M365 - Senior Systems Administrator

USPh (U.S. Physical Therapy) is one of the largest publicly traded, independent operators of leading physical and occupational therapy clinics dedicated to enhancing patient outcomes through a collaborative, partnership-driven model. We partner with over 750 clinics nationwide, across 44 states, offering them the resources, operational support, and clinical expertise needed to thrive in today’s healthcare landscape.

While our clinical teams deliver exceptional patient care on the front lines, our corporate professionals power the infrastructure that makes it all possible. Our corporate teams serve as strategic partners to our clinics. We are committed to operational excellence, regulatory compliance and financial discipline.

If you are seeking an opportunity to make meaningful impact within a stable, growth-oriented company we encourage you to apply.

We are seeking a highly skilled Microsoft 365 Senior Systems Administrator / Engineer to support and manage a large-scale multi-tenant Microsoft 365 environment consisting of more than 125 tenants. This role is responsible for the administration, security, automation, governance, and operational support of Microsoft cloud services including Microsoft Entra ID, Exchange Online, Teams, SharePoint Online, and Intune.

The ideal candidate will possess deep expertise in Microsoft 365 architecture, identity and access management, endpoint management, security and compliance, automation, and tenant standardization. This individual will work closely with infrastructure, networking, and cybersecurity teams to maintain secure, compliant, and highly available client environments.

Required Qualifications

• 5+ years of experience administering Microsoft 365 environments.
• Strong experience managing multi-tenant Microsoft 365 environments.
• Advanced knowledge of Microsoft Entra ID, Exchange Online, Teams, SharePoint Online, and Microsoft Intune.
• Experience implementing Microsoft 365 security and compliance solutions.
• Strong PowerShell scripting and automation experience.
• Experience with Microsoft Graph API.
• Knowledge of HIPAA compliance requirements and security best practices.
• Excellent written and verbal communication skills.

Preferred Qualifications

• Microsoft certifications such as Enterprise Administrator Expert, Security Administrator Associate, or Endpoint Administrator Associate.
• Experience hybrid identity environments.
• MSP or managed services experience supporting multiple clients.

Technical Skills

• Microsoft 365 Administration
• Microsoft Entra ID / Azure AD
• Exchange Online
• Microsoft Teams
• SharePoint Online
• Microsoft Intune
• Conditional Access
• PowerShell
• Microsoft Graph API
• HIPAA Compliance
• Automation & Scripting
• Tenant Migrations

Work Environment:

• Competitive inexpensive comprehensive benefits.
• Generous paid time off with holidays.
• Continuous mentoring to further your career path.
• Great close-knit team environment. We work hard, but we have fun!
• In office preferred, hybrid possible