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Systems Engineer II, Healthcare IT

Seattle, Washington, United States💼 Full-time💰 $104,500–$160,000🗓 2026-09-17 → 2026-09-29

Core

Own the operational health, availability, and performance of a fleet of over 7,000 healthcare endpoints (Windows, macOS, iOS, Android) across clinics and fulfillment centers.

Role type

Senior Systems Engineer (Endpoint Operations & SRE)

Builds

Automation tooling for device provisioning, patching, compliance enforcement, and configuration management

Domain

Healthcare IT, Endpoint Management, Cloud Infrastructure

Required skills

Scripting (PowerShell, Python, Bash, Perl, Ruby), Networking (HTTP(S), DNS, TCP/IP), Systems Administration (Windows, macOS), Root-cause analysis, MDM integration, Identity management (Active Directory, SAML/SSO), Vulnerability management

Preferred skills

Service-oriented architecture, Web services, AWS certification, Microsoft certification, 24/7 production environment experience

Technologies

Windows, macOS, iOS, Android, AWS, Active Directory, SAML, SSO, MDM, PowerShell, Python, Bash, Perl, Ruby

Responsibilities

Build reusable automation and tooling that scales fleet operations; Serve as tier 3 support for production healthcare endpoint infrastructure; Integrate device management platforms, identity providers, and operational tooling through scripting and APIs; Identify and remediate operational and security risks across the fleet; Build monitoring, alerting, dashboards, and metrics reporting for device health and compliance; Create and review SOPs, runbooks, and operational documentation; Participate in a 24x7 on-call rotation for critical infrastructure services

Seniority

Senior, hands-on IC

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