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Trust, engagement, competence, respect and passion - these are the values under which North Shore Healthcare operates every day. Our dedicated team of professionals strive to deliver quality care to our residents and their families. We are one of the leading employers and providers of post-acute care in the Midwest and we are seeking exceptional individuals to join our team. If you value being a leader, working in a progressive environment and having opportunities to grow in your career, North Shore Healthcare is the Right Choice for you.
Summary of position
Under the supervision of Sr. Director - IT & Security, the Systems Administrator II leads administration and governance of North Shore Health's cloud-based infrastructure and Microsoft 365 ecosystem, including identity, security, endpoint management, networking, and cloud hosted virtual workloads, in a fully cloud first environment.This role owns tenant governance standards, policy lifecycle, compliance alignment (HIPAA/DHS/CMS), documentation, and change oversight. The administrator serves as the technical liaison for incidents, change requests, and platform improvements, ensuring Security and infrastructure improvements are actioned and coordinating remediation across stakeholders. Coordinates regularly with Security, Compliance/Privacy, IT leadership, MSP partners, and Tier 1/2 support staff
Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the
essential functions.
• System administration: Ensure reliability, performance, and security of NSH's IT infrastructure (cloud infrastructure and virtual compute workloads - IaaS/PaaS Govern tenant-wide identity & access (Entra ID), conditional Access strategy, privileged access, and exception registers, coordinate changes
• Tenant Governance & Policy Lifecycle: Lead administration and governance of Microsoft 365 tenant (Entra ID, Exchange, Teams, SharePoint, OneDrive, Defender, Purview). Lead security/compliance policy lifecycle across Defender & Purview (labels, DLP, retention/eDiscovery); review monthly Secure Score & CIS findings; track remediation
o This role has approval authority for tenant-level governance standards, security
controls, and change decisions within established NSH policy
• Security & Compliance Posture: Drive Secure Score improvements and coordinate risk
remediation with Security/Compliance; ensure HIPAA/DHS/CMS alignment across
controls.January 2026
o Support platform standardization decisions (e.g., Defender/E5 stack options) with
analysis and recommendations to leadership
• Endpoint Compliance Standards: Own endpoint compliance standards and device
management policies.
o Own endpoint compliance baselines and configuration standards; coordinate
deployments and user-side activities; report compliance metrics
• Change & Release Oversight: Manage change advisory cadence, establish a standard
change catalog, and ensure documentation of currency for all tenant changes.
o Manage Change Management (CAB); maintain standard change catalog, pilot rings,
and rollback plans; sign off on production changes and documentation currency
• Documentation & Audit Readiness: Maintain architecture maps, SOPs, KBs, and audit
evidence for identity, security, and compliance; ensure deliverables are complete and
current.
o Maintain tenant documentation (architecture, SOPs, KBs) and audit evidence;
review monthly metrics (incidents, MTTR, change success, Secure Score deltas) and
action as needed
o Reviews operational and security metrics (e.g., incident trends, MTTR, Secure Score
movement) and drive corrective actions
• Technical Liaison & Escalation: Serve as the technical point of contact for Tier 2/3 support
incidents, requests, problem management trends, and project-based engineering, while
tracking SLAs and monthly metrics.
o Serve as technical escalation for complex issues beyond user-level scope;
coordinate platform-level fixes and improvements
• Resident Rights:
o Knows Resident Rights
o Help the residents/patients exercise and/or protect their rights
o Reports resident/patient complaints to management
o Maintains confidentiality of resident/patient information
• HIPAA:
o Follows and adheres to Facility's policies and procedures implementing HIPAA
requirements for the privacy and security of protected health information
o Uses and/or discloses only minimum amount of Protected Health Information
necessary to complete assigned tasks
o Reports all suspected of violation of company's HIPAA policies or procedures to
Work Environment & Physical Demands
The responsibilities of this position involve typical office setting physical activities includingstanding, walking, sitting and lifting (up to 10 pounds unassisted). While performing the duties of this job, the employee is regularly required to talk and hear.
Required Education and Experience
• 5 to 7+ years of Cloud and/or M365 administration with demonstrated ownership ofplatform standards, security posture, and change decisions.
Preferred Education and Experience
• Associate's or Bachelor's in IT or related field (or equivalent experience)
• Microsoft 365 certifications (e.g., Enterprise Administrator Expert, Security Administrator,MD-102) or equivalent; Security+
• Healthcare IT experience a strong plus• Experience with HIPAA-compliant environments
• PowerShell automation, API integrations, and experience with Secure Score and CISassessments.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Our mission is to establish a culture that reinforces the values necessary to be the premier health services provider and employer in each of the communities we serve. We understand that choosing where you want to go in your career is a big decision. We would like the opportunity to show you that North Shore Healthcare is the Right Choice for you.