Junior Systems Engineer

Healthcare Systems and Technologies, LLC•Nashville, TN

1d•Remote

About The Position

At HST Pathways, we’re passionate about transforming healthcare. Our innovative software empowers surgery centers to provide care that’s not only more cost-efficient but also leads to better outcomes for patients. Backed by Bain Capital, we’re a profitable, fully remote SaaS company that’s growing quickly and entering an exciting new stage of expansion. With that growth comes opportunity—for us, our customers, and the people who join our team. We’re looking for someone who is authentic, inspiring, and motivated to grow. You’re a quick learner who enjoys working in a fast-paced, evolving environment. You value diversity and inclusion and want to be part of a company that puts people first. Our values resonate with you, and you’re ready to embody them in your daily work. In this role, you’ll roll up your sleeves and take on a high-volume workload with energy and enthusiasm. You are data-driven and results-oriented, but you also know the importance of building strong relationships and contributing to a positive team culture. Most importantly, you’re excited about the chance to make an impact—not only within our company but also in the broader healthcare community we serve. At HST Pathways, you’ll find more than just a job — you’ll find a place to grow, contribute, and belong. We offer the flexibility of remote work and the stability of a well-backed, profitable company. You’ll collaborate with talented teammates who are passionate about healthcare innovation and committed to each other’s success. The Junior Systems Engineer helps design, build, automate, and support infrastructure across our AWS first environment, with additional systems hosted in Azure, GCP, and our colocation facility. This role is ideal for someone early in their engineering career who has foundational experience with cloud technologies, identity services, Windows/Linux systems, and basic automation—and who is ready to grow into a full systems engineer focused on architecture, performance, automation, and large scale systems work. You will collaborate closely with other technical resources and cross functional teams to enhance the reliability, security, and scalability of our infrastructure while learning engineering best practices across cloud, identity, automation, and systems architecture.

Requirements

Hands on experience with AWS EC2 (instances, security groups, basic networking).
Foundational experience with Windows Server, Linux, and Active Directory.
Basic understanding of TCP/IP networking, DNS, routing, and firewalls.
Ability to troubleshoot methodically and escalate appropriately.
Basic scripting ability (PowerShell, Bash, or similar).
Strong written and verbal communication skills.
Detail orientation with a focus on accuracy and documentation quality.
Curious, motivated engineer who wants to grow into systems architecture and cloud engineering.
Comfortable working in environments with strict security and compliance requirements.
Strong ownership, follow through, and a commitment to building reliable systems.
A collaborative team member with a positive mindset and eagerness to learn.

Nice To Haves

1–3 years of experience in systems engineering, systems administration, IT operations, or related technical fields.
Exposure to infrastructure automation (Terraform, CloudFormation, Ansible, DSC).
Familiarity with CI/CD pipelines or GitOps concepts.
Experience participating in cloud migrations or major technical upgrades.
Understanding of performance analysis concepts (CPU, disk, queries, caching, I/O).
Familiarity with HIPAA, SOC 2, or other regulated environments.
Cloud certifications (AWS Cloud Practitioner, AWS Solutions Architect – Associate) are a plus.

Responsibilities

Identity & Directory Services Engineering
Assist in the design, maintenance, and modernization of Microsoft Active Directory and related identity systems.
Support AD forest/domain structure, OU design, and Group Policy lifecycle management.
Troubleshoot complex identity and authentication issues involving AD, DNS, certificates, cloud identity connectors, and application integrations.
Participate in identity modernization projects such as:
Azure AD/Entra ID integrations
Federation / SSO improvements
Conditional access and MFA hardening
Domain cleanup, consolidation, and lifecycle updates
Contribute to AD automation using PowerShell, DSC, or infrastructure as code patterns.
Cloud & Infrastructure Engineering
Assist in designing and implementing infrastructure in AWS (EC2, VPC, IAM, networking, storage).
Gain exposure to supporting parallel environments in Azure, GCP, and on prem/colo infrastructure.
Contribute to performance and capacity planning, load modeling, and cost/resource optimization.
Participate in design reviews and propose improvements to scalability, reliability, or architectural patterns.
Advanced Troubleshooting & Multi Layer Diagnostics
Assist in diagnosing cross system, multi layer issues involving servers, networking, identity, storage, databases, or application dependencies.
Collect logs, telemetry, and performance data to support deep dive investigations.
Collaborate with senior engineers on root cause analysis for complex issues across cloud, OS, and application layers.
Help tune systems for performance, resiliency, and reliability.
Automation, Tooling & Infrastructure CI/CD
Contribute to building and maintaining infrastructure automation using:
Terraform
CloudFormation
Ansible
PowerShell DSC
Bash/PowerShell scripting
Assist with developing CI/CD pipelines for infrastructure deployments, configuration updates, and drift detection.
Help build automation tools to eliminate manual operational tasks.
Large Scale Deployments & Modernization Projects
Participate in planning and assisting with large system deployments, migrations, and upgrades, including:
Hybrid → cloud migrations
SQL Server upgrades and data migrations
Identity modernization initiatives
Container platform upgrades (ECS/EKS, Kubernetes clusters)
Support environment build outs including provisioning, validation, documentation, and post deployment testing.
Operational Foundations
Support Windows Server and Linux environments, including updates, troubleshooting, monitoring, and incident response.
Assist with system patching, backup validation, access reviews, and compliance evidence (SOC 2, HIPAA).
Create and maintain technical documentation for systems, processes, and architecture.