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Nexus Health Systems · 2 hours ago

Infrastructure Engineer

Houston, TX, US

Full-time

Onsite

Senior Level, Lead/Staff

10+ years exp

Nexus Health Systems is a healthcare organization seeking an Infrastructure Engineer responsible for designing, implementing, and maintaining secure and high-performing infrastructure solutions. The role focuses on cloud and hybrid infrastructure management, automation, and ensuring compliance with healthcare regulations.

ConsultingHealth CareHospitalNutrition

H1B Sponsor Likely

Responsibilities

Design, implement, and manage Azure cloud infrastructure for compute, storage, networking, and security services

Support and maintain on-premises infrastructure including Windows Server, VMware, Active Directory, and storage systems

Work closely with DevOps and infrastructure teams to ensure operational readiness for secure and scalable workloads

Automate infrastructure provisioning using Terraform, Ansible, PowerShell DSC, or Azure Resource Manager templates

Develop and manage CI/CD pipelines for infrastructure deployment using Azure DevOps or GitHub Actions

Design, deploy, and maintain automation scripts using PowerShell and Python to optimize performance and streamline processes

Administer and optimize Azure Active Directory/Entra ID including SSO (SAML, OAuth, OIDC), conditional access, password less authentication, and MFA

Manage on-premises Active Directory, Group Policy, DNS, and Certificate Services

Lead Active Directory to Azure AD/Entra ID migration projects and maintain hybrid identity synchronization

Administer Microsoft Intune and Mobile Device Management (MDM) solutions for endpoint security, compliance, and lifecycle management

Implement device restriction policies and enrollment processes for clinical and corporate devices

Build, configure, and maintain virtualized environments using VMware vSphere and/or Hyper-V

Implement best practices for high availability, capacity planning, and resource optimization

Design and maintain observability platforms including metrics, logs, traces, and events

Create dashboards and alerting for infrastructure health and performance using Azure Monitor, Log Analytics, or equivalent monitoring tools

Implement noise-resistant alerting pipelines to reduce operational load

Configure firewalls, routing, and switching to maximize network efficiency and security

Design and implement network segmentation strategies, VLANs, and SD-WAN solutions

Perform network and security audits following disaster recovery and business continuity strategies

Ensure disaster recovery and business continuity processes are implemented, documented, and maintained with Dell Apex backup

Oversee backup processes at various levels—VM snapshots, OS-level, and SAN-level

Implement automated failover mechanisms and regularly test recovery procedures

Implement security best practices for data protection, compliance, and vulnerability management

Maintain compliance with healthcare regulations (HIPAA) across all infrastructure systems

Configure and maintain security controls including firewalls, VPNs, access control lists, and identity governance

Maintain comprehensive documentation of system architecture, network diagrams, standard operating procedures, and infrastructure changes

Contribute to runbooks, patterns, and best practices that keep the team productive and efficient

Provide technical leadership and mentorship to team members with less knowledge or experience

Collaborate cross-functionally with application, security, and DevOps teams

Lead infrastructure projects from design to completion with minimal supervision

Participate in on-call rotation and provide timely resolution to critical infrastructure issues

Qualification

Azure cloud servicesInfrastructure as CodeActive Directory managementVirtualization technologiesScriptingAutomationHealthcare IT systemsAdvanced Azure servicesContainer technologiesAdvanced networkingSecurity compliance automationInfrastructure optimizationDisaster recovery testingProject leadershipDocumentationCollaborationTechnical leadership

Required

Associate's degree in computer science, Information Technology, or related field (or equivalent relevant experience)

10+ years of experience in infrastructure engineering or systems engineering, including cloud and on-premises environments

7+ years of hands-on experience with Azure cloud services (compute, storage, networking, identity)

10+ years of experience with virtualization technologies (VMware vSphere and/or Hyper-V)

10+ years of experience working with Windows Server and Linux operating systems

7+ years of experience with scripting and automation tools (PowerShell, Python) to improve infrastructure performance

7+ years of experience with Active Directory, Azure Active Directory/Entra ID, and hybrid identity management

7+ years of experience troubleshooting complex infrastructure issues and delivering enterprise-level solutions

Microsoft Certified: Azure Administrator Associate

Windows Server Hybrid Administrator Associate

Microsoft Certified: Identity and Access Administrator Associate

VMware Certified Professional (VCP-DCV)

MCSA/MCSE

Preferred

Experience with infrastructure-as-code tools (Terraform, Ansible, ARM templates preferred)

Familiarity with healthcare modalities including EMR systems (Meditech), lab systems (Labdaq), pharmacy dispensing systems (Pyxis), nurse call systems, radiology (PACS/RIS), telemetry, and patient monitoring systems (Fukuda). Understanding of medical device network segmentation and clinical workflow integration

Experience with Azure Virtual Desktop (AVD), Azure Site Recovery, Azure Backup, Azure Policy, and Azure Arc for hybrid server management. Knowledge of Azure landing zones and enterprise-scale architecture patterns

Hands-on experience with Docker, Kubernetes, or Azure Container Instances (ACI). Understanding of container-based workloads and microservices architecture

Experience designing multi-tenant observability solutions with platforms such as Prometheus, Grafana, Splunk, or Datadog. Knowledge of correlation engines for RCA, forecasting, and predictive alerting

Exposure to Azure Cloud Platform. Experience designing hybrid connectivity solutions including ExpressRoute, VPN gateways, and cross-cloud networking. Understanding of multi-cloud management strategies. AWS experience a plus

Experience with SD-WAN solutions, WAN optimization, network performance monitoring, and zero-trust network architectures. Familiarity with DNS/DHCP management at enterprise scale

Experience implementing security-as-code, vulnerability scanning automation, and compliance monitoring. Knowledge of security frameworks (NIST, CIS benchmarks) and their application to healthcare environments

Experience with capacity planning, cost optimization strategies, and right-sizing cloud resources. Understanding of FinOps principles and cloud cost management tools

Familiarity with GitOps workflows, infrastructure versioning, and pull-request-based infrastructure changes. Experience with configuration management at scale

Hands-on experience conducting DR drills, failover testing, and business continuity exercises. Knowledge of RTO/RPO requirements for healthcare critical systems

Experience partnering with technology vendors, managed service providers, and contractors to secure infrastructure products and services

Experience leading infrastructure projects from design to implementation with minimal supervision. Track record of mentoring junior engineers and conducting knowledge-sharing sessions

Company

Nexus Health Systems

Nexus Health Systems provides behavioral care, pediatric care, and rehabilitation services.

Founded in 1992

Houston, Texas, USA

501-1000 employees

https://nexushealthsystems.com

H1B Sponsorship

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Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2023 (1)

2021 (2)