Senior IT Systems Engineer – Remote

Job overview

The Senior IT Systems Engineer is a remote role within the United States, with less than 10% travel and an expected pay range of $120,000–$170,000 per year. Care Access works to make health services and research more accessible to communities, including through research locations and mobile clinics. The engineer leads the design, implementation, and ongoing improvement of enterprise infrastructure, cloud services, and endpoint management. By strengthening reliability and security, responding to incidents, automating operations, and mentoring IT colleagues, the role supports dependable technology for the organization’s work.

What you'll do

• Design, deploy, and improve enterprise identity, Microsoft 365, endpoint management, and cloud systems
• lead upgrades, migrations, and platform rollouts
• monitor critical services and handle incident response, root-cause analysis, and corrective fixes
• improve uptime, performance, and security through automation and hardening
• partner with Security and Compliance on controls and audits
• manage vendor escalations
• mentor junior administrators
• maintain technical documentation
• participate in on-call rotation and escalation support
• contribute to disaster recovery, tool evaluations, and cross-functional projects.

What we're looking for

Skills & competencies

senior it systems engineer

remote us

enterprise infrastructure

cloud services

endpoint management

microsoft 365

identity and iam

security and compliance

incident response

on-call rotation

less than 10% travel

$120k–$170k/year

care access

Work arrangement

• Weekend coverage required

Benefits & perks

• Paid time off and company-paid holidays
• employer-paid medical, dental, and vision plan options
• health savings and flexible spending accounts
• biweekly employer HSA contribution
• company-paid short- and long-term disability
• 401(k) with company match.

Why this role

Remote within the United States; less than 10% travel. The role participates in an on-call rotation. Care Access is unable to sponsor work visas.

About the employer

Care Access is hiring for this role. Industry: All Other Miscellaneous Ambulatory Health Care Services. Sector: 62.