System Administrator II

Ellis Medicine•Schenectady, NY

About The Position

The System Administrator II provides advanced support for managing, maintaining, and troubleshooting hospital IT systems and infrastructure. The role requires advanced technical expertise and problem-solving skills and works closely with the IT team to ensure reliable operation of servers, networks, and applications critical to hospital operations. The position also serves as an escalation point for IT Team Leads seeking troubleshooting assistance. Responsibilities include administration of servers, storage, networks, virtual desktop infrastructure, backups, monitoring, Active Directory and related services, SQL databases, and Microsoft 365 services. The role supports healthcare applications, including electronic health records, and helps ensure system security, availability, and compliance with healthcare requirements such as HIPAA. It also involves complex troubleshooting, root cause analysis, ticket management, documentation, mentoring system administrators, and delivering IT projects in coordination with other departments and stakeholders. The role may require lifting and transporting IT equipment, occasional on-call availability, or after-hours support.

Requirements

At least an associate’s degree in Information Technology, Computer Science, or a related field.
2–4 years of experience in a system administration or IT support role; healthcare experience is preferred.
Strong troubleshooting skills and ability to diagnose and resolve complex issues.
Excellent communication skills and ability to interact effectively with technical and non-technical stakeholders.
Strong organizational skills and ability to manage multiple tasks and priorities.
Ability to work effectively independently and as part of a team.
Ability to lift and transport IT equipment as needed.

Nice To Haves

Relevant certifications, such as CompTIA A+ or Microsoft Certified Professional (MCP).
Experience in a healthcare setting.
Advanced knowledge of server, storage, and network technologies.
Proficiency in scripting and automation tools, such as PowerShell.

Responsibilities

Oversee the configuration, installation, and maintenance of servers, storage, and network systems.
Ensure optimal performance, security, and reliability of IT systems, including electronic health records and other critical healthcare applications.
Maintain virtual desktop infrastructure and ensure applications and virtual environments remain accessible and perform optimally.
Maintain backup systems and services for servers, systems, and technical operations while preserving data quality and content.
Monitor servers and ensure system integrity and resource availability.
Maintain Active Directory, Group Policy, DNS, DHCP, and related services, and make appropriate changes.
Address and update tickets assigned to the individual or team queue, and follow up after resolution to confirm solutions meet workflow needs.
Provide root cause analysis of environmental anomalies and issues to help prevent recurring workflow interruptions.
Maintain SQL databases and ensure scheduled maintenance tasks run; coordinate troubleshooting with third parties and other departments as needed.
Maintain Microsoft 365, including admin centers, Intune, and Azure.
Mentor system administrators, provide guidance on complex issues, conduct performance reviews, and support team members’ professional development.
Execute IT projects such as system upgrades, migrations, and implementations; coordinate with departments and stakeholders to meet hospital goals, schedules, and budgets.
Implement and enforce IT security policies and procedures, monitor for security breaches, and respond promptly to incidents.
Ensure IT systems comply with relevant healthcare regulations and standards, including HIPAA, and maintain knowledge of regulatory requirements and industry practices.
Resolve complex technical issues and provide advanced support for system and network problems, collaborating with vendors and other IT professionals.
Maintain detailed documentation of system configurations, procedures, and troubleshooting steps, and make knowledge accessible within the IT team.
Collaborate with IT teams, healthcare providers, and administrative staff to support technology needs and integrate solutions that improve patient care and operational efficiency.
Stay informed about emerging technologies and industry trends, and recommend and implement technologies that could benefit hospital IT infrastructure and performance.
Lift and transport IT equipment as needed.
Provide occasional on-call availability or after-hours support as required.