Senior Epic Client Systems Administrator (ECSA)

Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking.

The Senior Epic Client Systems Administrator (ECSA) is an advanced technical leadership role serving as the primary escalation point and subject matter expert for Epic client access, web, and service server environments hosted on Amazon Web Services (AWS). This position drives architecture decisions for Epic on AWS, leads complex infrastructure projects, mentors the ECSA team, and ensures the strategic alignment of Epic platform operations with organizational goals.

The Senior ECSA partners with cross-functional teams to deliver scalable, secure, and highly available AWS-hosted solutions that directly support clinical operations and patient care. Success is measured by platform reliability, team development outcomes, successful delivery of strategic initiatives, and continuous improvement of operational processes.

How We Work:

• East Coast Alignment: Our core operational and collaboration hours follow the Eastern Time Zone (ET), keeping our workflows synchronized with our primary clients and systems.
• The selected candidate must be available during standard Eastern Time business hours to support client operations. Flexibility for offhours coordination with global or distributed teams may be required. A reliable highspeed internet connection is required.

• MissionDriven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most.
• Autonomy & Ownership: We trust you. You’ll lead projects, define success, and manage complexities with total support.
• A Culture of Innovation: Have a fresh perspective? We want it. We encourage risktaking and continuous improvement.
• Continuous Growth: We fuel your "restless curiosity" with opportunities to expand your skillset and mentor others.

The Senior Epic Client Systems Administrator (ECSA) partners with cross-functional teams to deliver scalable, secure, and highly available solutions that directly support clinical operations and patient care.

Success is measured by platform reliability, team development outcomes, successful delivery of strategic initiatives, and continuous improvement of operational processes.

Work Location & Arrangement 100% Remote Work from where you thrive! This position is fully remote, offering you the autonomy and trust to manage your day and deliver exceptional results from your home office. While you’ll be working remotely, you won't be isolated—we foster a collaborative, connected virtual culture powered by modern tools, regular team check-ins, and strong support to keep you engaged and growing.

Special Factors:

• Participation in oncall and afterhours support rotation is required; serves as final escalation point during critical incidents
• Must be available to lead emergency response efforts during planned changes and unplanned outages
• Position supports HIPAAregulated healthcare environments; compliance with all applicable security and privacy requirements is mandatory
• May lead or coordinate multiday Epic upgrade windows, golive events, or disaster recovery exercises
• Expected to maintain current knowledge of Epic platform developments and industry best practices through ongoing professional development

• Lead the design, architecture, and optimization of Epic web, client deployment, and service server platforms on AWS to ensure scalability and high availability
• Serve as the primary escalation point for complex technical issues across all Epic client systems environments hosted on AWS
• Drive strategic planning for platform upgrades, AWS infrastructure capacity management, and technology refresh cycles
• Collaborate with cloud engineering team on AWS architecture decisions including EC2 instance optimization, Elastic Load Balancing strategies, Auto Scaling, and VPC design for Epic workloads
• Develop and implement automation frameworks leveraging AWS services and PowerShell to improve operational efficiency
• Lead crossfunctional initiatives including Epic upgrades, golive events, and disaster recovery exercises across AWS regions
• Establish and maintain operational standards, documentation, and best practices for Epic on AWS
• Evaluate emerging AWS services and recommend adoption to improve Epic platform performance, reliability, and cost efficiency
• Participate in AWS infrastructure design decisions and capacity planning to ensure longterm system health
• Coordinate with vendor partners, Epic representatives, and AWS support on escalated issues and strategic initiatives
• Lead incident management for critical events, including root cause analysis and preventive action planning across the AWS stack
• Perform other duties, responsibilities, and special projects, as assigned to support departmental and organizational objectives.

• 7 plus years of experience administering Microsoft Windows Server environments in complex enterprise settings, or equivalent combination of progressive experience
• 5 years’ previous experience as an ECSA.
• Strong proficiency with AWS services including EC2, EBS, VPC, Elastic Load Balancing, Auto Scaling, CloudWatch, CloudTrail, IAM, and Systems Manager
• Demonstrated expertise managing largescale or distributed application deployment and virtual desktop environments (Citrix, VMware Horizon, or similar)
• Advanced proficiency with enterprise web server platforms, load balancing technologies (F5 BIGIP, NetScaler), and service architecture
• Deep understanding of networking, security protocols, Active Directory, DNS, PKI, and certificate management
• Proven experience supporting Epic environments including MyChart, Interconnect, Hyperspace Web, and Epic Print Service
• Advanced scripting and automation skills (PowerShell, Python, or similar) with demonstrated ability to build operational tooling
• Experience leading technical projects, coordinating crossfunctional teams, and driving outcomes without direct authority
• Strong analytical and strategic thinking skills with the ability to translate business requirements into technical solutions
• Excellent communication skills with demonstrated ability to present complex technical topics to executive and nontechnical stakeholders
• Proven track record of mentoring technical staff and contributing to team development in a collaborative, inclusive environment
• Experience supporting Epic environments such as MyChart, Interconnect, Hyperspace Web, or Epic Print Service preferred
• Experience with load balancing technologies such as AWS ALB/NLB, F5 BIGIP, or NetScaler preferred

• Bachelor's degree in Information Technology, Computer Science, or related field, or equivalent combination of education and experience. 710 years of experience is required in lieu of degree.
• Epic Hyperspace Deployment Administration certification is required.
• Epic Web and Service Server Administration certification required.
• AWS Solutions Architect Associate or AWS SysOps Administrator Associate certification is preferred.

• Minimal travel (up to 15%) may be required for training, golives, or client support activities. Travel is primarily regional with occasional overnight trips.

• Engineers are expected to be able to teamlift heavy equipment (up to 50 pounds per engineer) climb ladders and operate certain tools such as wrenches, screwdrivers, cable crimpers and other tools typical to this line of work