Senior Azure Cloud Engineer

About this role

Description
Who We Are - Motivated by Purpose. Powered by Clinical Expertise.
Founded in 1983, we’re a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.
Excellence starts with our people.
WE OFFER

• A competitive compensation package.

• Benefits include healthcare, vision, and dental insurance, a generous 401 (k) match, paid vacation, personal time, and holidays.

• Growth and training opportunities.

• An award-winning remote work environment

POSITION OVERVIEW
Our Principal Cloud Engineer is a senior technical leader responsible for designing, governing, and optimizing cloud infrastructure and platforms across the organization.
In this role, you will serve as the organization's senior technical authority for cloud architecture and infrastructure, bringing extensive expertise to establish engineering standards and governance, and to lead complex cloud initiatives from design through delivery.
Beyond technical leadership, you will mentor and guide the Systems Administration and Information Security teams, ensuring knowledge is shared through documentation, standards, and coaching. You will translate complex technical concepts into clear business and operational decisions, provide leadership during critical production events, and set the benchmark for engineering excellence.
Roles:

• Serve as the highest-level technical authority and subject matter expert for all Azure cloud infrastructure and architecture

• Define cloud engineering standards, architectural patterns, and governance practices that the organization adopts and follows

• Own and lead cloud infrastructure projects end-to-end — from design and planning through execution, delivery, and post-deployment operations

• Support the Manager of IT & IS on cloud strategy, architecture roadmap, and platform investment decisions

• Mentor and develop the Systems Administration and Information Security teams — building organizational cloud competency through hands-on guidance, deliberate coaching, and knowledge transfer

• Participate in evaluating and onboarding new cloud engineering talent as the team grows

• Collaborate with Development teams to design and deliver application infrastructure on Azure

• Provide Tier 2/3 escalation support to the IT Help Desk for complex infrastructure and cloud issues

• Partner with the Information Security team to implement and evidence compliance controls for HITRUST 11.3r2 and SOC2

Major Responsibilities or Assigned Duties:

• Architect, deploy, and manage a secure Azure cloud environment including hub-spoke network topology, Virtual Networks, Network Security Groups, Azure Firewall, Application Gateway, API Management, and Private Endpoints

• Define and enforce cloud governance standards including subscription management, Azure Policy, resource organization, tagging taxonomy, and cost management across all environments

• Establish and maintain Infrastructure as Code (Terraform and/or Azure Bicep) practices including module structure, state management, review workflow, and environment promotion — ensuring all infrastructure changes are version-controlled, peer-reviewed, and auditable with no undocumented manual changes in production

• Build and own CI/CD pipelines for infrastructure deployments with automated security scanning, testing, and progressive delivery

• Establish change management and release governance processes ensuring all infrastructure changes are reviewable, approved, and auditable in a regulated healthcare environment — without becoming a bottleneck

• Lead cloud migration projects — assess workloads, develop migration strategies, execute cutovers, validate post-migration health, and decommission legacy infrastructure

• Design and deliver Azure infrastructure for new application onboarding; create reusable patterns and templates the team follows for future workloads

• Manage hybrid connectivity including ExpressRoute, VPN Gateway, and site-to-site connectivity between Azure and on-premises environments

• Design and maintain cloud observability covering metrics, logs, and alerting with SLOs that reflect real operational impact — ensuring the team catches issues before they affect the business

• Establish formal incident response processes including runbooks, escalation paths, and post-incident reviews; own disaster recovery and business continuity planning with defined and tested RPO/RTO targets

• Manage Azure identity and access architecture including Entra ID, Role-Based Access Control (RBAC), Privileged Identity Management (PIM), Key Vault, and Managed Identities

• Implement cloud security controls as defined by the Information Security team; build audit logging, evidence generation, and access-review processes that satisfy HITRUST 11.3r2, SOC2, and HIPAA requirements and hold up during audits

• Manage DNS, certificate lifecycle, and network connectivity supporting data exchange with payers, health plans, and external partners

• Develop scripting and automation solutions (PowerShell, Python, or Bash) to reduce manual operational burden and improve team efficiency

• Define the engineering standards, runbooks, and documentation the team inherits; manage infrastructure and platform vendor relationships and SLAs

• Create and maintain comprehensive technical documentation — architecture diagrams, runbooks, standard operating procedures, and how-to guides — that build team knowledge and reduce key-person dependency

• Support after-hours availability and on-call response for critical infrastructure events as requested

• Complete other duties as requested

Requirements
Skills and Experience:

• 7–10 years of experience in infrastructure, systems, or cloud engineering.

• 5 years of senior or principal-level experience in Microsoft Azure

• Demonstrated experience building or establishing a cloud engineering practice or function — not just…