Systems Support Engineer

Altera Digital Health; India; On-site; INR 500,000 - 900,000; Full time

Job summary

Altera Digital Health Inc. seeks an Associate System Engineer to join the 24x7 operations and client services team in India. You will support a global service desk, handle Level 1 incidents, and contribute to enhancements that improve client satisfaction.

You will work across Windows server environments, .NET applications, Azure monitoring, and SQL tasks, collaborating with developers and IT teams to deliver reliable, scalable healthcare IT solutions.

Qualifications

• 3-4 years in proactive support and monitoring.
• Familiar with Global Command Center or Frontline Monitoring.
• Experience with ITSM platforms like ServiceNow.
• ITIL v3 Foundation knowledge is a plus.
• Strong written and spoken English; international support preferred.

Responsibilities

• Support a 24×7 operational environment across rotational shifts and ensure consistent service delivery.
• Handle Level 1 analysis, troubleshooting, and resolution of incidents.
• Collect logs and escalate cases to Development with clear context.
• Deliver a premium client experience by tracking issues and coordinating responses.
• Contribute to client read-outs and progress presentations.
• Maintain log of known issues and fixes to support resolutions.

Skills

Proactive support

Infra monitoring

SQL skills

Power BI

Windows IIS

ServiceNow

Azure monitoring

English fluency

Healthcare domain familiarity

Education

Bachelor's degree in Computer Science / IT

Tools

ServiceNow

Azure

Windows Server

Job description

We are seeking an enthusiastic Associate System Engineer from within our team to join our operations and client services function. This is a great opportunity to grow your technical foundation, work closely with clients, and contribute to a high-performing 24×7 support team.

What You Will Do

• Support a 24×7 operational environment across rotational shifts, ensuring consistent service delivery.
• Handle Level 1 analysis, troubleshooting, and resolution of application and infrastructure incidents.
• Conduct recording reviews to assess user experience and gauge service impact.
• Collect application logs and escalating cases to the Development team with clear context.
• Deliver a premium client experience - tracking open issues, coordinating responses, and helping clients resolve problems efficiently.
• Contribute to weekly/monthly client read-outs and progress presentations.
• Identify and help drive issue/bug remediation to resolution across the client base.
• Maintain an up-to-date log of known issues and fixes, supporting consistent resolution outcomes.
• Author and maintain technical and operational procedure documentation.
• Participate in daily/weekly technical and leadership calls, keeping stakeholders informed on progress.
• Build positive, professional relationships with customers and teammates.

What We Are Looking For

• 3-4 years of experience in proactive support and infrastructure/application monitoring.
• Familiarity with Global Command Center, Service Desk, or Frontline Monitoring operations.
• Commitment to following team, account, and client policies and procedures.
• Exposure to Application/Infrastructure Monitoring tools and solutions.
• Experience with Windows Server environments, .NET-based application support, IIS, worker processes, Web.config, and Event Logs.
• Basic understanding of networking and Azure Monitoring.
• Intermediate SQL skills - including SQL Jobs, queries, blocking scenarios, and Always On configuration.
• Experience with ITSM platforms such as ServiceNow or equivalent Service Desk tools.
• Basic knowledge of ITIL framework (V3.0 Foundation certification is an advantage).
• Ability to present data clearly using Power BI, Excel pivot tables, and charts.
• Good command of written and verbal English; international support experience (US or Europe preferred).
• Nice to Have Exposure to healthcare-related applications or patient care environments.
• Familiarity with Azure cloud environments.
• Qualifications Bachelor's degree in Computer Science, Information Technology, or a related field.
• Relevant IT certification(s) are a plus.
• Strong interpersonal and communication skills - written and verbal - with a customer-first approach.

Originally posted on Himalayas