It Operations & Cloud Engineer
Pubblicato il 22-09-2026 - OPEN Health in Italia
IT Operations & Cloud Engineer
Job Summary
OPEN Health is seeking an
IT Operations & Cloud Engineer
to act as a cross-functional technical expert within our IT team. This is a hands-on role that operates above our Managed Service Provider, taking ownership of complex issues, driving improvements, and ensuring the stability and security of our Microsoft ecosystem.
You will work across IT operations, cloud engineering, and security, with a strong focus on Microsoft 365 and Azure. This role requires someone who is comfortable working independently, making informed decisions, and owning outcomes across a global environment.
Why this role
This is a high-visibility, high-autonomy role within a growing global healthcare company. You will have genuine ownership of the Microsoft platform, work directly with leadership, and shape how IT operations scale across regions.
If you thrive at the intersection of cloud engineering, security, and business enablement, and you want to do more than just close tickets, this role is for you.
Essential Duties & Responsibilities
Managing day-to-day administration of Microsoft 365 including Exchange Online, SharePoint Online, Teams, OneDrive, and Intune
Overseeing Azure tenant configuration, resource governance, and subscription hygiene
Monitoring and optimizing Azure spend through cost controls, right-sizing, and reserved instance
Leading SharePoint governance, site architecture standards, and permission models
Maintaining and enhancing Microsoft Intune device management policies across platforms
Supporting cloud environments across Azure, with familiarity in AWS as a plus
Serving as the internal escalation point above MSP L1 and L2 for complex or recurring issues
Handling break-fix support, onboarding and offboarding, and access management independently
Triaging and resolving tickets outside MSP scope or SLA requirements
Documenting resolution patterns and contributing to knowledge base development
Administering Microsoft Defender suite including Endpoint, 365, and Identity, and responding to security alerts
Managing Conditional Access policies, MFA enforcement, and Zero Trust controls within Entra ID
Coordinating with MSP CSOC for incident response and threat escalation
Supporting vulnerability management, patching compliance, and security posture reviews
Assisting with audit readiness, data governance, compliance frameworks, and IT assessments
Managing hybrid and cloud-native infrastructure including DNS, identity, and basic networking
Supporting infrastructure automation using PowerShell, Azure CLI, or similar tools
Participating in change management, system patching, and platform upgrades
Maintaining accurate documentation of systems, configurations, and network topology
Experience, Skills, and Qualifications
Required:
3 to 6 years of hands-on experience in IT operations or cloud engineering roles
Strong experience administering Microsoft 365 across the full suite
Practical experience with Azure including cost management, identity and access management, and resource administration
Familiarity with Microsoft Defender, Conditional Access, and Entra ID
Experience working alongside or managing a Managed Service Provider relationship
Proficiency in PowerShell for scripting and automation
Strong written and verbal communication skills, with the ability to document clearly and escalate effectively
Ability to work independently with minimal supervision across time zones
Preferred:
Microsoft certifications such as MS-102, AZ-104, SC-300, or equivalent
Experience with SharePoint governance, Viva, or Power Platform
Familiarity with Azure Cost Management, FinOps practices, or licensing optimization models
Exposure to ITSM platforms such as ServiceNow, Freshservice, or Jira Service Management
Experience within healthcare, life sciences, or other regulated environments
Experience supporting global or multi-region environments
About OPEN Health
At OPEN Health, we
connect visionary minds, pioneering science, and advanced technology to drive real impact. By uniting people, science, and technology, we activate new opportunities for biopharma innovation. Our expertise across medical affairs and market access unlocks faster, smarter routes to market. We are committed to improving patient outcomes worldwide. To learn more, visit
.
OPEN Health. The right combination to unlock possibilities.
What we offer:
As a global organization, OPEN Health is committed to supporting our employees and their families through a comprehensive benefits program
Competitive pay, generous paid vacation, holidays and more, across all our locations
Ongoing training and development opportunities which foster and shape your individual career path
An active and growing commitment to bettering the communities our employees call home through our Corporate Social Responsibility program
The opportunity to thrive in a global, collaborative environment while working every day to improve health outcomes and patient wellbeing
Diverse, inclusive culture that encourages you to bring your whole self to work
If we sound like the sort of business environment in which you would thrive, then we would love to hear from you.
OPEN Health does not discriminate on the basis of race, sex, colour, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.