Premera

IT Systems Engineer

Spokane WA Full time

Workforce Classification:

Hybrid

Kinwell was founded on the principle of personalized, whole-hearted care for every patient. We believe the best healthcare is a conversation, and one that includes nutrition, fitness, sleep, and behavioral health. Our Clinicians and Clinic Support staff drive real change in their patient’s well-being. Along the way, we are setting a new standard for primary care, making it more accessible, impactful, and holistic.

We are dedicated to building great places to work. We value all teammates and respect a diversity of thought, ideas, and cultures—all focused on the common goal of nurturing the health of those we serve.

Kinwell fosters a culture that promotes employee growth, collaborative innovation, and inspired leadership. We bring agility to work every day and thrive on the opportunity to create something refreshing and new. This is where you come in. If you are looking for a new primary care opportunity, one based on the quality of care, not the quantity of patients, please consider our available positions.

The IT Systems Engineer ensures the stability, security, and performance of Kinwell’s technology environment supporting clinical and business operations. This cloud-first, healthcare-focused role emphasizes engineering, administration, monitoring, and optimization of modern SaaS and infrastructure platforms. 

In this position, the IT Systems Engineer will collaborate with a multidisciplinary IT team to support core systems and front-line users, applying broad technical knowledge across multiple domains. This role solves moderately complex technical problems, improves system reliability and security, and contributes to continuous improvement of IT services. 

The IT Systems Engineer is a hybrid position and will travel to Kinwell clinics in Spokane, Spokane Valley and Pasco as needed to provide onsite support for deployments, upgrades, and high-impact clinical issues.   
 
What you’ll do: 

  • Administer and optimize cloud-based systems and SaaS platforms across the organization. 

  • Manage identity and access through Azure Active Directory (Entra ID), Okta, and Imprivata 

  • Support Epic integrations with identity providers and clinical workflows. 

  • Administer Microsoft 365 services including Exchange, Teams, SharePoint, OneDrive, Entra ID, Intune, and Defender. 

  • Support Citrix environments used in clinical and operational workflows. 

  • Monitor system health, logs, and alerts; respond to incidents and service disruptions. 

  • Maintain endpoint security and patching using Automox and Microsoft Defender. 

  • Support connectivity, SD-WAN, Meraki appliances, and backup-related systems. 

  • Contribute to documentation, automation, and process standardization across IT and Help Desk functions. 

  • Resolve end-user support requests via Freshservice while minimizing disruption to patient care. 

  • Provide onsite support for workstation refreshes, printers, and exam-room technology. 

  • Identify recurring issues and implement durable fixes through automation, tooling, or process improvement. 

  • Participate in technical planning, providing input on risk, impact, and cost-benefit considerations. 

  • Design and implement secure, reliable system configurations and automations. 

  • Partner with internal teams and vendors to troubleshoot issues and deploy updates. 

  • Improve adoption of technology through documentation, training, and user enablement. 

 

What you’ll bring: 

  • Bachelor’s degree in computer science or related field, or four years of relevant work experience. 

  • Three years of experience with applicable systems engineering or related experience. 

  • Strong hands-on systems administration experience in cloud-first environments, including modern identity platforms (e.g., Microsoft Entra ID, Okta), endpoint management solutions (e.g., Intune), enterprise SaaS systems (e.g., Microsoft 365 E5 Suite, Netskope), and cloud-managed networking platforms (e.g., Cisco Meraki). 

  • Working knowledge of cloud-based infrastructure, identity management, endpoint security, and modern SaaS administration within a Microsoft-centric environment. 

  • Ability to troubleshoot moderately complex technical issues across systems, applications, and end-user devices while prioritizing patient care continuity and service levels. 

  • Ability to reliably travel between our clinics in Spokane and Pasco to provide onsite support as needed. 

  • Strong analytical, documentation, and problem-solving skills with the ability to identify root causes and implement sustainable technical solutions. 

  • Effective communication and collaboration skills to partner with clinical teams, operational leaders, vendors, and IT colleagues in both remote and onsite settings. 

  • Experience supporting healthcare IT environments, including privacy, security, and regulatory considerations impacting clinical systems and data, as well as support for EHR platforms such as Epic. (Preferred) 

  • Relevant industry certifications (Microsoft, Azure, Security+) or actively pursuing certification. (Preferred) 

 
 

Physical requirements 
 

The following have been identified as essential physical requirements of this job and must be performed with or without accommodation:     

  • Ability to remain stationary for extended periods while working at a computer and participating in virtual meetings. 

  • Ability to lift, carry, or move technology equipment weighing up to approximately 25 pounds. 

  • Ability to position oneself to connect or disconnect cables, peripherals, and workstation components in clinical or office settings. 

  • Ability to travel locally between clinic locations as needed. 

 

Working environment 
 

This role primarily operates in a hybrid work environment with regular use of standard office technology and collaboration tools. Periodic onsite presence in clinical locations is required to support technology deployments, upgrades, troubleshooting, or high-priority clinical issues. The position may require coordination across multiple clinic sites and interaction with clinical staff, operational leaders, and external vendors in a fast-paced healthcare setting. 

Vaccine Requirement:

Kinwell Health currently requires all teammates to provide proof of or complete a written attestation of a religious or medical exemption for influenza and Hepatitis B vaccines. Healthcare providers may also be subject to CDC recommended vaccines. 

Kinwell provides equal employment opportunities to all without regard to race, color, religion, sex (including sexual orientation or gender identity), national origin, age, disability, genetic information or other protected status. Applicants with disabilities may be entitled to reasonable accommodations under the terms of the American with Disabilities Act and certain state or local laws. A reasonable accommodation is an adjustment to our standard application and/or interview process which will ensure an equal employment opportunity without imposing undue hardship on Kinwell. Please inform our Talent Acquisition team (recruiting@kinwellhealth.com) if you are requesting an accommodation to participate in the application process.

What we offer:

  • Paid Time Off & Paid Holidays

  • Medical/Vision/Dental Insurance

  • Personal Funding Accounts (HSA, FSA, DCA)

  • 401K

  • Basic Life Insurance

  • Disability-Short Term and Long-Term

  • Supplemental Life and ADD&D

  • Tuition Reimbursement for qualifying programs

  • Employee Assistance

The pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience.

National Salary Range:

$89,300.00 - $151,800.00

National Plus Salary Range:

$101,900.00 - $173,200.00

*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.