System Administrator jobs in United States

A Lead Systems Engineer is typically the technical lead for multidisciplinary teams delivering and operating multiple components for a system.

• Have a round‑the‑clock requirement to be available to a level of 99.9% or higher.
• Have a national‑scale impact on unavailability, and cope with the load associated with a daily transactional user‑base of more than one hundred thousand people.
• Adopt modern Cloud best‑practices and open standards to support interoperability and re‑usability.
• Achieve high availability through operational simplicity.
• Provide flexible low‑cost horizontal scale‑out to handle expected and unexpected variations in load.
• Handle the architectural trade‑offs necessary to avoid logical bottlenecks.
• Provide security controls appropriate for the storage of large volumes of sensitive data – hundreds of millions of records and documents.
• Have a direct clinical impact on patient care.

We now have an exciting opportunity to join our Demographics team in Products and Platforms, which builds and operates a set of products including the Personal Demographics Service (PDS) and GP Registration.

• Develop, build and operate national, highly available distributed systems that are built and run within NHS England.
• Operate within and contribute to the NHS England engineering principles.
• Take technical ownership across the system space, including application, environments, infrastructure and networks, pipelines and operational tools.
• Engage in peer‑to‑peer collaboration to solve engineering problems and drive‑up organisational engineering standards – a significant part of the Lead Systems Engineer role, estimated at 25% of time.
• Responsible for engineering maturity within the team.
• Coaching and mentoring colleagues to develop the team.

Candidates will need to demonstrate experience of the following:

• Working on a complex application across all layers of the stack including application, infrastructure, CI/CD, testing, monitoring and alerting.
• Implementing quality‑focused development practices and testing techniques.
• Taking a lead role, e.g., driving design decisions or managing stakeholders effectively.
• Driving and implementing improvements within a product or team.
• Working within a team to deliver software in a collaborative way.

Our work supports the NHS to deliver high‑quality services for patients and best value for taxpayers. Our staff bring expertise across hundreds of specialisms — including clinical, operational, commissioning, technology, data science, cyber security, software engineering, education, and commercial — enabling us to design and deliver high‑quality NHS services.

We lead the NHS in England by enabling local systems and providers to improve the health of their people and patients; making the NHS a great place to work; working collaboratively to ensure healthcare workforce have the right knowledge, skills, values and behaviours to deliver accessible, compassionate care; optimising the use of digital technology, research, and innovation; and delivering value for money.

The post of Lead Systems Engineer has been awarded a Recruitment and Retention Premia (RRP). In recognition of this, the role attracts an additional monthly RRP payment equal to 20% per annum. Please be aware that RRP is non‑contractual and subject to review.

Participation in a shared on‑call rota is required to support a 24/7/365 service. The rota covers evenings, weekends, and public holidays.

If successful at interview, an Inter Authority Transfer (IAT) via the Electronic Staff Record (ESR) will be initiated. This retrieves key data from your current or previous NHS employer to support onboarding, including competency status, Continuous Service Dates (CSD), and annual leave entitlement. You may opt out at any stage of the recruitment process.

This advert closes on Sunday 14 Dec 2025.