IT Systems Administrator (Healthcare) | Remote - Philippines

Skin And Cancer Institute; Philippines; Remote; PHP 600,000 - 1,000,000; Full time

Benefits offered by this job

Competitive salary

Night differential pay

Statutory benefits

Paid time off

Supportive work environment

Job summary

Skin and Cancer Institute, a US-based dermatology group, seeks a senior IT Systems Administrator for a fully remote, Philippines-based position. The role supports AD/M365, VMware, and AI compute projects, working primarily during U.S. Pacific Time.

This is a direct-hire, long-term opportunity with healthcare-grade expectations. Responsibilities include IAM, cloud and on-premises administration, security coordination, and end-user support across Windows and macOS.

Qualifications

• Minimum of 8 years in IT support or systems administration.
• Hands-on AD and M365 management with emphasis on SSO.
• Experience with VMware ESXi and networking equipment is essential.

Responsibilities

• Oversee IAM/SSO across AD and M365 environments.
• Administer Exchange Online, Teams, and licensing.
• Maintain on-premise and cloud infrastructure including VMware and servers.
• Support AI compute initiatives and hardware-agnostic setups.
• Coordinate with security vendors and manage backups and patches.

Skills

Active Directory (AD)

Microsoft 365

VMware vSphere/ESXi

Network administration

AI hardware awareness

Tools

SharePoint

Azure

Cisco/Ubiquiti networking

Proofpoint Essentials

Job description

Join Our Team at Skin and Cancer Institute!

Are you passionate about dermatology and skin health? Do you thrive in a dynamic, patient-focused environment? Skin and Cancer Institute is looking for dedicated professionals to join our team!

Why Join Us?

At Skin and Cancer Institute, we are committed to excellence in dermatology, skin cancer treatment, and cosmetic procedures. We offer a supportive and collaborative work culture where your skills and dedication make a real impact.

Summary of Position

Skin and Cancer Institute is a U.S.-based dermatology group looking to hire a full-time IT Systems Admnistrator based in the Philippines. This is a remote and direct-hire position. We are not a recruiting agency. The selected candidate will work directly with our company on a long-term basis. The schedule will follow U.S. Pacific Time. Healthcare or medical office experience is preferred.

We are seeking a versatile IT Systems Administrator to serve as the technological backbone of our daily operations. In this role, you will balance continuous Tier 1 frontline user support with critical Tier 2 and Tier 3 infrastructure management. You will manage our Microsoft Active Directory and Microsoft 365 environments—driving improvements to user Single Sign-On (SSO)—maintain legacy on-premise infrastructure, configure network hardware, and play a hands-on role in supporting our expanding, hardware-agnostic AI initiatives.

• Work Category: Full-time, Permanent, Remote
• Work Schedule: Monday - Friday, 7AM - 4PM PST (some extended hours as needed)

WHAT YOU'LL DO

Identity & Cloud Administration

• Identity & Access Management (IAM): Manage Microsoft Active Directory (AD) and Microsoft 365 environments. Take a leading role in implementing and improving Single Sign-On (SSO) capabilities across multiple internal platforms to streamline and secure user access.
• Microsoft 365 Administration: Manage licensing, user provisioning, and access control for Exchange Online, Teams, and related services.
• Security & Vendor Coordination: Manage Proofpoint Essentials integration, administer Adobe Creative Cloud licensing, and collaborate with our external security provider (CyberDuo) to resolve complex security and network issues.

Endpoint Management & User Support

• Help Desk Operations: Serve as the primary point of contact for continuous Tier 1 through Tier 3 technical support issues and service requests across Windows and macOS environments.
• User Administration: Manage user accounts, mailboxes, file share permissions, and prepare complete workstation setups for new hires.
• Endpoint Protection: Maintain enterprise security by deploying, scheduling, and verifying patches, OS updates, and ESET antivirus agents across laptops, desktops, and servers.
• Procurement: Manage the procurement lifecycle for computer hardware, software, and specialized IT supplies.

Internal Systems & Network Administration

• Server & Virtualization Management: Administer a legacy VMware vSphere/ESX environment (VM provisioning, storage, backups) and manage three Windows Server domain controllers and a file server. SharePoint is a must along with Azure
• Network Infrastructure: Configure and maintain network hardware, including Cisco and Ubiquiti switches and wireless access points.
• Operational Hardware: Configure and support Apple iPad and Zoom Phone
• System Integrations: Manage backend functions for StarShip and Lightspeed integrations, ensuring reliable label printing and email-related functionality.
• ISP & Telecommunications: Serve as the primary technical liaison for TPx and Spectrum internet services at both the Eastern and Charter locations, and provision company phone systems.
• Data Integrity: Perform weekly verification and maintenance of Durva backup systems.

AI Infrastructure & Innovation

• Assist in deploying, managing, and scaling flexible hardware infrastructure dedicated to self-hosted AI compute.
• Support the backend architecture for a variety of autonomous AI agent frameworks and local large language models (LLMs), maintaining a hardware- and software-agnostic approach.
• Collaborate on internal AI projects, helping integrate emerging AI tools into daily business workflows and ensuring compute resources are optimized.

WHAT WE'RE LOOKING FOR

• Minimum of 8 years experience in an IT Support, Systems Administrator, or similar hybrid role.
• Strong, hands-on expertise with Microsoft Active Directory (AD) and Microsoft 365, with a proven track record of managing and improving Single Sign-On (SSO) across enterprise platforms.
• Experience managing networking equipment (Cisco, Ubiquiti) and virtualization platforms (VMware/ESXi).
• High enthusiasm for AI technology, with a willingness to learn and adaptively support scalable, agnostic AI hardware and software frameworks.
• Excellent problem-solving skills and the ability to pivot rapidly from user-facing support to backend technical administration.

WHAT WE OFFER:

• Competitive salary
• Night differential pay
• Statutory benefits
• Paid time off
• Supportive and fair work environment

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