Systems Engineer III (Full-Time)

System Engineer III At The Iowa Clinic

Looking for a career where you love what you do and who you do it with? You're in the right place. Healthcare here is different – we're locally owned and led by our physicians, and all decisions are always made right here in Central Iowa. By working at The Iowa Clinic, you'll get to make a difference while seeing a difference in our workplace. Because as one clinic dedicated to exceptional care, we're committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place. Think you've got what it takes to join our TIC team? Keep reading… A day in the life… Wondering what a day in the life of System Engineer III at The Iowa Clinic might look like?

Own the architecture and strategic direction of the Microsoft cloud platform, including Entra ID, Intune, Autopilot, Azure Virtual Desktop, and Azure IaaS/PaaS, ensuring alignment with organizational goals and industry standards.

Lead infrastructure modernization projects from initiation through delivery, including scope definition, resource planning, risk management, stakeholder communication, and post-implementation review.

Design and govern Entra ID identity architecture, including zero trust principles, conditional access frameworks, Privileged Identity Management, and cross-tenant or hybrid identity scenarios.

Define and maintain Intune standards for endpoint configuration, compliance, security baselines, and application lifecycle, and drive adoption of modern device management across the organization.

Own the Azure Virtual Desktop platform architecture, including host pool topology, image management strategy, FSLogix configuration, and scaling policies aligned to clinical workflow requirements.

Govern Azure IaaS and PaaS resource architecture, including subscription design, naming conventions, tagging standards, policy enforcement via Azure Policy, and cost management frameworks.

Develop and maintain advanced PowerShell and infrastructure-as-code automation using tools such as Azure Bicep or Terraform to standardize deployments and reduce manual configuration drift.

Serve as the senior escalation point for complex infrastructure incidents, driving resolution and leading post-incident reviews that produce actionable improvements.

Evaluate new Microsoft cloud capabilities, licensing changes, and security updates as they are released, and bring forward clear recommendations on adoption timing and implementation approach.

Maintains confidentiality of all patient and financial information in accordance with HIPAA and organizational policy.

This job might be for you if… Education

Bachelor's degree in Information Technology, Computer Science, or a related field, or equivalent work experience with demonstrated technical leadership in enterprise cloud infrastructure.

Qualifications

5 or more years of hands-on infrastructure engineering experience, with at least 2 years focused on Microsoft cloud platforms including Entra ID, Intune, and Azure.

Demonstrated experience owning platform architecture decisions and delivering infrastructure projects end to end.

Bonus points if…

One or more strongly preferred: AZ-104 (Azure Administrator), AZ-305 (Azure Solutions Architect), AZ-140 (Azure Virtual Desktop), SC-300 (Identity and Access Administrator), or MS-102 (Microsoft 365 Administrator). AZ-500 (Azure Security Engineer) is a plus.

Know someone else who might be a great fit for this role? Share it with them! What's in it for you

One of the best 401(k) programs in central Iowa, including employer match and profit sharing

Employee incentives to share in the Clinic's success

Generous PTO accruals and paid holidays

Health, dental and vision insurance

Quarterly volunteer opportunities through a variety of local nonprofits

Training and development programs

Opportunities to have fun with your colleagues, including TIC night at the Iowa Cubs, employee appreciation tailgate party, Adventureland day, State Fair tickets, annual holiday party, drive-in movie night… we could go on and on

Monthly departmental celebrations, jeans days and clinic-wide competitions

Employee rewards and recognition program

Health and wellness program with up to $350/year in incentives

Employee feedback surveys

All employee meetings, team huddles and transparent communication