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Desktop Technology Lead

Requisition Number: 43204 Job Location: Brentwood, Tennessee, Remote

Premise Health is Different on Purpose




Premise Health serves large organizations and their people with exceptional healthcare. The result? Better experiences, better health, and better value, all while helping organizations lower their healthcare costs. 



Premise's mission is to help people get, stay, and be well. Come join us and see for yourself why amazing health starts with amazing healthcare. For more information, visit www.premisehealth.com. 


The Desktop Technical Lead role is responsible for designing and implementing robust and scalable solutions to establish and maintain endpoint hardware and software standards across all corporate and clinical end user devices. The Desktop Technical Lead is also responsible for endpoint solutions and products including hardware standards for desktops, laptops, and tablets. This also includes peripherals, operating systems, and core builds. The Technical Lead functions as a mentor to the less senior engineers on the Desktop team. The role is responsible for leading the less senior team members in the technical aspects of their strategic and operational activities. The Desktop Technical Lead is cross-functional across the organization, and is critical to the success of core initiatives. 


This is a Full Time, remote, Desktop Technology Lead role.


What You'll Do

  • Accountable for endpoint management, software packaging/deployment, patching, and the lifecycle of the tools used to administer those endpoints.  
  • Leads the identification and implementation of innovative approaches to administrative tasks with a focus on automation, compliance, and security.  
  • Ensures appropriate methodologies for operating system deployment platforms are configured and maintained for hardware imaging.  
  • Orchestrates the planning of upgrades, changes, or implementation of endpoint administration systems, while following established change control processes.  
  • Deep understanding of enterprise technologies such as security, networking, and infrastructure, with the ability to resolve interoperability problems on a large scale.  
  • Works with Premise vendors to identify and support end user products and solutions.  
  • Leads high-level technical projects and project management meetings. Participates in Enterprise projects in support of cross-functional initiatives.  
  • Leads the Desktop team in evaluating new end user solutions. Recommends complex system(s) to management based on results of assessment of current and future performance, stability, and systems management/lifecycle issues.  
  • Thoroughly documents requirements for acceptance and formal approval of builds through engineering and security activities.  
  • Creates sophisticated architectural System Design Documents when required.  
  • Works closely with management to help identify, evaluate, and recommend new products, technologies, roadmaps and strategies.  


What You'll Bring

  • Bachelor degree or equivalent work experience.  
  • 6+ years of experience in endpoint administration in an enterprise environment.  
  • Minimum of 8+ years IT experience in providing software and hardware break/fix support.  
  • Must have experience working with wireless networks, local area networks, SQL, scripting and network troubleshooting skills.  
  • An advanced understanding of batch and PowerShell scripting.  
  • A deep knowledge of Microsoft Endpoint Configuration Manager. A working knowledge of JAMF, Printer Logic, and other enterprise-level systems management tools is required.  
  • Must have an advanced knowledge of Microsoft operating systems and end-user platform systems in an enterprise environment.  
  • Existing knowledge of Intune, co-management and Autopilot is necessary.  
  • An enterprise-level of understanding of how different systems and services such as networking, security, infrastructure and software integrate and affect the IT environment as a whole.  
  • A working knowledge of endpoint related security technologies such as Conditional Access and Data Loss Prevention.  
  • An understanding of cloud systems and their role in the administration of endpoints.  


Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers full-time team members benefits including medical, dental, vision, life and disability insurance, a 401(k) program with company match, paid holidays and vacation time, a company-sponsored wellness program, EAP, access to virtual primary care and virtual behavioral health at no cost for team members and their dependents. Additional benefits can be viewed here: https://jobs.premisehealth.com/benefits.



Premise is an equal opportunity employer; we value inclusion and do not discriminate based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including pregnancy and related conditions), gender identity or expression, sexual orientation, age, physical or mental disability, genetic information, past, current or prospective service in the uniformed services, or any other characteristic protected under applicable federal, state, or local law.



Premise provides its reasonable and genuinely expected range of compensation for this job of $95,000.00 - $110,300.00 annually. A number of factors will influence the rate offered for this position, including your experience, qualifications, geographic location, and other factors. 



For individuals living in Washington or Colorado: Premise offers the following paid time off benefits. Employees will earn 0.0692 hours of paid time off per actual hours worked or based on standard schedule, per pay period, and will receive 10 paid holidays or an equivalent bank of hours aligned to schedule throughout the calendar year. Paid sick leave is satisfied by the paid time off accrual, detailed above. 


This posting is anticipated to close within 90 days of 11/04/2026. 


Should you have questions regarding this job posting, please contact askhr@premisehealth.com.

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