IT Manager

Confidential Company, Inc; Austin (TX); On-site; USD 110,000 - 150,000; Full time

Job summary

Confidential Company, Inc. is seeking an IT Manager to lead day-to-day IT operations in a healthcare environment. You will oversee a team, ensure 24/7 coverage, and manage clinical IT services including EHR/EMR integrations.

The role requires AD/Windows Server expertise, HIPAA familiarity, and strong collaboration with clinical staff to minimize downtime and support patient care operations.

Qualifications

• Bachelor’s degree or equivalent experience in IT/healthcare informatics.
• 5+ years IT experience with 2+ years in a supervisory role.
• Experience administering AD, Group Policy, DNS/DHCP, and Windows Server.
• Healthcare/clinical setting knowledge and HIPAA/PHI familiarity.
• Networking fundamentals incl. VLANs, firewalls, VPN.

Responsibilities

• Supervise IT staff, provide 24/7 coverage, and manage on-call rotations.
• Oversee service desk operations with clinical urgency in mind.
• Conduct performance reviews and support staff development.
• Administer Active Directory, Group Policy, DNS/DHCP, identity access.
• Maintain servers, storage, and network infrastructure for clinical ops.
• Ensure high availability of EHR/EMR, PACS, pharmacy systems with minimal downtime.
• Oversee patch management, backups, and DR/BC planning for clinical systems.
• Collaborate with clinical staff on EHR/EMR platforms and PHI security.
• Ensure HIPAA Security Rule and HITECH compliance; support risk assessments.
• Implement access controls, encryption, audit logging; BAAs with vendors.
• Lead IT projects (system upgrades, EHR modules, expansions) and MSP relations.

Skills

Team leadership

Active Directory

Windows Server

Networking basics

HIPAA security

Education

Bachelor's degree in IT/CS or healthcare informatics

Tools

EHR/EMR platforms

Azure

ITIL/SEC+ certifications

Job description

IT Manager

Department:

Information TechnologyReports To:

IT Director / VP of ITDirect Reports

: 3 (IT Support/Systems staff)FLSA Status:

Exempt, Full-TimeThe Role:The

The Role:

IT Manager

oversees day-to-day IT operations supporting a healthcare/clinical environment, leading a team of IT staff. This role requires a blend of technical infrastructure expertise, particularly Active Directory and enterprise systems administration, and familiarity with the unique demands of healthcare and clinical settings, HIPAA compliance, and integration with medical/clinical technology.

Key Responsibilities

Team & Operations Management

• Supervise, mentor, and schedule a team of IT staff, ensuring adequate coverage for a 24/7 healthcare environment, including on-call rotations
• Manage daily IT service desk operations, escalations, and ticket prioritization with clinical urgency in mind
• Conduct performance reviews, set goals, and support professional development of direct reports

Infrastructure & Systems

• Administer and maintain Active Directory, Group Policy, DNS/DHCP, and identity/access management across the organization
• Manage servers, storage, and network infrastructure supporting clinical and administrative operations
• Ensure high availability of mission-critical systems, including EHR/EMR, nurse call systems, PACS, pharmacy systems, and other healthcare applications, with minimal downtime
• Oversee patch management, backups, and disaster recovery/business continuity planning for clinical systems

Healthcare / Clinical-Specific Duties

• Support and coordinate with clinical staff on EHR/EMR platforms and other point-of-care technology
• Ensure IT practices align with HIPAA Security Rule and HITECH Act requirements for PHI (Protected Health Information)
• Support clinical workflows where system downtime may have direct patient-care implications; participate in downtime and failover procedures
• Partner with Compliance/Privacy leadership on security risk assessments and audits

Security & Compliance

• Implement and enforce access controls, encryption, and audit logging for systems containing PHI
• Manage vendor relationships for clinical and IT systems, including Business Associate Agreements (BAAs)
• Respond to and document security incidents in accordance with HIPAA breach notification requirements

Project & Vendor Management

• Lead IT projects such as system upgrades, EHR module rollouts, network expansions, or new facility/department buildouts
• Manage relationships with healthcare IT vendors and managed service providers

Required Qualifications

• Bachelor's degree in IT, Computer Science, Healthcare Informatics, or equivalent experience
• 5+ years of IT experience, with 2+ years in a supervisory/management role
• Hands-on experience administering Active Directory, Group Policy, and Windows Server environments
• Experience working in a healthcare, clinical, urgent care, or similar setting, with an understanding of clinical workflows and the criticality of uptime for patient-care systems
• Working knowledge of HIPAA and PHI security requirements
• Experience with networking fundamentals, including VLANs, firewalls, and VPN

Preferred Qualifications

• Experience with EHR/EMR platforms
• Familiarity with medical device networking / biomedical IT integration
• Certifications such as CompTIA Security+, ITIL, or Microsoft Certified: Identity and Access Administrator
• Experience with cloud platforms (Azure/AWS) in a hybrid healthcare environment
• Experience supporting Joint Commission, CMS, or HITRUST audit readiness

Work Environment

• may require presence in or near clinical areas
• On-call rotation required for after-hours critical system support
• Some physical activity may be required, including server room work and moving equipment