strong written and verbal communication; able to translate technical issues into plain language for clinicians, residents, and leadership
• Bachelor's degree in Computer Science, Information Systems, or related field preferred; equivalent experience and certifications accepted in lieu of a degree
• Valid driver's license and insurance (occasional travel between sites)
• Behavioral health, substance abuse, or other healthcare IT experience — a plus
• Experience with KIPU EHR and/or the 8x8 platform
• Linux administration (Red Hat / RHEL, CentOS)
• Microsoft SQL Server administration
• Relevant certifications: Microsoft (Azure Administrator, MCSA/equivalent), VMware (VCP), Cisco (CCNA), Google Cloud, or AWS

Qualifications

Must Haves

• 3+ years of hands-on systems administration / IT support experience in a production environment
• Hands-on experience with Windows Server, Active Directory / Group Policy, and Microsoft 365; virtualization experience (VMware) required
• Working knowledge of Windows scripting and automation — PowerShell required; Batch/legacy scripting a plus
• Familiarity with enterprise storage (SAN/NAS), backup and disaster-recovery concepts, DNS, and DHCP
• Exposure to at least one major cloud platform (Azure, Google Cloud, or AWS); depth in any one is a plus
• Networking fundamentals with Cisco / Meraki / UniFi hardware; ability to diagnose common hardware and OS-level problems
• Comfortable being a broad generalist — willing to work across systems, networking, endpoints, and end-user support rather than specializing narrowly
• Understanding of HIPAA and safeguarding of PHI in a healthcare setting
• Strong written and verbal communication; able to translate technical issues into plain language for clinicians, residents, and leadership
• Bachelor's degree in Computer Science, Information Systems, or related field preferred; equivalent experience and certifications accepted in lieu of a degree
• Valid driver's license and insurance (occasional travel between sites)

Nice to Haves

• Behavioral health, substance abuse, or other healthcare IT experience — a plus
• Experience with KIPU EHR and/or the 8x8 platform
• Linux administration (Red Hat / RHEL, CentOS)
• Microsoft SQL Server administration
• Relevant certifications: Microsoft (Azure Administrator, MCSA/equivalent), VMware (VCP), Cisco (CCNA), Google Cloud, or AWS

Benefits

• Full-time, Exempt — Remote / Hybrid
• Shared rotational on-call to support a 24/7/365 operation
• Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of this role.
• Emend Healthcare complies with the Americans with Disabilities Act (ADA) and will make reasonable accommodations for qualified individuals with disabilities.
• Emend Healthcare is a drug-free workplace.