Own security posture and HIPAA-aligned safeguards; architect and maintain Microsoft 365/Entra/Intune cloud infrastructure; manage backups, DR, monitoring, patching, VPNs and firewalls; lead M&A IT integrations and playbooks; secure and manage endpoints across Windows, macOS, iOS via Intune, Jamf, Knox; support HRIS/EHR platforms; lead incident response and documentation; enable fast, secure growth for a distributed workforce.