Senior Systems Administrator

ExactCare Pharmacy, LLC; Ohio; Hybrid; USD 110,000 - 150,000; Full time

Benefits offered by this job

Medical/dental/vision

401(k)

Paid Time Off

Flexible spending

Company-paid life insurance

Short-term disability

Voluntary benefits

Job summary

AnewHealth is seeking a Senior Systems Administrator to maintain and secure on‑premises and cloud infrastructure. You will engineer, optimize, and provide tier‑3 support for servers, storage, AD, and identity services across Windows, Linux, and hybrid environments.

Responsibilities include virtualization, storage, patching, DR, and automation using PowerShell/Python. This is a remote, full‑time role with opportunities to influence enterprise IT strategy.

Qualifications

• Education: Bachelor’s degree in Computer Science, Information Technology, or a related field.
• Experience: 5+ years of related systems administration experience in enterprise environments.
• Strong proficiency with Windows Server and Linux, virtualization, storage, AD, M365, and cloud basics.

Responsibilities

• Build, monitor, and troubleshoot enterprise server and storage infrastructure across Windows and Linux.
• Manage Hyper-V clusters, storage arrays, and DR readiness.
• Administer Active Directory, GPOs, and hybrid identity with Entra ID and AAD.
• Implement patching, monitoring, and security best practices using Automox and PRTG.
• Support cloud assets across AWS, Azure, and GCP; automate tasks with scripts.

Skills

Windows Server

Hyper-V

Enterprise Linux

Active Directory

M365

Entra ID

SSO

MFA

PowerShell

Python

Bash

Automation

Cloud services

Education

Bachelor's degree in Computer Science or related field

Tools

Pure Storage

Exchange 2019

Azure AD

Automox

PRTG

Commvault

PowerShell

Job description

About AnewHealth

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.

The company enables better health and quality of life for patients while helping the healthcare organizations who support them improve key clinical and cost outcomes. Established in 2023 through the combination of ExactCare Pharmacy and Tabula Rasa HealthCare, AnewHealth provides a suite of solutions that includes comprehensive pharmacy services with national dispensing; proprietary science-based technology to optimize medication therapy; full-service pharmacy benefit management; and specialized support services for PACE (Program of All-Inclusive Care for the Elderly). Today, AnewHealth cares for more than 100,000 people nationwide through strong healthcare partnerships with risk-bearing providers, primary and specialty care providers, kidney care and dialysis providers, home health organizations, and managed care plans.

Job Details

Under the direction of the Manager, Servers & Storage, the Senior Systems Administrator serves as a senior technical authority responsible for maintaining, optimizing, and securing on-premises and cloud-based infrastructure assets. This role provides advanced administration, engineering, and tier-3 escalation support across server, storage, virtualization, backup/DR, and identity platforms. The ideal candidate is a subject matter expert in Microsoft Hyper-V failover clusters, Pure Storage, Windows/Linux server OS, Disaster Planning and Recovery, Active Directory, M365, and infrastructure automation. You will be able to efficiently build, maintain and monitor said infrastructures to allow AnewHealth to meet organizational objectives.

Responsibilities

Server & Storage Infrastructure Administration

• Build, maintain, monitor, and troubleshoot enterprise physical and virtual server infrastructure, covering Windows Server 2012 R2 through Windows Server 2025 and Enterprise Linux distributions (e.g., RHEL, CentOS, Ubuntu).
• Administer high-availability Microsoft Hyper-V failover clusters, performing host provisioning, lifecycle updates, cluster node expansions, and VM performance tuning.
• Provision, manage, and optimize enterprise SAN/NAS storage arrays, specifically Pure Storage (FlashArray and FlashBlade).
• Monitor the system daily and respond immediately to security or usability concerns.

Directory Services, Identity & Mail Flow

• Provide advanced administration and engineering for Active Directory (AD), Group Policy Objects (GPOs), and core network services (DNS, DHCP, IPAM).
• Maintain hybrid identity and mail flow environments, including Exchange 2019, Microsoft 365 / Exchange Online, Entra ID (Azure AD), Single Sign-On (SSO), Multi-Factor Authentication (MFA), and conditional access policies.
• Manage end-to-end lifecycle and bindings for internal PKI and external SSL/TLS certificates across servers, web applications, and security appliances.

