Systems Engineer II

Urology of Virginia PLLC•Virginia Beach, VA

45m

About The Position

You've been the best person on the help desk for a while now. You close tickets faster than anyone, but that's not what defines you — what defines you is that you're already thinking three layers deeper than the ticket requires. You've got broad shoulders technically, you build things in your homelab on weekends, you're chasing certifications on your own time, and you're ready to stop being the person who escalates and start being the person who gets escalated to. Urology of Virginia is a high-performance specialty practice, and this is not a general IT opportunity. The clinical environment here is complex, fast-moving, and unforgiving — patient care workflows depend on systems working, and the people in this role need to understand why that's true, not just accept it as a given. If you're someone who gets genuinely curious about how an EHR talks to a billing platform, how e-prescribing compliance intersects with DEA regulation, or why a PACS integration failing at 8AM is a fundamentally different kind of fire than a printer being offline — you're the kind of person we're building this role around. You'll start embedded in our help desk environment, working alongside a managed service provider handling frontline support. That's not a ceiling — it's a foundation. The trajectory from here is to grow into the senior engineer who owns the internal infrastructure layer and serves as the connective tissue between our MSP partner and our external security and network administration team. This role will own that middle seat, and the right person will thrive in it.

Requirements

2–4 years of exceptional help desk or desktop support experience
Broad, hands-on familiarity with the Microsoft ecosystem — Windows Server, Active Directory, M365
Demonstrated experience with ticketing platforms and a documented track record of accurate time tracking and thorough ticket documentation
Exposure to networking fundamentals — routing, switching, firewall concepts
Working knowledge of or genuine curiosity about Entra ID, Intune, and Autopilot
Certifications in progress or completed: CompTIA Network+, Security+, or Microsoft fundamentals

Nice To Haves

Familiarity with healthcare IT environments, clinical workflows, or regulated industries
pursuit of Azure Administrator, Endpoint Administrator, or similar tracks is exactly what we're looking for

Responsibilities

Work within our MSP-integrated help desk environment, operating inside established ticketing workflows with a high standard for documentation, time tracking, and ticket hygiene
Serve as an internally-informed escalation resource
Develop deep familiarity with how clinical and administrative staff actually use technology
Support day-to-day health and operations of enterprise infrastructure including Windows Server, Active Directory, Exchange Online, DNS, DHCP, and GPO
Manage and troubleshoot the M365 stack — Exchange Online, Teams, SharePoint, and OneDrive
Support and ultimately lead Autopilot-based device provisioning across clinical workstations, front desk terminals, and provider endpoints
Implement and enforce Entra ID conditional access policies, MFA, role-based access control, and SSO integration with clinical applications
Manage endpoint compliance and application deployment through Intune MDM/MAM across all managed devices
Maintain and improve security posture within the M365 ecosystem — Defender for Endpoint, alerting, and policy configuration
Develop working knowledge of how EHR platforms integrate with surrounding systems — RCM, PACS, e-prescribing, and patient portal
Understand and support controlled substance e-prescribing compliance (EPCS/DEA) from an IT infrastructure and access control standpoint
Build familiarity with the multi-platform clinical environment (currently Epic and Athena for RCM) and maintain readiness to support platform transitions as the organization evolves
Operate with the understanding that downtime in this environment has direct patient care consequences
Collaborate with the IT Director on infrastructure planning, project prioritization, and long-term architecture decisions
Serve as the internal coordination point between the MSP (frontline support) and the external security and network administration team
Participate in disaster recovery planning and testing, system audits, vulnerability assessments, and patch management cycles
Maintain accurate, consistent documentation — network diagrams, system architecture, SOPs, and change records
Mentor incoming or junior staff as the team grows, drawing on your own help desk experience as a reference point