Information Technology Systems Administrator

Paycom - ATS; Dallas (TX); Hybrid; USD 75,000 - 105,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) with employer match

Continuing education reimbursement

Flexible hybrid schedule

Travel to clinical sites

Job summary

Paycom - ATS seeks an IT Systems Administrator to maintain a secure, HIPAA-compliant environment across clinical sites. You will support clinicians and staff, administer the EHR/telehealth platforms, and ensure uptime, backups, and disaster recovery.

The role covers on-prem and Azure/M365, IAM, and security controls while collaborating with Compliance and vendor teams. Ideal candidates have 2–4 years in healthcare IT, Windows Server and AD expertise, and scripting skills in PowerShell or Python.

Qualifications

• Hands-on IT systems administration in healthcare or regulated industry.
• Solid knowledge of HIPAA Security Rule requirements and compliance practices.
• Experience with Windows Server, AD, DNS, DHCP and M365 administration.
• Ability to manage EHR platforms, telehealth tools, and integrations.
• Proficient scripting with PowerShell and Python for automation.
• Experience with backups, DR, monitoring, and incident response.
• Strong customer-facing support with empathetic communication.

Responsibilities

• Administer HIPAA controls, audit logs, encryption, and access management.
• Lead risk assessments, audits, remediation tracking, and BAAs with vendors.
• Provide Tier 2/3 help desk support for clinicians and staff.
• Manage on-premises and cloud Azure/M365 infrastructure and backups.
• Monitor uptime, runbooks, patch cadences, and disaster recovery procedures.
• Administer EHR platforms, user provisioning, SSO/SAML, and HL7/FHIR data exchange.
• Coordinate with telehealth vendors and support clinical system projects.

Skills

HIPAA compliance

End-user support

Azure / M365

PowerShell

Python

Active Directory

Networking

SLA tracking

Incident response

Education

Bachelor's degree in Information Technology

CompTIA Security+

CISSP

Tools

Veeam

Azure Backup

Intune

Exchange Online

M365 admin tools

RMM tools

Action1

Job description

Position SummaryWe are seeking a dedicated and technically skilled IT Systems Administrator to join our Information Technology team. In this role, you will be the cornerstone of a secure, compliant, and resilient technology environment that directly enables our clinicians and staff to deliver exceptional mental health care. You will manage infrastructure, support end users across multiple clinical sites, maintain HIPAA-compliant systems, and administer the electronic health record (EHR) and telehealth platforms our providers depend on every day.This is a high-impact role where your work directly supports patient safety, clinician productivity, and organizational compliance — and where you'll partner with a mission-driven team committed to expanding access to mental health services.Key ResponsibilitiesHIPAA Compliance & Information SecurityAdminister and enforce HIPAA Security Rule controls across all systems, including access management, audit logging, and encryption of PHI at rest and in transit.Conduct regular risk assessments and internal audits; document findings and track remediation to closure.Maintain Business Associate Agreements (BAAs) and vendor security records in coordination with Compliance leadership.Respond to security incidents, perform root-cause analysis, and lead post-incident reviews.Develop and deliver security awareness training for clinical and administrative staff.Help Desk & End-User SupportServe as Tier 2/3 escalation point for desktop, mobile, and application support tickets.Provide hands-on and remote support for clinicians, care coordinators, billing staff, and leadership.Manage the IT ticketing system (SLA tracking, categorization, reporting) and work to reduce recurring issues through root-cause fixes.Onboard and offboard employees: provision accounts, configure hardware, and ensure timely access revocation.Maintain a hardware inventory and manage the device lifecycle (procurement, imaging, refresh, disposal).Infrastructure & NetworkingManage on-premises and cloud (Azure / M365) infrastructure, including servers, storage, backups, and disaster recovery.Administer and monitor the enterprise Ubiquiti network: switches and firewalls, VLANs, VPNs, and wireless access points.Maintain uptime and performance SLAs; proactively monitor systems using tools RMM or similar platforms.Manage patching cadences for servers, endpoints, and network devices; validate patches in staging before production rollout utilizing Action1 and other toolsets.Document network topology, runbooks, change records, and disaster recovery procedures in the IT knowledge base.EHR & Clinical Systems AdministrationProvide Administration and Support the organization's EHR platform (e.g., Kipu, ICA Notes, Valant, or similar) including user provisioning, integrations, and upgrades.Coordinate with the telehealth platform vendor to ensure uptime, device compatibility, and seamless clinician experience.Serve as the IT liaison for clinical system projects: gather requirements, test changes in UAT, and manage go-live communications.Troubleshoot EHR performance issues, SSO/SAML integrations, and HL7/FHIR data exchange pipelines.Maintain audit trails and system access logs that satisfy HIPAA audit-control requirements.Required2–4 years of hands-on systems administration experience, preferably in a healthcare or regulated industry.Demonstrated working knowledge of HIPAA Security Rule requirements and healthcare IT compliance practices.Experience administering Windows Server Environment (Active Directory, Group Policy, DNS, DHCP).Proficiency with Microsoft 365 administration (Exchange Online, Intune, SharePoint, Teams).Proficient in Microsoft 0365 Tenant migration and utilizing Intune for MDM.Solid networking fundamentals: TCP/IP, VLANs, routing, VPNs, and firewall policy management.Hands-on experience with enterprise backup/DR solutions (Veeam, Azure Backup, or similar).Strong help-desk orientation — empathetic communication with non-technical clinical staff is essential.PreferredExperience supporting an EHR platform in a behavioral or mental health setting.Familiarity with telehealth infrastructure and video-conferencing platforms (Zoom for Healthcare, Doxy.me, etc.).Cloud experience: Azure administration and cost management.Security certifications: CompTIA Security+, CISSP, CISM, or HCISPP.Industry certifications: Microsoft MCSA/MCP, CompTIA Network+, or equivalent.Scripting skills (PowerShell, Python) for automation and reporting.What We OfferComprehensive medical, dental, and vision benefits effective day one.401(k) with employer match and paid time off starting at 15 days per year.Continuing education reimbursement and support for professional certifications.Flexible hybrid schedule with occasional travel to clinical sites.A mission-driven culture where technology has a direct, visible impact on patient care and access.