Senior IT Systems Engineer

CBHC

. Lead technical due diligence on acquired entities by evaluating legacy IT estates, network topologies, identity structures, and clinical systems .

Posted 10/17/2026full-timeBaltimore • Maryland • United StatesSenior💰 $145,000 - $150,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in architecting and managing complex IT infrastructures, including Active Directory, virtualization environments, and remote access solutions. Proficient in ensuring compliance with healthcare regulations and optimizing operational workflows through automation and advanced scripting.

Highest-signal resume keywords

Active Directory ArchitectureCitrix Virtual Apps And DesktopsPowerShell ScriptingHIPAA ComplianceMulti-Site Migrations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Infrastructure Systems EngineeringIdentity SynchronizationNetwork Topologies EvaluationImage Baseline OptimizationSSL/TLS Certificate ManagementAutomation Workflow DesignClinical Systems SupportVirtualization Environment TuningIdentity GovernancePerimeter Assessments

Tools & Technologies

Microsoft Entra IDCitrixNetScaler ADCAzure CLIREST APIsFSLogixIGEL SolutionsAzure Virtual DesktopRDSEMR/EHR Platforms

Certifications & Qualifications

Citrix Certified Associate/ProfessionalVMware VCPMicrosoft Certified: Azure Solutions Architect Expert

Industry Keywords

Healthcare WorkloadsClinical Data GovernanceHIPAAHITECHBusiness Associate Agreements

Tech Stack

Tools & technologies

AWSAzureCitrixCloudDNSPythonVMware

About the role

Key responsibilities & impact

Lead technical due diligence on acquired entities by evaluating legacy IT estates, network topologies, identity structures, and clinical systems
Design, architect, and execute zero-business-hour-downtime Active Directory forest consolidations, domain collapses, and identity synchronization into Microsoft Entra ID tenants
Architect, maintain, and tune multi-site virtualization environments using Citrix, RDS, and IGEL solutions
Optimize image baselines and FSLogix profile containers
Configure and support remote access infrastructure, including NetScaler ADC/Citrix Gateway, load balancing, and Storefront
Design automated workflows for provisioning, image updates, patch testing, and user onboarding/offboarding
Use generative AI tools, PowerShell, Azure CLI, REST APIs, and Python for script generation, log auditing, troubleshooting, and runbook documentation
Manage SSL/TLS certificates, including renewals, private key security, gateway bindings, and cipher suite hardening
Ensure high availability and application performance for clinicians and office personnel using EMR and business systems
Create migration runbooks, discovery checklists, and cutover playbooks for user profiles, mailboxes, and file services
Build operational reporting and telemetry to detect bottlenecks, license drift, and capacity constraints
Oversee identity governance, Conditional Access, Intune enrollments, and tenant consolidation
Enforce security practices across operating systems, hypervisors, and gateway access points
Ensure compliance with HIPAA, HITECH, and clinical data governance guidelines
Conduct perimeter assessments and access reviews to protect PHI and enterprise identities

Requirements

What you’ll need

8–10+ years in senior infrastructure systems engineering or solutions architecture, with demonstrated experience in multi-site migrations, M&A integrations, or large-scale domain consolidations
Bachelor’s degree in Computer Science, Information Technology, or equivalent military/professional experience
Citrix Certified Associate/Professional (CCA-V, CCP-V), VMware VCP, Microsoft Certified: Azure Solutions Architect Expert, or Entra/Security Administrator
Proven track record architecting complex Active Directory forests, trusts, DNS/DHCP, and Microsoft Entra ID (Azure AD) Connect/Cloud Sync
Deep hands-on expertise with Citrix Virtual Apps and Desktops, Citrix Cloud, NetScaler ADC, Microsoft Remote Desktop Services, Azure Virtual Desktop, and IGEL thin client deployments/management
Advanced proficiency in PowerShell or Azure CLI for systems administration
Proven experience integrating AI assistance or automation tools into operational deployment routines
Strong understanding of PKI, SSL/TLS certificate chain deployment, WAF, and multi-factor authentication
Practical understanding of HIPAA Security & Privacy Rules, Business Associate Agreements, and clinical system audit readiness
Experience supporting or migrating healthcare workloads and EMR/EHR platforms, and migrating workloads across on-premises datacenters, VMware vSphere, and public cloud (Azure/AWS)