Overview
Skills
Job Details
About the Role
We are hiring an experienced IT Manager to lead a small internal IT team supporting a healthcare organization operating in a Microsoft-centric environment. This is a newly created role designed to bring proven leadership, structure, and accountability to a growing IT operation.
The ideal candidate has hands-on technical depth in Microsoft infrastructure and cloud services, strong communication skills, and a leadership style that balances flexibility with accountability. You'll manage a small team while remaining involved in daily technical operations and project execution.
What You ll Do
Leadership & Team Management (70%)
- Lead and develop a team of 4+ IT staff (helpdesk and network/system administrators) 
- Assign tasks, manage workloads, and ensure timely completion of support tickets and projects 
- Coach, mentor, and build skill sets within the team 
- Serve as the escalation point for technical and operational issues 
- Maintain a collaborative, high-performance culture without micromanagement 
Technical Responsibilities (30%)
- Provide hands-on support within a Microsoft environment, including Active Directory, Azure AD, M365, and endpoint management 
- Support hybrid infrastructure and assist in the organization s transition toward Azure-first environments 
- Participate in network and infrastructure troubleshooting (switching, basic routing, firewall awareness) 
- Assist in workstation lifecycle, patching, and security best practices 
- Collaborate with external vendors and security partners 
Security, Compliance & Operations
- Promote a security-focused IT culture with risk awareness and best practices 
- Support HIPAA compliance requirements for systems, data access, and user security 
- Assist with documentation, policies, procedures, and user access controls 
- Work with external partners for security monitoring, tools, and escalations as needed 
What We re Looking For
Required
- 2 5+ years of IT management or team leadership experience 
- Hands-on background in Microsoft technologies: Active Directory, Azure AD, M365 
- Experience in hybrid and/or Azure cloud environments 
- Strong problem-solving and escalation management skills 
- Familiarity with basic networking concepts (switching, VLANs, connectivity troubleshooting) 
- Ability to balance leadership with hands-on technical work 
- Excellent communication and user support skills 
- Local to the Portland metro area with ability to be onsite twice per week 
Preferred
- Experience in healthcare or other regulated industries 
- Understanding of HIPAA, PHI access rules, and compliance frameworks 
- Experience with workstation refreshes, imaging, endpoint management, or MDM 
- Experience supporting Cisco/similar switching environments 
- Exposure to API integrations and vendor partnership management 
Work Environment & Culture
- Hybrid role: onsite 2 days per week, remote the rest 
- Collaborative environment with flexibility and autonomy 
- Wear multiple hats culture no rigid silos 
- Team that works hard but maintains a positive and low-ego environment 
- Fast hiring process with virtual and in-person interview flexibility 
Why This Role Matters
This is a high-visibility position in a stable healthcare organization. After multiple internal promotions didn t provide the leadership structure needed, leadership created this new role for someone with proven experience and the ability to elevate the department. You ll build process, increase efficiency, grow your team, and help guide the move toward a cloud-first environment.
How to Apply
If you re a hands-on IT leader looking to make an impact in a small team environment and help modernize a healthcare organization s infrastructure, we d like to hear from you.