M365 Administrator

Lexington Medical Center; West Columbia (SC); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Day one benefits

Dental & Life insurance

FSAs

403(b) match

Life insurance

Supplemental life

Adoption assistance

Disability coverage

Student loan forgiveness

Job summary

Lexington Health in West Columbia, SC is seeking a Tier-3 Systems Administrator to provide expert cloud and infrastructure support. You will lead enterprise Microsoft 365, SharePoint Online, Entra ID, and related services to ensure security, reliability and compliance across the organization.

This role requires 7+ years in systems engineering, strong virtualization (VMware, Citrix), and excellent communication.

Qualifications

• Experience administering Microsoft 365 and SharePoint Online in production environments.
• Experience designing, implementing, and maintaining enterprise IT infrastructure.

Responsibilities

• Administer Exchange Online, including mailbox provisioning and mail flow rules.
• Manage Microsoft Teams policies and configurations.
• Configure SharePoint Online site collections and permissions.
• Administer Entra ID / Azure AD and MFA.

Skills

Microsoft 365 Administrator

SharePoint admin

Entra ID administration

VMware

Citrix

Exchange Online

Microsoft Teams administration

Documentation & training

Education

Bachelor's degree in IT / CS

Tools

VMware

Citrix

Exchange Online

SharePoint Online

Azure AD / Entra ID

Job description

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Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bedteachinghospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcareand was first in the state to achieve Magnet with Distinctionstatus for excellence in nursing care. Consistently ranked as bestin the Columbia Metroarea by U.S. News & World Report, Lexington Healthdelivers more than 4,000babies each year, performs more than 34,000surgeries annually and isthe region's third largest employer.

Lexington Health also includes an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer’s care center.Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.

Job Summary

Under the general direction of the Manager of Systems Administration, provides Tier-3 support related to server and related infrastructure. Responsible for adopting cloud computing technologies, infrastructure, and applications to meet the organizations requirements. Cloud computing is a model of IT deployment whereby a provider delivers an IT solution as platform virtualization (Platform as a Service, PaaS); or as an application to customers for use as a service on demand (Software as a Service, SaaS); or infrastructure/resources (Infrastructure as a Service, IaaS). Competent to work at the highest technical level of all phases of cloud computing activities. Provides guidance and training to less experienced IT professionals. Responds to calls escalated by IS support teams. Serves as a technical lead in IS projects. Leads the planning, design and engineering of enterprise-level infrastructure and platforms related to the virtual computing environment to include the adoption of new tools and procedures. Troubleshoots/replaces broken systems as appropriate. Represents IS in meetings regarding technical projects, issues, and initiatives.

Preferred Qualifications:

• Expert-level knowledge of Microsoft Office 365 and SharePoint administration (Minimum of 3–5 years of hands‑on experience working as a Microsoft 365 Administrator) including experience creating, deploying, and maintaining complex SharePoint Sites and Objects in an M365 production environment supporting more than 1,000 users
• Experience managing enterprise-level collaboration platforms
• Experience managing sensitive or controlled data while maintaining compliance with applicable cybersecurity, information assurance, legal, and system control requirements
• Working level knowledge of AI tools and integration into office workflows
• Must possess problem‑solving skills
• Exceptional communication skills, both oral and written
• Ability to respond effectively to customers with a sense of urgency and professionalism
• Ability to form new relationships, individual and teaming in nature

Minimum Qualifications

Minimum Education: High School Diploma or Equivalent
Minimum Years of Experience: 7 Years of experience in systems engineering /infrastructure development
Substitutable Education & Experience: Experience can be substituted with a Bachelor's Degree and 5 years of experience.
Required Certifications/Licensure: None.
Required Training: Proven experience supporting Windows‑based servers;
Deep understanding of virtualization technologies and best‑practices including, but not limited to, VMware and Citrix environments;
Extensive knowledge of highly available (HA) and fault tolerant (FT) systems;
Knowledge of commonly used concepts, practices, and procedures related to server administration;
Outstanding hardware/software troubleshooting skills;
Enterprise support experience in a large environment;
Experience designing, managing, and supporting Microsoft Active Directory domains.

Essential Functions

• Administer Exchange Online, including mailbox provisioning, distribution groups, mail flow rules, and transport connectors
• Manage Microsoft Teams policies, meeting configurations, voice calling plans, channel governance, and guest access
• Configure and maintain SharePoint Online site collections, permissions, hub sites, and storage quotas
• Administer Entra ID (Azure AD), including user lifecycle management, group administration, Conditional Access, MFA, and Privileged Identity Management (PIM)
• Support enterprise IT systems including desktop, mobile, and associated business productivity tools
• Monitor Microsoft 365 service health and troubleshoot tenant‑wide issues
• Coordinate support cases and escalations with Microsoft when necessary
• Manage Microsoft 365 licensing by assigning, reclaiming, and optimizing licenses
• Create and maintain technical documentation, system procedures, and change management records
• Ensure Microsoft 365 environments remain secure, reliable, and compliant with organizational policies
• Identifies solutions that would benefit LMC and assists with building a business case for them
• Communicates directly with IS management and business unit leaders on IS‑related projects, issues, and initiatives

Duties & Responsibilities

• Attends business and technical meetings as appropriate.
• Installs, configures, and maintains organization's server, storage, and Microsoft Active Directory infrastructures.
• Supports hospital based and remote users.
• Maintains an optimistic, professional, career‑oriented demeanor, exemplifies excellent customer relations toward patients, visitors, physicians, and coworkers.
• Holds themselves accountable for conformity to Service Excellence Policy and "House rules."
• Performs related and such other duties as may be assigned by authorized personnel or as required in an emergency, e.g., fire or disaster.
• Must provide detailed documentation on systems, projects, issues, etc.
• Relies on instructions and pre‑established guidelines to perform the functions of the job.
• Participates in professional development activities and periodically attends continuing education courses.
• Mentors and assists in developing the technical skills of less experienced peers. Share ideas, projects and best practices to help create a collaborative, team oriented work environment.
• Maintains library of documentation to support server infrastructure and related systems.
• Performs all other duties as assigned.

We are committed to offering quality, cost-effective benefits choices for our employees and their families:

• Day ONE medical, dental and life insurance benefits
• Health care and dependent care flexible spending accounts (FSAs)
• Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
• Employer paid life insurance – equal to 1x salary
• Employee may elect supplemental life insurance with low cost premiums up to 3x salary
• Adoption assistance
• LHI provides its full‑time employees employer paid short‑term disability and long‑term disability coverage after 90 days of eligible employment
• Student loan forgiveness

Equal Opportunity Employer
It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination‑free environment, and to recruit, select, on‑board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.