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Senior Systems Engineer (MSP) (Level 3)

DSS - IT & Cyber Security Management
Westbury, NY Full Time
POSTED ON 12/19/2025
AVAILABLE BEFORE 2/19/2026
We are seeking a highly skilled Level 3 IT Support Engineer to serve as a senior escalation point for complex technical issues across a multi-site environment. This role requires deep expertise in infrastructure, networking, security, and systems administration, with the ability to lead incident resolution, mentor junior technicians, and support business-critical healthcare operations. Experience supporting Dental and/or Medical practices is strongly preferred, including familiarity with EHR/PMS systems, clinical workflows, and healthcare compliance requirements.  --- Key Responsibilities Advanced Technical Support & Escalation Act as the highest-level escalation point for complex desktop, server, network, and application issues Troubleshoot and resolve advanced issues involving Active Directory, Azure AD, Group Policy, DNS, DHCP, and identity systems Lead root cause analysis (RCA) and implement permanent corrective actions Handle high-impact incidents with urgency and professionalism  Infrastructure & Systems Engineering Design, deploy, and maintain Windows Server environments (on-prem and cloud) Support virtualization platforms (VMware, Hyper-V, Azure) Manage Microsoft 365 (Exchange Online, SharePoint, OneDrive, Intune, Defender) Support backup, disaster recovery, and business continuity solutions  Networking & Security Diagnose and resolve advanced network issues (firewalls, VPNs, VLANs, routing) Experience with firewall platforms such as Meraki, SonicWall, Fortinet, or Palo Alto Implement and support security controls including MFA, EDR/XDR, DNS filtering, and email security Assist with security incidents, investigations, and remediation efforts  Healthcare Technology Support (Preferred) Support Dental and/or Medical IT systems such as: Dental: Dentrix, Dentrix Ascend, Eaglesoft, Open Dental, Dexis, imaging systems Medical: EHR/EMR platforms, practice management systems, clinical applications  Understand clinical workflows and minimize disruption in patient-care environments Ensure systems align with HIPAA and healthcare compliance requirements  Leadership & Mentorship Mentor Level 1 and Level 2 technicians Assist in creating documentation, SOPs, and knowledge base articles Participate in technology planning, standardization, and lifecycle management Collaborate with vendors and third-party partners   --- Required Qualifications 5 years of progressive IT support experience, including Level 3 or senior engineering responsibilities Strong expertise in Windows Server, Active Directory, Microsoft 365, and networking Proven ability to troubleshoot complex, multi-system issues independently Excellent communication skills and customer-facing professionalism Experience working in structured ticketing systems and following SLAs   --- Preferred Qualifications Dental and/or Medical IT experience Healthcare compliance knowledge (HIPAA, HITECH) Experience in multi-site or MSP environments Certifications such as: Microsoft (Azure, M365) Cisco / Meraki Security certifications (Security , CISSP – a plus)  Experience with automation, scripting (PowerShell), or RMM tools   --- What Success Looks Like in This Role Critical issues are resolved quickly with minimal business impact Infrastructure is stable, secure, and well-documented Junior technicians grow through mentorship and guidance Healthcare systems remain reliable, compliant, and optimized.  Just tell me where this is going.

Salary : $100,000 - $155,000

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