Security, Patching, Monitoring & BCDR

• Design, schedule, and enforce OS and third-party automated patch management policies across Windows and Linux environments utilizing Automox.
• Configure and maintain PRTG Network Monitor to ensure proactive infrastructure alerting, custom sensor deployment, bandwidth monitoring, and system health dashboards.
• Manage enterprise backup, recovery, and business continuity architectures using Commvault, regularly executing test restores, maintaining retention standards, and updating Disaster Recovery (DR) runbooks.

Cloud, Automation & Operations

• Support and monitor public/hybrid cloud compute assets and cloud infrastructure across AWS, Azure, and GCP.
• Develop, refine, and maintain scripts using PowerShell, Python, or Shell to automate routine system administration tasks, API integrations, and bulk object operations.
• Author and maintain accurate, detailed technical documentation, system topologies, standard operating procedures (SOPs), and change control records.
• Provide Tier 3 escalation support for technical staff and end-user impacting issues.
• Other duties as assigned.

Disclaimer : The essential functions outlined above represent the primary responsibilities of this role; specific duties may vary based on operational needs. Additional responsibilities consistent with the required skills and expertise may be assigned as needed.

Qualifications & Accommodations

Education & Experience

Education: Bachelor’s degree in Computer Science, Information Technology, or a related field.

Experience: 5+ years of related systems administration experience, with demonstrated senior-level competency in an enterprise environment.

Technical Skills & Proficiency

• Operating Systems: Advanced mastery of Windows Server (2012 R2 through 2025) and working competency in Enterprise Linux (RHEL, CentOS, Ubuntu).
• Virtualization & Storage: Deep experience with Microsoft Hyper-V failover clustering and SAN/NAS administration (Pure Storage FlashArray / FlashBlade preferred).
• Identity & Messaging: Hands-on mastery of Active Directory, GPO, M365, Entra ID, SSO, MFA, Exchange 2019 / Hybrid, and SSL/PKI certificate management.
• Systems Tooling: Direct experience with automated patching platforms (Automox preferred), monitoring platforms (PRTG preferred), and enterprise BCDR platforms (Commvault preferred).
• Scripting & Cloud: Proficiency in PowerShell, Python, or Bash scripting, along with working knowledge of cloud services.

Skills & Abilities

• Operational Judgment: High sense of responsibility to review and approve change requests carefully, assessing risks to uptime and security when standing in for management.
• Problem-Solving & Diagnostics: Methodical approach to isolating complex performance bottlenecks, log analysis, and root-cause determination under pressure.
• Communication & Rapport: Exceptional interpersonal skills with a focus on rapport-building, listening, clear technical writing, and customer service.
• Mentorship & Documentation: Strong documentation habits and a genuine willingness to share knowledge and guide junior team members.
• Framework Awareness: Working knowledge of ITIL best practices and organizational change management.

Physical/Mental Demands & Working Conditions

This position is administrative and technical in nature and requires hearing, seeing, sitting, standing, talking, and walking. Must be able to commute to multiple site/datacenter locations within the assigned territory as needed.

Schedule

Full-time position with an expectation to work an average of 40 hours per week. Must be available outside of normal business hours or participate in an ad-hoc on-call schedule to meet maintenance windows, system updates, and operational expectations. This is a remote position.

Benefits

• medical/dental/vision
• flexible spending
• company-paid life insurance and short-term disability
• voluntary benefits
• 401(k)
• Paid Time Off
• paid holidays

Medical, dental and vision coverage are effective 1st of the month following date of hire.

AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply.

Applicants must be eligible to work in this country.

We maintain a drug-free work environment.

AnewHealth and its affiliated companies are equal opportunity employers. We celebrate diversity and are committed to fostering an inclusive environment for all employees.

Want to learn more about working at AnewHealth? Visit our website to explore who we are, discover our award-winning culture and benefits, and watch our video to get a closer look.