Senior Systems Architect
Family Care Specialists Medical Group
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Benefits offered by this job
Job summary
Altais is seeking a Senior Azure Architect to lead Azure-based architectures, hybrid identity, and Windows infrastructure. You will define vision, standards, and roadmaps while guiding engineers toward automation and secure design.
You will mentor engineers, integrate Entra ID and Okta, use Terraform and Terragrunt, and partner with security and DevOps to ensure architectural alignment. The role is remote with competitive pay ($129,000–$154,800) and comprehensive benefits.
Qualifications
- Bachelor’s degree or equivalent experience.
- AWS & Azure experience at a principal or architect level; Associate or Expert level certifications in either, but Azure preferred
- 4+ years deep experience architecting solutions in Azure.
- Hybrid Windows Identity expertise, including: Entra ID, Entra Connect / AAD Connect, Multi-Domain or multi-forest Active Directory
- 5+ years architecting and supporting Windows Server and AD infrastructure, including: Group Policy architecture, AD Sites & Services, Domain trust design
- 5+ years PowerShell experience with ability to build: Advanced AD automation, Reusable modules, Deployment workflows
- Experience packaging and deploying Windows applications at scale(enterprise deployment toolsets, scripting, MSI/EXE automation, etc.).
- Hands-on experience integrating and supporting SAML and OIDC across: Entra ID, Okta
Responsibilities
- Define vision, standards, and technical roadmaps for Azure and Windows infrastructure.
- Lead design and implementation of Azure-based architectures with focus on cost, security, and operational excellence.
- Architect and oversee Hybrid Windows Identity environments (Entra ID, Entra Connect, AAD Connect).
- Provide top-level expertise for Windows Server environments (Group Policy, domain services).
- Champion Infrastructure as Code using Terraform; promote Terragrunt usage.
- Author advanced PowerShell modules and automation scripts for complex enterprises.
- Lead patterns for packaging, deployment, and automation across the enterprise.
- Provide guidance on SAML and OIDC integrations (Entra ID, Okta).
- Mentor engineers, perform design reviews, and drive automation and reliability.
Skills
Education
Tools
Job description
At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks. Through smarter technology, purpose-built tools, and a team-based model of care, we help doctors do what they do best: care for people.
Altais includes a network of physician-led organizations across California, including Brown & Toland Physicians, Altais Medical Group Riverside, and Family Care Specialists. Together, we’re building a stronger, more connected healthcare system.
Are you looking to join a fast-growing, dynamic team? We’re a collaborative, purpose-driven group that’s passionate about transforming healthcare from the inside out. At Altais, we support one another, adapt quickly, and work with integrity as we build a better experience for physicians and their patients.
- Serve as the architectural authorityfor Azure, hybrid identity, and Windows infrastructure platforms—defining vision, standards, and technical roadmaps.
- Lead the design and implementation of Azure-based architectures, ensuring operational excellence, cost efficiency, security, and adherence to architectural best practices.
- Architect and oversee complex Hybrid Windows Identitysystems, including: Entra ID, Entra Connect / AAD Connect, Multi-domain Windows AD forests
- Provide top-level expertise for Windows Serverenvironments, including Group Policy architecture, domain services, and enterprise systems design.
- Set standards and drive adoption of Infrastructure as Code (IaC)using Terraform, including AzureRM and azapi providers; champion Terragrunt where appropriate.
- Author advanced PowerShell modules, automation frameworks, and lifecycle management scripts for complex enterprise environments.
- Lead architectural patterns for application packaging, deployment, and automation, enabling scalable, repeatable rollouts across the enterprise.
- Provide senior-level guidance on SAMLand OIDCintegrations across Entra ID, Okta, and other identity providers.
- Partner with security, networking, DevOps, and application leaders to ensure architectural alignment and governance.
- Mentor engineers, perform design reviews, and elevate engineering quality while fostering a culture of automation, reliability, and secure design.
- Serve as a technical advisor for leadership, providing data-driven insights and strategic recommendations.
- Bachelor’s degree or equivalent experience required.
- AWS & Azure experience at a principal or architect level; Associate or Expert level certifications in either, but Azure preferred
- 4+ yearsdeep experience architecting solutions in Azure.
- Hybrid Windows Identity expertise, including: Entra ID, Entra Connect / AAD Connect, Multi-Domain or multi-forest Active Directory
- 5+ yearsarchitecting and supporting Windows Serverand AD infrastructure, including: Group Policy architecture, AD Sites & Services, Domain trust design
- 5+ years PowerShell experiencewith ability to build: Advanced AD automation, Reusable modules, Deployment workflows
- Experience packaging and deploying Windows applications at scale(enterprise deployment toolsets, scripting, MSI/EXE automation, etc.).
- Hands-on experience integrating and supporting SAML and OIDCacross: Entra ID, Okta
The Base Salary for this position is $129,000 - $154,800/year.
In addition, we provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
- Excellent medical, vision, and dental coverage
- 401k savings plan with a company match
- Flexible time off and 9 Paid Holidays
We act with empathy and a deep respect for the challenges faced by physicians and their patients. Our work is driven by a genuine commitment to improving lives and ensuring that care is delivered with dignity, understanding, and humanity.
We foster a culture of collaboration- with physicians, patients across the healthcare ecosystem, and among our teams. By building strong, trusted relationships, we create a unified community focused on advancing patient care and physician well-being.
We lead with integrity and vision, setting the standard for excellence in physician support and healthcare innovation. Through collaboration and expertise, we empower others to lead, drive change, and shape the future of care.
We are relentlessly focused, results-driven, and accountable for delivering measurable value to physicians and the patients they serve. Our high standards reflect our commitment to excellence, operational discipline, and continuous improvement.
We embrace change as a constant and respond swiftly to the evolving needs of the healthcare industry. With flexibility and forward-thinking, we adapt, innovate, and act decisively to keep physicians at the forefront.
Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate’s qualifications, skills, and experience.
Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our ‘CPRA Privacy Notice for California Employees and Applicants’ to learn how we collect and process your personal information when you apply for a role with us.
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
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Pay: $129,000.00 - $154,800.00 per year
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Paid time off
- Parental leave
- Referral program
- Vision insurance
- Bachelor's (Preferred)
- Entra ID and Okta: 5 years (Required)
- architecting Windows Server and AD infrastructure: 5 years (Required)
- architecting solutions in Azure: 5 years (Required)
- Healthcare IT: 3 years (Required)
Remote
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