Care Access logo

Care Access

More roles at Care Access

Senior IT Systems Engineer

Work from home

Remote role where the employee must remain based in a particular country.

Listed for United States

From the employer's advert: Location : Remote within the United States.

Employer listed it 6 days ago · Added 3 days ago

First listed 6 days ago and still open.

Salary

$120k to $170k per year

Location

Listed for United States

Timezone

US East

Contract

Full-time

Experience

Senior

Category

Software

Stated by the employer in the job description

What the advert says

Quoted word for word from the employer's advert. Where it says nothing, we say so.

Working hours
Not mentioned in the advert
Where you can work from
With programs like Future of Medicine , which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers , which supports local leaders to expand their community health and…
Contract
Reliability, monitoring, and incident escalation: Own operational excellence for critical services—monitoring/alerting, incident response, root-cause analysis, and permanent fixes.
Experience asked for
7+ years of experience within an information technology specific role
Pay
The expected pay range for this role is $120,000 - $170,000 USD per year for full time team members.

Remote flexibility

Work from home

This is a remote role, but the employee must be based in United States. It is work from home rather than work from anywhere.

What the employer says

  • Source listing states candidate location: "USA Remote"

What Nomaders makes of it

  • Residency required in United States
  • Payroll and tax are likely handled in that country only

The quotes above are the employer's own words; the reading is ours. Always check the original listing and employment terms before working from another country.

Before you apply

Experience: employer states

Written as a nice-to-have

  • “Proficiency in scripting/automation (PowerShell strongly preferred; Python/Bash a plus) for provisioning, reporting, and remediation.”

Produced automatically from this advert's text; not reviewed by a person. The employer's own page is the final word.

About the role

About Care Access

Care Access is working to make the future of health better for all. With hundreds of research locations, mobile clinics, and clinicians across the globe, we bring world-class research and health services directly to communities that often face barriers to care. We are dedicated to ensuring that every person has the opportunity to understand their health, access the care they need, and contribute to the medical breakthroughs of tomorrow.

With programs like Future of Medicine , which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers , which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Through partnerships, technology, and perseverance, we are reimagining how clinical research and health services reach the world. Together, we are building a future of health that is better and more accessible for all.

To learn more about Care Access, visit www.CareAccess.com .

How This Role Makes a Difference

The Senior IT Systems Engineer will lead the design, implementation, and continuous optimization of our core enterprise infrastructure, cloud services, and endpoint management systems. In this role, you will champion operational excellence by driving automation, proactively hardening system security, and leading the technical response and root-cause analysis for critical service incidents. Additionally, you will foster a culture of continuous learning by mentoring junior administrators, maintaining high-quality technical documentation, and collaborating cross-functionally on strategic business initiatives and platform migrations.

How You'll Make An Impact

Design & implement core infrastructure and systems: Research, design, deploy, and improve enterprise systems (identity, M365, endpoint management, cloud services). Lead upgrades, migrations, and new platform rollouts with clear standards and documentation.

Reliability, monitoring, and incident escalation: Own operational excellence for critical services—monitoring/alerting, incident response, root-cause analysis, and permanent fixes. Improve uptime, performance, and security posture through automation and hardening.

Security, compliance, and vendor/partner collaboration: Partner with Security and Compliance to implement controls (least privilege, patching, logging, access reviews). Manage vendor escalations, evaluate tools, and ensure systems meet internal standards and audit requirements.

Mentor junior system admins and build a robust knowledge base for new hires to the IT team and self-service guides for end users

Other Responsibilities:

Maintain and continuously improve technical documentation (runbooks, SOPs, architecture diagrams, CMDB/service catalog entries).

Participate in on-call rotation and provide escalation support; contribute to incident postmortems and track corrective actions to completion.

Contribute to tool evaluations and proof-of-concepts; recommend standards and drive adoption (MDM, EDR, IAM, backup, monitoring).

Help implement and test business continuity/disaster recovery runbooks (backup verification, restore tests, DR exercises).

Participate in cross-functional projects (e.g., M&A integrations, system migrations, data center/cloud transitions).

The Expertise Required

Strong knowledge of enterprise infrastructure: identity/IAM, M365, endpoint management, networking fundamentals, and directory services.

Working knowledge of cloud platforms (Azure and/or AWS): core services, IAM, networking, logging, and cost/guardrail concepts.

Understanding of security best practices: MFA/conditional access, least privilege, hardening, patch/vulnerability management, and audit logging.

Familiarity with IT service management concepts: incident/problem/change management, SLAs, and operational metrics.

Knowledge of automation patterns and configuration management concepts (IaC mindset, repeatability, drift prevention).

Ability to design and implement scalable, secure systems end-to-end (requirements → architecture → rollout → runbooks).

Requirements

The employer hasn't listed requirements separately, they're described in the role summary above and on the original listing.

Benefits

  • ·Paid Time Off (PTO) and Company Paid Holidays
  • ·100% Employer paid medical, dental, and vision insurance plan options
  • ·Health Savings Account and Flexible Spending Accounts
  • ·Bi-weekly HSA employer contribution
  • ·Company paid Short-Term Disability and Long-Term Disability

How to apply

  1. 1Check the flexibility label above, work from home, matches where you plan to live and work.
  2. 2Tailor your CV to the role at Care Access, mentioning your remote working experience and working hours (US East).
  3. 3Apply directly on the employer's careers page using the button below. Nomaders never handles your application.

Found 4d ago. Last checked 28 Oct. Always confirm the details on the original posting, salary and location can change after publication.

Listing sourced from Company boards.

Similar roles

Other open software roles with comparable remote rules.

Browse all open roles

$120k to $170k per year · You'll be taken to the employer's careers page.