At HCA Healthcare, we are driven by a single mission: Above all else, we are committed to the care and improvement of human life. That's more than just a privilege. At HCA Healthcare, it is our calling.

Since our founding more than 50 years ago, we have followed a vision of healthcare the way it should be: patient-centered, constantly evolving and constantly improving, practiced with integrity and compassion. We all have a role in making this vision a reality. Together, we can improve more lives in more ways.

The Senior Systems

Engineer is responsible for architecting, designing, implementing, supporting, and optimizing enterprise infrastructure platforms that enable business and clinical operations. This role serves as a senior technical leader and trusted advisor, partnering with infrastructure leadership, cybersecurity teams, application teams, architects, vendors, and business stakeholders to deliver secure, resilient, scalable, and highly available technology solutions.

The Senior Systems

Engineer is expected to lead complex infrastructure initiatives, drive platform modernization strategies, establish engineering standards, and provide technical leadership across multiple technology domains. This role serves as a recognized subject matter expert responsible for solving highly complex technical challenges, mentoring engineers across all levels, and influencing infrastructure roadmaps and strategic technology decisions. This position expands upon the Systems Engineer II role through enterprise-level design responsibilities, technical leadership, architectural influence, and ownership of critical infrastructure initiatives.

General Responsibilities

Provides expert-level technical leadership across multiple infrastructure disciplines while supporting enterprise initiatives and strategic objectives. Leads the design, implementation, modernization, optimization, and lifecycle management of enterprise infrastructure platforms. Drives improvements in reliability, scalability, security, automation, and operational excellence through engineering best practices, technical standards, and infrastructure governance.





Participates in enterprise architecture discussions and provides guidance on strategic technology investments and platform direction. Demonstrates exceptional analytical, architectural, troubleshooting, communication, leadership, and mentoring skills while executing highly complex initiatives with minimal oversight.

Primary Responsibilities Include Architect, design, implement, and support enterprise infrastructure platforms including servers, virtualization, storage, cloud services, identity services, and endpoint management technologies.

Lead large-scale and highly complex infrastructure projects from planning and design through implementation, operational transition, and ongoing optimization.

Establish and maintain technical standards, engineering best practices, operational procedures, and infrastructure governance frameworks.

Drive automation initiatives utilizing PowerShell, infrastructure-as-code methodologies, orchestration tools, and process optimization strategies.

Serve as the primary technical lead for Active Directory, Entra ID, Group Policy, File Services, Print Services, SharePoint integrations, and related enterprise platforms.

Design highly available, scalable, secure, and resilient infrastructure solutions supporting critical healthcare operations.

Evaluate emerging technologies and provide recommendations for platform modernization and strategic infrastructure investments.

Lead root cause analysis efforts for critical incidents and implement long-term corrective actions.

Collaborate with cybersecurity teams to develop and implement enterprise security controls, vulnerability management programs, and compliance initiatives.

Lead disaster recovery planning, testing, and business continuity efforts across supported platforms.

Partner with enterprise architects, networking teams, database administrators,



application teams, and business stakeholders to develop integrated technology solutions.

Serve as the highest level technical escalation point for complex infrastructure issues.

Mentor Associate Systems Engineers, Systems Engineers, and Systems Engineer II team members.

Provide technical leadership during audits, regulatory reviews, and compliance assessments.

Contribute to strategic planning, budgeting, capacity planning, and infrastructure roadmap development.

Knowledge And Skills

Expert-level Windows Server administration

Enterprise virtualization technologies (VMware, Hyper-V)

Microsoft SCCM and Intune administration

Active Directory, Entra ID, DNS, DHCP, Group Policy, File Services, and Print Services

Enterprise storage, backup, replication, and disaster recovery technologies

Hybrid cloud and cloud infrastructure platforms (Azure, AWS)

Enterprise networking concepts and infrastructure troubleshooting

Advanced PowerShell scripting, automation, and infrastructure orchestration

Infrastructure as Code (Terraform, ARM, Bicep, or similar technologies)

Enterprise monitoring, logging, observability, and alerting platforms

Security hardening, vulnerability management, and compliance frameworks

High-availability and disaster recovery architecture

Infrastructure lifecycle management and strategic capacity planning

Experience designing and supporting mission-critical enterprise systems

Strong analytical and communication skills

Knowledge and understanding pertinent HIPAA guidelines

Strong architectural and systems design skills

Exceptional analytical and problem-solving abilities

Demonstrated ability to communicate effectively with technical and non-technical stakeholders

Proven ability to lead complex technical initiatives and cross-functional teams

Strong mentoring and coaching capabilities

Strong organizational, planning, and documentation skills

Ability to balance operational support, project leadership, and strategic planning responsibilities

Solid customer-focused mindset

Demonstrated ability to perform effectively in high-pressure environments

📌 Senior - Systems Engineer (Infrastructure Engineering) (Hyderabad)
🏢 HCA Healthcare - India
📍 Hyderabad