Health IT Senior System Administrator

Pascua Yaqui Tribe, AZ

$75K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Computer Science, Health Information Technology, or related field, or ten years of equivalent experience.
  • 5-7 years of experience in health IT, particularly with EHR systems such as RPMS and NextGen.
  • Experience with virtualization technologies (VMware, Nutanix, Hyper-V).
  • Knowledge of enterprise storage systems (Pure Storage, EMC/Dell Storage).
  • Relevant IT certifications preferred (e.g., Microsoft, VMware, Nutanix).

Responsibilities

  • Monitor and maintain enterprise servers and virtualization platforms for EHR systems.
  • Lead health IT hardware and infrastructure upgrade projects.
  • Manage secure health data storage and retrieval using enterprise storage platforms.
  • Administer hybrid Active Directory and integrate with healthcare applications.
  • Optimize Microsoft 365 services for healthcare operations.
  • Apply updates and maintain compliance with HIPAA and health IT standards.
  • Train healthcare staff on cybersecurity awareness and best practices.

Benefits

  • 22 days of Paid Time Off, increasing with years of service.
  • 15 paid holidays per year.
  • Comprehensive healthcare benefit package.
  • Onsite Wellness Center to promote health.
  • 401(k) Plan with generous matching and immediate vesting.
Full Job Description
Salary: Depends on Qualifications
Location : Tucson, AZ
Job Type: Full-Time
Job Number:
Department: HEALTH ADMINISTRATION
Division: HEALTH INFORMATION MANAGEMENT
Opening Date: 03/25/2026
Closing Date: 7/14/2026 11:59 PM Arizona

Job Summary

The Senior Health IT System Administrator applies advanced expertise in healthcare information technology to maintain and optimize critical infrastructure supporting Electronic Health Record (EHR) systems such as RPMS and NextGen. This role ensures secure, reliable access to health data through robust server management, virtualization, storage, and cybersecurity practices. The position leads health IT infrastructure projects, ensures compliance with HIPAA and tribal health policies, and serves as a technical resource for clinical and administrative teams.
Principle Duties and Responsibilities

  1. Monitor, analyze, and maintain enterprise servers and virtualization platforms (VMware, Nutanix AHV, Hyper-V) supporting EHR systems.
  2. Act as project lead for evaluating, selecting, and implementing health IT hardware, storage, and infrastructure upgrades.
  3. Manage enterprise storage platforms (Pure Storage, EMC/Dell Storage) for secure health data storage and retrieval.
  4. Administer hybrid Active Directory environments and ensure integration with healthcare applications.
  5. Optimize Microsoft 365 services for healthcare operations, including Exchange Online, Teams, SharePoint, and OneDrive.
  6. Apply service packs, firmware, drivers, and security patches to maintain compliance with HIPAA and health IT standards.
  7. Maintain Windows Active Directory, Group Policy Objects, DNS, and DHCP for health IT environments.
  8. Perform scheduled backups, disaster recovery, and archiving health data and EHR systems.
  9. Develop and enforce health IT security policies, connectivity standards, and backup/restore procedures.
  10. Ensure cybersecurity practices meet HIPAA and tribal health directives; remediate vulnerabilities and prepare compliance reports.
  11. Train healthcare staff on cybersecurity awareness and safe computing practices.
  12. Provide technical leadership and mentoring to IT staff on health IT systems administration.
  13. Support multi-site healthcare operations, including clinics and satellite offices.
  14. Collaborate with other agencies to ensure reliable IT services for patient care.
  15. Assist management in developing health IT operational manuals, policies, and procedures.
  16. Maintain accurate documentation of health IT systems, configurations, and procedural changes.
  17. Participate in on-call rotation and respond to critical health system issues outside normal hours.
  18. Establish preventive maintenance schedules for health IT infrastructure.
  19. Perform other duties as assigned by the HSD and/or IT Executive Director or management.

Required Knowledge, Skills, and Abilities

Knowledge of:
  • Healthcare IT infrastructure and EHR systems (RPMS, NextGen).
  • Enterprise virtualization technologies (VMware, Nutanix, Hyper-V).
  • Microsoft Server OS and hybrid Active Directory environments.
  • Microsoft 365 services for healthcare collaboration.
  • Storage systems (Pure Storage, EMC/Dell Storage) and health data management.
  • HIPAA compliance, health data security, and cybersecurity best practices.
  • Disaster recovery and health data backup procedures.
  • Project management principles for health IT initiatives.
Skills and Abilities:
  • Lead health IT projects and manage timelines effectively.
  • Troubleshoot complex issues impacting EHR systems and clinical workflows.
  • Communicate technical concepts clearly to healthcare staff and non-technical audiences.
  • Develop health IT documentation and training materials.
  • Collaborate across departments to support patient care technology.
  • Handle multiple priorities in a healthcare environment.

Education, Certifications and Experience Required

Bachelor's degree in Computer Science, Health Information Technology, or related field plus five (5) years of health IT experience; OR ten (10) years of equivalent work-related experience.

  • Experience with EHR systems such as RPMS and NextGen is required.
  • Relevant certifications (e.g., Microsoft, VMware, Nutanix) preferred.
Special Requirements:
  • Must possess and maintain a valid Arizona Driver's License.
  • Must have a current Level 1 Arizona Clearance Card or be able to obtain one within ninety (90) days of hire. Failure to maintain a current Level 1 Clearance Card will result in termination from this position.
  • Must be available for flexible scheduling, including evenings and weekends as required.
  • Proficiency in Microsoft Word and Outlook.

01

Do have a bachelor's degree in computer science or health information technology?
  • Yes
  • No

02

Do you have five (5) years of health IT experience?
  • Yes
  • No

03

Do you have Experience with EHR systems such as RPMS and NextGen?
  • Yes
  • No

04

Do you have ten (10) years of equivalent work-related experience health Information technology computer Science, or related field?
  • Yes
  • No

05

Do you currently possess and are you able to maintain a valid Arizona Driver's License?
  • Yes
  • No

06

Are you able to obtain the Level 1 Arizona Clearance Card within ninety (90) days of hire? Failure to maintain a current Level 1 Clearance Card will result in termination from this position.
  • Yes
  • No

07

This position requires a flexible schedule, including evenings and weekends. Are you flexible?
  • Yes
  • No

Required Question

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