Lead IT Infrastructure Support Engineer
Remote | Full-Time | Infrastructure & Cloud Platforms
Who We Are
NuvemRx helps community health providers deliver on their mission by simplifying the complexity of pharmacy operations, with a suite of scalable solutions that integrate software, intelligence, and expert support to illuminate savings, expand access, and elevate patient care.
What We Are Looking For
At NuvemRx, we hold a high bar because our work directly impacts patient care. We look for people who embody our core values:
Mission Always: Every choice is a chance to serve our customers and improve healthcare
Be a Pioneer: Take initiative, solve problems, and build what does not yet exist
Do the Right Thing the Right Way: Lead with integrity, compliance, and thoughtful execution
Stronger Together: Own your role, collaborate deeply, and elevate the team
We are also a fast-growing company, which means you bring strong ownership, comfort with ambiguity, resilience, and a bias toward action.
About the Role
The Lead IT Infrastructure Engineer is a senior technical role responsible for implementing and maintaining NuvemRx’s cloud and on-premises platforms. In this role you will be a primary contact for our Microsoft Azure, Microsoft 365, Entra ID, Pharmacy Management and call center technology environments. You will work cross-functionally with Cloud Infrastructure, Engineering, and business teams to translate business needs into reliable, secure, and scalable technology solutions. Success in this role means measurably improved infrastructure stability, problem resolution, reduced manual toil through automation, and a high-performing support team you help to develop.
What You’ll Do
- Lead the ongoing administration of Microsoft Azure, Microsoft 365, and Entra ID, ensuring alignment with enterprise security standards and identity architecture.
- Partner with Cloud Infrastructure, Engineering, Architecture & Security to design and enforce cloud security controls, identity governance policies, and access management frameworks.
- Implement, monitor, and maintain Azure solutions across compute, storage, networking, and security, driving reliability and cost efficiency.
- Collaborate with Application Development to ensure cloud infrastructure meets application performance and availability requirements.
- Support Pharmacy Management Implementations and Migrations
- Manage the Call Center Technology Solution(s).
- Configure, deploy, support PC/Mac/IOT devices, network printers, mobile phones, camera's, DVR and related end-user equipment.
- Provide support for computer hardware/software, network infrastructure accurately and quickly.
- Liaise with third-party software support vendors and equipment vendors.
Support Infrastructure Team Leadership
- Provide technical leadership for Active Directory, Intune, RMM and Security Vulnerability software and platforms, driving stability, optimization, and modernization initiatives.
- Assist current Infrastructure leadership in assigning, prioritizing, and track work items across the infrastructure team; conduct daily stand-ups to review status and address emerging issues.
- Lead and mentor infrastructure team members, providing day-to-day technical direction and professional development guidance.
- Manage KPI’s and support tool platform consistency
- Support provisioning and deprovisioning activities of users and endpoints, and maintain accurate documentation of team tasks and progress.
- Follow up on remediation of audit and penetration testing findings; provide after-hours support for infrastructure emergencies and occasional weekend maintenance.
What You Bring
Core Capabilities (What you need to be successful in this role)
- Seven or more years of experience administering enterprise infrastructure environments including virtualization, cloud platforms, and identity systems.
- Demonstrated ability to implement and manage Microsoft Azure, Microsoft 365, and Entra ID with measurable outcomes in stability, security, and efficiency.
- Comprehensive knowledge of Active Directory administration—Users & Groups, Group Policy, DNS, and RBAC—and proven application of best practices.
- PowerShell automation expertise: design, develop, govern, and maintain scalable scripts and automation frameworks that reduce operational toil.
- Ability to manage multiple priorities and adapt to changing requirements while maintaining accuracy and attention to detail.
- Critical Thinking and Problem-Solving Skills
- Proactive identification of items and remediation
Excellent verbal and written communication skills, with the ability to present technical information clearly to diverse audiences and stakeholders.
- Bachelor’s degree in Computer Science, Information Systems, or a related field.
- Experience designing and implementing process improvements and automation to streamline operational tasks and improve consistency.
- Familiarity with cloud architectures, networking, Call Center Telephone
Who Thrives in This Role
- You take ownership of activities—monitoring proactively, resolving issues decisively, and driving improvements without waiting to be asked.
- You are technically rigorous and detail-oriented, and that shows up in your documentation, your solutions, and the standards you set for the team.
- You proactively collaborate with other teams to align infrastructure decisions with business needs.
- You are comfortable with ambiguity and fast-changing priorities, and you use strong organizational skills to keep the team focused and unblocked.
- You identify process gaps and redundancies and take action—through automation, improved runbooks, or cross-team alignment—to drive better, more consistent outcomes.
Benefits
- Remote-first work environment
- Competitive compensation
- Flexible PTO
- Medical, dental, vision
- 401(k) with match
- Life and disability coverage
- Employee Assistance Program
- Mission-driven team
Compensation
The expected base salary for this role is $80,000–$85,000. This range may vary based on factors such as experience, skills, location, and internal equity.
NuvemRx complies with applicable pay transparency laws. The compensation range listed reflects the expected base salary at the time of posting, and actual compensation may vary.
NuvemRx is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other protected status in accordance with applicable federal, state, and local laws.
NuvemRx is committed to providing reasonable accommodations to qualified individuals with disabilities. If you need assistance or an accommodation during the application or interview process, please contact us at recruiting@nuvemrx.com.
7+ years administering enterprise infrastructure, Azure, Microsoft 365, Entra ID, Active Directory, PowerShell automation, virtualization, cloud platforms, and identity systems; bachelor's degree required.
Key Responsibilities
- administering infrastructure
- implementing cloud solutions
- mentoring team members
Skills & Tools
Microsoft Azure, Microsoft 365, Entra ID, Active Directory, Intune, RMM, PowerShell, DNS, RBAC
Job Details
- Category: Information Technology
- Seniority: Senior Level
- Commitment: Full Time
- Workplace: Remote — United States
- Salary: USD 80,000 – 85,000 / year
- Languages: English
Benefits
- 401k matching
- Generous paid time off
- Retirement plan
About Nuvem
A healthcare technology company that helps community health providers simplify pharmacy operations and improve patient care. — Industry: Healthcare