IT Systems Administrator (Healthcare)

Lighthouse Psychiatry Brain Health Center•Gilbert, AZ

11h•Remote

About The Position

Lighthouse Psychiatry is seeking a part-time IT Systems Administrator / Cloud IT Support Contractor to manage and optimize Microsoft 365, Google Workspace, SharePoint, business email systems, and HIPAA-compliant cloud infrastructure. The role combines ongoing backend IT administration, technical troubleshooting, system integration, and project-based migrations for a growing healthcare organization. It is remote, with Arizona preferred, and offers flexible scheduling for approximately 5–15 hours per week depending on operational and project needs. The work includes occasional availability for time-sensitive IT support or scheduled migrations, and requires strict confidentiality and compliance with applicable healthcare security requirements.

Requirements

Minimum 3 years of professional IT systems administration experience.
Strong hands-on experience with Microsoft 365, Exchange Online, SharePoint, Teams, and Google Workspace.
Demonstrated experience successfully completing business email and mailbox migrations.
Experience migrating email and data between Microsoft 365 and Google Workspace.
Proficiency with DNS, MX records, SPF, DKIM, DMARC, and email routing.
Knowledge of cloud security, identity management, MFA, and access controls.
Understanding of HIPAA security and healthcare data confidentiality.
Experience troubleshooting Mac, Windows, and cloud-based systems.
Strong technical documentation and communication skills.
Independent problem-solving skills.

Nice To Haves

Experience supporting healthcare organizations or HIPAA-regulated businesses.
Microsoft 365 or Google Workspace Administrator certifications.
Experience with Microsoft Entra ID, Intune, and Defender.
Familiarity with migration tools such as BitTitan MigrationWiz, ShareGate, or equivalent platforms.
Experience consolidating multiple companies' cloud environments.
Familiarity with athenahealth or other healthcare EHR platforms.
Experience with Apple Business Manager and Mac/iPhone business environments.
Experience with PowerShell, automation, and cloud administration scripting.

Responsibilities

Administer Microsoft 365, Teams, Outlook, OneDrive, SharePoint, and Exchange Online, including user accounts, licensing, permissions, MFA, and security policies.
Configure SharePoint document libraries, secure file sharing, and access controls; troubleshoot Outlook, Teams, email, calendar, and cloud synchronization issues.
Manage Microsoft Entra ID, identity management, and administrative permissions.
Administer Gmail, Google Drive, Calendar, and Google Workspace Admin Console, including organizational accounts, domains, user permissions, and security settings.
Configure and troubleshoot email routing, DNS, SPF, DKIM, and DMARC, and support secure collaboration between Google and Microsoft environments.
Plan and execute email migrations between Google Workspace, Microsoft 365, Exchange Online, and other email hosting platforms, including historical email, folders, contacts, calendars, and account data.
Perform mailbox-to-mailbox, user-to-user, and domain-to-domain migrations, and support consolidation of business email domains and accounts.
Migrate files between Google Drive, OneDrive, and SharePoint; configure forwarding, aliases, shared mailboxes, distribution lists, and domain routing.
Minimize downtime and prevent data loss during migrations; validate data, mailbox integrity, permissions, and email functionality.
Develop migration plans, backups, rollback procedures, and post-migration verification while maintaining appropriate HIPAA safeguards.
Configure cloud environments to support HIPAA Security Rule compliance, including MFA, encryption, role-based access controls, and secure authentication.
Manage audit logs, security alerts, user access reviews, risk assessments, and remediation; support secure employee onboarding and offboarding.
Maintain backup, retention, recovery, and incident-response procedures, and coordinate with vendors regarding business associate agreements and data protection.
Provide remote technical support and troubleshoot Windows, macOS, iOS, email, and cloud application issues.
Support multiple business entities, domains, and cloud environments; improve integrations among Microsoft Teams, Outlook, Google Calendar, and other business applications.
Implement document management and cloud storage workflows, support automation and software integration, and standardize systems.
Maintain technical documentation, system inventories, and administrative procedures.