[Hiring] Infrastructure and Database Team Lead @MediQuant LLC

Role Description

MediQuant helps more than 250 health systems and hospital networks retire, secure, and modernize their legacy healthcare data. As Infrastructure & Database Team Lead, you’ll own the infrastructure, systems, and standards that make it possible.

The Infrastructure & Database Team Lead owns the availability, reliability, security, and performance of MediQuant infrastructure, cloud, and database environments — both the systems that run MediQuant business and the platforms that power services for its healthcare clients. This role leads a combined technical team, sets standards across both domains, and partners closely with the IT Operations Manager on roadmap, budget, and compliance priorities.

Qualifications

• Critical Thinking
• Technical Acumen — Infrastructure & Database
• Professionalism and Composure
• Documentation Skills
• Interpersonal and Communication Skills
• Flexibility and Self-Motivation
• Team Leadership and Coaching

• Bachelor’s degree in Computer Science, Information Technology, or a related field; equivalent work experience will be considered in lieu of degree.
• 3+ years of progressive infrastructure/cloud experience with Microsoft technologies (Azure, Windows Server, Microsoft 365), or 3+ years of hands-on SQL Server database administration experience — with working fluency in the other domain.
• 1+ years of experience mentoring, informally leading, or coordinating technical staff or project delivery.
• Experience owning BCDR, incident management, or change management in a regulated environment.
• Hands-on administration experience in Azure infrastructure, Windows Server, and Microsoft 365 (identity, endpoint management, Exchange Online) and/or SQL Server database administration (backup/recovery, performance tuning, high-availability configuration).

Requirements

• Owns day-to-day operations, performance monitoring, and configuration of MediQuant’s infrastructure, cloud, and database environments — both internal and client-facing.
• Owns the Business Continuity and Disaster Recovery (BCDR) process, documentation, and testing across infrastructure and database systems.
• Leads incident, problem, and change management for escalated infrastructure and database issues through to resolution; documents root cause and resolution in knowledge base articles.
• Develops and maintains the infrastructure and database services roadmap in partnership with the IT Operations Manager.
• Monitors service levels and communicates proactively with internal stakeholders and clients on status, risk, and incidents, operating within the SLAs/OLAs negotiated by the IT Operations Manager.
• Ensures the team maintains on-call/escalation coverage, escalating unresolved gaps to the IT Operations Manager.
• Owns execution of HIPAA and HITRUST CSF compliance controls for infrastructure and database systems, including evidence collection supporting MediQuant’s HITRUST r2 certification.
• Ensures data integrity, access controls, and secure handling of Confidential Data and PHI across all systems under this role’s oversight.
• Partners with Security/Compliance leadership on audit readiness, risk assessments, and remediation tracking.
• Scopes, sequences, and manages a portfolio of infrastructure and database projects: resourcing, milestone tracking, cost/benefit analysis, and risk management.
• Assembles project teams, assigns responsibilities, and coordinates with the PMO/project management function on schedule and dependencies.
• Independently verifies the actual state of systems, projects, and initiatives owned by this role, rather than relying solely on team- or vendor-reported status.
• Proactively escalates risk, slippage, or emerging issues to the IT Operations Manager in advance of impact, with a recommended course of action.
• Leads technical evaluation of infrastructure and database vendors and tooling and recommends vendor selection and RFP/NDA/MSA terms on the technical side.
• Provides budget input (actual-vs-planned technology spend for infrastructure and database systems) to the IT Operations Manager.
• Monitors Azure resource utilization and spend, recommending rightsizing or reserved-capacity opportunities to control cloud cost.
• Builds 30-60-90-day onboarding plans and conducts onboarding one-on-ones for new hires; provides input for their early (90-day) performance review.
• Holds regular one-on-ones and conducts performance reviews at agreed intervals (90-day, semi-annual, annual) against competency standards set by Technology Leadership.
• Builds a day-to-day learning environment; identifies and nominates staff for training, coursework, and certifications.
• Manages timekeeping and leave administration for direct reports, including approval of timecards, PTO, and schedule adjustments to maintain operational coverage and payroll accuracy.
• Interviews and evaluates candidates and recommends hire/no-hire decisions, partnering with Human Resources throughout.
• Recommends performance ratings and Performance Improvement Plans (PIPs) to the IT Operations Manager for sign-off.
• Owns daily task, shift, and queue allocation to meet coverage and delivery commitments for the team.
• Identifies and closes cross-training and skill-gap coverage needs within the team.
• Translates IT Operations Manager-set team goals into day-to-day priorities and assignments.
• Provides input on intra-team staffing and FTE allocation.
• Recommends succession candidates and escalates staffing or resourcing risk to the IT Operations Manager.
• Ensures documentation and knowledge articles for infrastructure and database processes, releases, and recurring incidents are created and maintained.
• Leads the team in developing training materials and onboarding documentation for automated deployment and support processes.

Benefits

• Full-time position with typical hours Monday through Friday, 8:30 a.m. to 5 p.m.
• Some flexibility in hours is allowed, but the employee must be available during the core work hours of 9:00 a.m. to 3:30 p.m.
• Occasional evening and weekend work may be required as job duties demand.
• Employees may work from corporate headquarters or work from home.
• Remote workers will be provided with a company laptop and are responsible for maintaining access to high-speed internet.