IT Systems Engineer

VISTA SPECIALTY HOSPITAL•La Mirada, CA

3d•$85,000 - $95,000

About The Position

IT SYSTEMS ENGINEER Vista Specialty Hospital IT Systems Engineer Summary: Here at Vista Specialty Hospital, the IT Systems Engineer works closely with the infrastructure platform and application vendors to ensure systems are secure, reliable and efficient. This role manages security aspects for facilities and supports IT infrastructure and development within the organization. The IT Systems Engineer supports all levels of the organization and performs operational tasks to ensure efficiency and functionality across our various platforms. We are seeking a versatile and self-motivated IT Systems Engineer to serve as the primary technology resource across our three-hospital system spanning Central and Pacific time zones. This is a high-impact, many-hats role requiring a resourceful professional who can independently manage day-to-day IT operations, provide Level 1 and Level 2 support, and maintain critical infrastructure across all locations. The ideal candidate thrives in a fast-paced healthcare environment, communicates effectively with clinical and administrative staff, and can prioritize competing demands across multiple sites and time zones. Schedule & Coverage Support three hospital locations in the Central time zone and one in the Pacific time zone • Must be available to provide coverage and respond to issues across all time zones during core business hours • On-call rotation will be required for after-hours critical system support • Periodic travel between facilities as needed for on-site support, projects, and infrastructure work

Requirements

3–5 years of hands-on IT support experience in a multi-site environment, healthcare setting strongly preferred
Solid working knowledge of Active Directory, Azure AD / Entra ID, Group Policy, and identity management
Experience administering Microsoft 365 (Exchange Online, Teams, SharePoint, OneDrive)
Demonstrated experience with Fortinet FortiGate firewall configuration and VPN management
Strong desktop and laptop troubleshooting skills across Windows 10/11 environments
Familiarity with networking fundamentals: TCP/IP, DNS, DHCP, VLANs, switching, and routing
Excellent communication and customer service skills with the ability to support non-technical clinical staff
Ability to work independently, manage time effectively across multiple sites and time zones, and prioritize competing demands

Nice To Haves

Bachelor’s degree in information technology, Computer Science, or related field (or equivalent experience)
Industry certifications such as CompTIA A+, Network+, Security+, Microsoft 365 Certified, or Fortinet NSE 4+
Experience with healthcare IT compliance and HIPAA security requirements
Familiarity with EHR/EMR platforms (e.g., Epic, Cerner, Meditech, or similar)
Experience with endpoint management tools (Intune, SCCM, or similar)
Exposure to virtualization technologies (VMware, Hyper-V)
ITIL foundations knowledge or experience working within ITSM frameworks

Responsibilities

Help Desk & End-User Support (Level 1 / Level 2)
Serve as the first and second point of contact for all IT support requests across all three hospital locations
Triage, troubleshoot, and resolve hardware, software, and connectivity issues for clinical and administrative users
Manage and track incidents and service requests through the ticketing system, ensuring timely resolution and clear communication
Perform desktop, laptop, and peripheral setup, imaging, deployment, and lifecycle management
Provide remote and on-site support for end users, including VIP and executive-level staff Active Directory & Identity Management
Create, modify, and disable user accounts in Active Directory and Azure AD / Entra ID
Manage group memberships, organizational units, security groups, and distribution lists
Administer Group Policy Objects (GPOs) for security, configuration, and compliance enforcement
Support single sign-on (SSO), multi-factor authentication (MFA), and conditional access policies
Perform regular access reviews and maintain documentation of account provisioning and deprovisioning procedures Microsoft 365 Administration
Administer Exchange Online mailboxes, shared mailboxes, distribution groups, and mail flow rules
Manage Microsoft Teams configuration including phone system, auto attendants, call queues, and user policies
Support SharePoint Online and OneDrive for Business, including permissions management and site administration
Deploy and manage Microsoft 365 Apps (Outlook, Word, Excel, Teams) across end-user devices
Monitor service health, manage licenses, and troubleshoot M365-related issues Networking & Fortinet Security
Configure, monitor, and troubleshoot Fortinet FortiGate firewalls, including firewall policies, VPN tunnels (site-to-site and remote access), and security profiles
Manage network switches, wireless access points, and VLANs across all hospital locations
Troubleshoot LAN/WAN connectivity, DNS, DHCP, and routing issues
Assist with network segmentation, access control, and compliance requirements (e.g., HIPAA network security)
Monitor network performance and security alerts using FortiAnalyzer or similar tools Application Support
Provide support for clinical and business applications including EHR/EMR systems, billing platforms, and departmental software
Coordinate with application vendors for issue escalation, patching, and upgrades
Assist with application installations, configurations, and user training
Support integration between systems and troubleshooting application-level connectivity and performance issues
Document application configurations, known issues, and resolution procedures Infrastructure & General IT Operations
Maintain and monitor server infrastructure (physical and virtual) including Windows Server environments
Perform routine maintenance including patching, backups, and system health checks
Support printer and MFP management, including network configuration and driver deployment
Maintain accurate asset inventory and IT documentation (network diagrams, runbooks, SOPs)
Participate in IT projects including system migrations, upgrades, and new facility buildouts