Senior Azure Cloud Administrator (Remote Available)

Discover Vanderbilt University Medical Center:  Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization:

CPPA Data Team

Job Summary:

We are seeking a highly skilled Azure Cloud Engineer with strong FinOps expertise and infrastructure operations experience to support a managed services operating model.

This role will act as a technical execution lead for Azure infrastructure, responsible for maintaining platform health, optimizing cost, and executing operational tasks within a structured governance framework. The engineer will partner with internal stakeholders who retain accountability for governance, compliance, and application ownership, while this role focuses on hands-on infrastructure execution, monitoring, and continuous improvement.

(Note: This role is open to remote work from most US locations)

.

Key Responsibilities

Infrastructure Operations & Managed Services Execution

• Perform day-to-day Azure infrastructure operations, acting as the technical executor for platform stability, performance, and maintenance.

• Provide Tier-3 infrastructure support, troubleshooting complex cloud issues and restoring service during critical incidents.

• Execute infrastructure changes and maintain detailed change logs, ensuring traceability and compliance with change management processes.

• Maintain accurate infrastructure documentation, including architecture diagrams, system inventories, and operational procedures.

Monitoring, Incident Management & Reliability

• Deliver 24x7 Azure infrastructure monitoring, proactively identifying issues and initiating remediation actions.

• Support incident response and escalation, including security-related events, ensuring rapid triage and resolution.

• Conduct root cause analysis (RCA) and contribute to continuous improvement of reliability practices.

• Perform periodic infrastructure log reviews, identifying anomalies and supporting operational and security insights.

Patching, Security & Compliance Support

• Execute periodic and emergency patching across Azure infrastructure to ensure systems remain secure and compliant.

• Support security operations by reviewing logs, escalating findings, and assisting with remediation activities.

• Provide technical support for compliance and audit activities, including PHI-related log collection and reporting.

• Assist in implementing and maintaining security controls aligned to governance policies (Azure Policy, Defender for Cloud, identity controls).

FinOps & Cost Optimization

• Lead cloud cost optimization initiatives, including:

  • VM and disk right-sizing

  • Reserved instances / savings plans

  • Storage lifecycle and backup optimization

• Develop and maintain cost visibility and reporting mechanisms, including anomaly detection and budget tracking

• Support FinOps governance, including tagging standards, KPI tracking, and cost optimization recommendations aligned to organizational objectives

Infrastructure Engineering & Automation

• Provision and manage Azure resources using Terraform and PowerShell-based automation.

• Support Infrastructure as Code (IaC) practices while maintaining flexibility for operational (“click-ops”) activities when required

• Manage:

  • Virtual machines (Windows/Linux)

  • Storage accounts and backup solutions

  • Azure networking (VNets, NSGs, load balancers, app gateways)

• Contribute to automation improvements for operational efficiency and repeatability

Backup, Disaster Recovery & Continuity

• Implement and maintain backup and disaster recovery strategies using Azure-native services

• Monitor backup health and failure conditions, ensuring time