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Billings Clinic IT System Administrator in Billings, Montana

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more ( about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits

We provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here ( for more information ordownload the Employee Benefits Guide ( .

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here ( to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here ( to learn more!

IT System Administrator

PMO / OPERATIONS - 8732 (Billings Clinic Main Campus)


Shift: Day, Evening

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 1.00 = 80 hours (Exempt)

Starting Salary DOE: $56,076 - $97,344

Depending on experience and education, candidates may qualify for Level I-IV System Administrator

This position serves as part of a team that supports the server and application infrastructure for the Billings Clinic health system. Responsibilities for this position include providing support, optimization, maintenance, strategy and design of the on premises and cloud infrastructure in order to facilitate and enhance the delivery of health care services in Billings Clinic and its regional partners.

This role is responsible for providing day-to-day support, maintenance and implementation of existing infrastructure as well as participation in guidance, planning and execution of improvements and future strategy. In addition to the technical knowledge/skills required to support the service infrastructure, other responsibilities include good documentation, complying with change control, and effective task management. Effective coordination, communication and interaction with other teams/departments, vendors and facilities in the health system is expected. This is a highly dynamic environment requiring members of this team to respond to the often-changing needs of the organization while maintaining a high level of uptime, service quality and redundancy

Essential Job Functions


Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.


Serves as the primary technology resource for the assessment and mapping of current and future state with gap identification/analysis, design, implementation, on-going development and maintenance of server/cloud infrastructure. Coordinates closely with Billings Clinic Leadership, staff members, Information Technology staff, key stakeholders including affiliates, managed and non-managed sites, and software vendors for the planning, analysis, design, implementation, evaluation and support of network infrastructure.


Acts as a liaison and expert resource for network infrastructure with the end-user community, clinicians and/or software/hardware vendor to identify problems and concerns regarding the overall performance and/or effectiveness of the technologies and workflows that impact users. Researches, analyzes and provides recommendations for corrective action to resolve problems with the internal functionality of the system and/or integration of information between systems. Collaborates with clients and technical resources and/or software/hardware vendor with recommendations for system enhancements, detailed information regarding technical or functionality problems and assists with implementation of recommended fixes.


Monitors the environment, technology and infrastructure to support optimal patient care and prevention of adverse events.


Ensures network infrastructure and corresponding policies and procedures, related to Health IT, follow appropriate Practice Acts, Joint Commission requirements and other applicable regulations and standards.


Performs additional duties as defined for specific IT Systems Administrator Role. See table below. Performs other duties as assigned or needed to meet the needs of the department/organization.

• Working within a team, develop strategies, designs and plans for enhancing the technology services infrastructure within the Billings Clinic Health System

• Provide monitoring, evaluation and support for the server and services infrastructure.

• In coordination with other teams, successfully implement new projects as determined by Billings Clinic

• Perform maintenance on all aspects of the technology infrastructure as needed

• Serve as an escalation point for complex support issues

• Provide excellent customer service, to end users and team members

• Implementation of industry/vendor best practices in project, maintenance, and support work

• Prioritization of issues/projects based on risk, impact and organizational criticality

• Work with cybersecurity team to verify that configurations are compliant with institutional standards

• Work within change control guidelines/processes developed by Billings Clinic

• Create appropriate documentation for all new deployments and changes to the infrastructure

• Effective, regular and timely communication with all stakeholders of issues and projects

• Experience/training in supporting, implementing, and maintaining a number of the following enterprise technologies:

Windows network services (e.g. AD, group policy, DNS, DHCP, Radius, Certificate Authorities, etc.)

Microsoft 365 / Azure AD

OS Virtualization

Configuration, management and troubleshooting of backup/replication technologies

Enterprise storage

Server Hardware and Operating systems

Monitoring and patching solutions

Basic MS SQL Server administration

Basic web site manipulation

• Strong organizational, analytical, planning and support skills

• Ability to work both independently and collaboratively within a team environment to identify and remediate issues, implement enhancements/projects, and perform required maintenance

• Basic understanding of TCP/IP networking principles

• Flexibility when faced with shifting priorities and multiple tasks

• Basic understanding of IT service management frameworks, including incident and change management

• Good written and verbal communication skills, including writing of technical documentation

• An understanding of current technology trends as they relate to the health care industry

• Provide training to others (members of IT Department, new employees, end users, etc.) as necessary

Minimum Qualifications


• 4 Year / Bachelors Degree preferred or equivalent experience


• 0-8 years’ experience (depending on Level) with enterprise technical infrastructure/ architecture and support services

Certifications and Licenses

• Current Montana driver’s license and the ability to be insured to operate Billings Clinic vehicles

• Relevant technical certifications preferred.

Able to provide home internet access and have personal cell phone.

Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more (

Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.