Infrastructure and Database Team Lead

MediQuant LLC•Independence, OH

7d•Hybrid

About The Position

MediQuant helps more than 250 health systems and hospital networks retire, secure, and modernize their legacy healthcare data. As Infrastructure & Database Team Lead, you’ll own the infrastructure, systems, and standards that make it possible. The Infrastructure & Database Team Lead owns the availability, reliability, security, and performance of MediQuant infrastructure, cloud, and database environments — both the systems that run MediQuant business and the platforms that power services for its healthcare clients. This role leads a combined technical team, sets standards across both domains, and partners closely with the IT Operations Manager on roadmap, budget, and compliance priorities.

Requirements

Bachelor’s degree in Computer Science, Information Technology, or a related field; equivalent work experience will be considered in lieu of degree.
3+ years of progressive infrastructure/cloud experience with Microsoft technologies (Azure, Windows Server, Microsoft 365), or 3+ years of hands-on SQL Server database administration experience — with working fluency in the other domain.
1+ years of experience mentoring, informally leading, or coordinating technical staff or project delivery.
Experience owning BCDR, incident management, or change management in a regulated environment.
Hands-on administration experience in Azure infrastructure, Windows Server, and Microsoft 365 (identity, endpoint management, Exchange Online) and/or SQL Server database administration (backup/recovery, performance tuning, high-availability configuration).

Nice To Haves

Microsoft certifications such as Azure Administrator Associate, Azure Database Administrator Associate, Windows Server Hybrid Administrator Associate, or Microsoft 365 Certified: Administrator Expert.
Experience supporting healthcare or other highly regulated clients.

Responsibilities

Owns day-to-day operations, performance monitoring, and configuration of MediQuant’s infrastructure, cloud, and database environments — both internal and client-facing.
Owns the Business Continuity and Disaster Recovery (BCDR) process, documentation, and testing across infrastructure and database systems.
Leads incident, problem, and change management for escalated infrastructure and database issues through to resolution; documents root cause and resolution in knowledge base articles.
Develops and maintains the infrastructure and database services roadmap in partnership with the IT Operations Manager.
Monitors service levels and communicates proactively with internal stakeholders and clients on status, risk, and incidents, operating within the SLAs/OLAs negotiated by the IT Operations Manager.
Ensures the team maintains on-call/escalation coverage, escalating unresolved gaps to the IT Operations Manager.
Owns execution of HIPAA and HITRUST CSF compliance controls for infrastructure and database systems, including evidence collection supporting MediQuant’s HITRUST r2 certification.
Ensures data integrity, access controls, and secure handling of Confidential Data and PHI across all systems under this role’s oversight.
Partners with Security/Compliance leadership on audit readiness, risk assessments, and remediation tracking.
Scopes, sequences, and manages a portfolio of infrastructure and database projects: resourcing, milestone tracking, cost/benefit analysis, and risk management.
Assembles project teams, assigns responsibilities, and coordinates with the PMO/project management function on schedule and dependencies.
Independently verifies the actual state of systems, projects, and initiatives owned by this role, rather than relying solely on team- or vendor-reported status.
Proactively escalates risk, slippage, or emerging issues to the IT Operations Manager in advance of impact, with a recommended course of action.
Prepare status reports for upper management.
Leads technical evaluation of infrastructure and database vendors and tooling (e.g., cloud provider technical support, database platform vendors) and recommends vendor selection and RFP/NDA/MSA terms on the technical side.
Provides budget input (actual-vs-planned technology spend for infrastructure and database systems) to the IT Operations Manager, who consolidates it into budget requests to the Director, IT.
Monitors Azure resource utilization and spend, recommending rightsizing or reserved-capacity opportunities to control cloud cost.
Builds 30-60-90-day onboarding plans and conducts onboarding one-on-ones for new hires; provides input for their early (90-day) performance review.
Holds regular one-on-ones and conducts performance reviews at agreed intervals (90-day, semi-annual, annual) against competency standards set by Technology Leadership.
Builds a day-to-day learning environment; identifies and nominates staff for training, coursework, and certifications.
Manages timekeeping and leave administration for direct reports, including approval of timecards, PTO, and schedule adjustments to maintain operational coverage and payroll accuracy.
Interviews and evaluates candidates and recommends hire/no-hire decisions, partnering with Human Resources throughout.
Recommends performance ratings and Performance Improvement Plans (PIPs) to the IT Operations Manager for sign-off, and implements approved PIPs and other approved personnel actions.
Owns daily task, shift, and queue allocation to meet coverage and delivery commitments for the team.
Identifies and closes cross-training and skill-gap coverage needs within the team.
Translates IT Operations Manager-set team goals into day-to-day priorities and assignments.
Provides input on intra-team staffing and FTE allocation.
Recommends succession candidates and escalates staffing or resourcing risk to the IT Operations Manager.
Ensures documentation and knowledge articles for infrastructure and database processes, releases, and recurring incidents are created and maintained, feeding into the IT Operations Manager’s broader IT documentation and leadership reporting.
Leads the team in developing training materials and onboarding documentation for automated deployment and support processes.

Benefits

Employees may work from our corporate headquarters or work from home.
Remote workers will be provided with a company laptop and are responsible for maintaining access to high-speed internet.
Employees may at times be required to travel to headquarters for meetings or company events.
MediQuant will verify the identity and employment authorization of each person hired.
MediQuant participates in the Federal E-Verify program.
Must be able to pass all security clearances mandated by various government contracts as well as client hospital/healthcare security requirements.
Any employee working on government projects will be required to successfully pass a government background check and receive a Common Access Card (CAC).
Applicant must be a U.S. citizen and will be subject to a Public Trust security background investigation and must meet requirements to obtain a Department of Defense (DOD) network account.
MediQuant, Inc. is an equal opportunity employer.
Employees shall comply with all MediQuant policies, state and federal laws, regulations, and contractual obligations when accessing MediQuant or client Confidential Data, Confidential Information, and Information Assets.