Systems Engineer

ECG, the most experienced healthcare consulting firm working in the U.S. , is ranked as a Best Midsized Firm to Work For 2025 by Consulting Magazine . At ECG, our primary emphasis is on quality—in our people as well as our services—and we’re seeking others who appreciate our high standards of excellence.

What’s in It for You: Work with Purpose

At ECG, your contribution will have meaningful impact. The work you do will ultimately help health systems optimize performance and meet the needs of the communities they serve—and that’s just the beginning. We’re looking for team players, culture builders, problem-solvers, and self-starters to collaborate, take on challenging projects, and find new ways to make a positive impact in the healthcare services sector. ECG is committed to ensuring a supportive, inclusive, and equitable work environment that embraces DEI, where we recognize performance, communicate openly and transparently, and value work-life balance.

Join Our IT Department

When you work in IT, we empower you to be your best. We hire you for your ability, integrity, and commitment to keeping pace with the ever-changing technology landscape.

Your Opportunity with ECG: Systems Engineer

As a systems engineer at ECG, you’ll provide support and administration for ECG’s cloud-based infrastructure. In this role, you will be responsible for deploying, configuring, and providing ongoing support for cloud-based infrastructure and Microsoft 365 services to our consultants. You will work closely with internal teams and external stakeholders to ensure reliable performance, security, and optimization of cloud environments.

Your Responsibilities May Include

• Assisting senior systems engineers with the administration and maintenance of the ECG cloud environment.
• Maintaining ECG’s cloud-based infrastructure, including Windows and Linux server environments, Entra, Group Policy, certificate services, DNS, DHCP, and Azure update service.
• Working with ECG business units to identify business requirements and implementing cloud-based solutions to meet those requirements.
• Maintaining legacy AD and Entra-based user accounts and PowerShell, runbooks, and Power Apps.
• Monitoring and reporting on Azure-based resource costs.
• Administering and supporting the Exchange environment.
• Assisting in identifying and containing security-related events, incident response procedures, and ensuring systems conform to security best practices.
• Providing tier 2 and 3 escalation and support for Azure and network infrastructure.
• Maintaining and performing backup and recovery of ECG cloud resources.
• Maintaining and regularly applying software upgrades and security updates to all cloud compute resources and network infrastructure.
• Working with vendors and other partners on cloud resource and network implementations, optimization, troubleshooting, and maintenance.
• Maintaining current and accurate system documentation and operating procedures related to network, backup and recovery, and cloud resources.
• Promoting system reliability and efficiency by implementing system standards and operational best practices.
• Maintaining a monitoring system for high availability and reliability, responding appropriately based on alert levels, and analyzing utilization trends (Azure Monitor, SNMP, Meraki).
• Performing root cause analyses of problems, recommending solutions, and implementing corrective measures to minimize future downtime and document procedures.
• Updating job-related knowledge by participating in educational opportunities, including training and technical conferences, professional organizations, etc.
• Adhering to published IT support service-level agreements.

Our Expectations of You

• Three or more years of progressive experience working within a hybrid or cloud-based environment
• Demonstrated expertise with Microsoft Azure, AWS, other cloud services, Active Directory, Microsoft 365, identity services (e.g., Entra), infrastructure as code, server and network virtualization
• Three or more years’ networking administration and infrastructure experience in an SMB environment
• Demonstrated expertise in supporting an Ethernet/wireless/VoIP or unified communications infrastructure
• Bachelor’s degree in computing science, computer information systems, or engineering, or equivalent work experience
• Experience with Bicep, Azure DevOps, CI/CD pipelines
• Experience working with network and infrastructure vendors
• Experience with SQL Server and SharePoint is a plus
• Experience with Microsoft Fabric or Foundry AI is a plus
• Understanding of and experience with network, server, and application security; HIPAA experience is a plus
• Ability to analyze, solve, and debug complex technical issues
• Strong interpersonal and communication skills, with the ability to perform effectively on a team
• Good project management and documentation skills
• Available to work the occasional weekend and/or evenings for planned implementation and maintenance
• Up to 10% domestic travel; occasional in-office attendance required

Job Locations

Remote, but lives within 30 miles of any ECG office (Atlanta, Boston, Chicago, Dallas, Minneapolis, San Diego, St. Louis, or Washington, DC)

Schedule

Full time/exempt

What You Can Expect of Us

To reward our driven, innovative, and passionate employees, we’ve built a company culture that’s centered on performance. We offer an attractive compensation package, challenging work, and an entrepreneurial environment where you can take ownership of your career—and get out as much as you put in.

The estimated base salary range for this job is $104,000 – $125,000 annually. It represents a good faith estimate of the range that ECG reasonably expects to pay at the time of the job posting. The actual salary paid will vary based on multiple factors, including but not limited to years of experience, special skills, and market changes. This job is eligible to participate in ECG's annual incentive compensation program, which reflects ECG's pay-for-performance philosophy. The job is also eligible to participate in ECG’s benefit plans, which include medical, dental, and vision coverage; a 401(k) matching program; unlimited PTO; and other wellness programs .

About ECG

With knowledge and expertise built over the course of 50-plus years, ECG is a national consulting firm that is redefining healthcare together with its clients. ECG offers a broad range of strategic, financial, operational, and technology-enabled consulting services encompassing health system performance improvement, ambulatory care planning, market consolidation, and physician enterprise optimization. ECG is an industry leader, offering specialized expertise to clients across the full continuum of care, including hospitals, health systems, medical groups, academic medical centers, children’s hospitals, cancer centers, ambulatory surgery centers, investors, and payers/health plans.

Apply now and make an impact for years to come.

To begin the recruitment process, please submit your resume via our career site at .

ECG provides equal employment opportunities to all employees and applicants for employment without regard to sex, race, color, religion, national origin, citizenship, ancestry, age, disability, pregnancy, medical condition (cancer and genetic characteristics), genetic information, gender, gender identity or expression, sexual orientation, marital status, military or veteran status, or any other legally protected characteristic. We participate in E-Verify as part of our onboarding process. Having the permanent legal right to work in the United States is a condition of employment. ECG is not currently able to provide assistance to candidates requiring sponsorship or a visa.

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