Senior Desktop Engineer
Premise Health
Remote · Brentwood, TN · Posted November 4, 2026
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November 2026
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- Best cities for engineering pay after cost of living #1 San Mateo ($216k)
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About the job
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 Senior Desktop Engineer provides systems support to Premise managed health centers, corporate users, and regional offices. The purpose of the position is to deploy our endpoints and maintain their compliance and health through our administrative tools such as Microsoft Endpoint Configuration Manager, Microsoft Intune, Microsoft Cloud Management Gateway, and Jamf. The position also partners effectively with our Desktop Tech Lead to evaluate and implement new technologies to advance our IT organization in the administration of our IT assets, with a focus on automation. The Senior Desktop Engineer functions as a mentor to the non-senior engineers on the Desktop team.
This is a Full Time, remote, Senior Desktop Engineer role.
What You'll Do
Responsible for endpoint management, software packaging/deployment, patching, and general maintenance of the tools used to administer those endpoints.
Support the identification and implementation of innovative approaches to administrative tasks with a focus on automation, compliance, and security.
Configure and maintain Operating System Deployment task sequences for hardware imaging.
Participate in 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.
Work with Premise vendors to identify and support end user products and solutions.
Actively participate in, and or lead, project management meetings in support of assigned project work.
Work closely with the Desktop Tech Lead to test and evaluate new end user solutions.
Assist the Desktop Engineers with incidents where required.
Perform general system administration duties in a Windows Active Directory environment.
What You'll Bring
Bachelor’s degree or equivalent work experience
5+ years of experience providing desktop level support in an enterprise environment.
3+ years of experience in Microsoft Endpoint Configuration Manager administration, including package creation/deployment, and OS administration/deployment.
Experience working with wireless networks, local area networks, SQL, scripting and network troubleshooting skills.
Experience with Intune administration, including Autopilot.
Experience with JAMF administration is desirable.
Capable with batch and PowerShell scripting.
Identify and troubleshoot problems in Endpoint Configuration Manager, and able to analyze and remediate.
Advanced knowledge of Microsoft operating systems and end-user platform systems in an enterprise environment.
Knowledge of Group Policy and Active Directory administration
Innovative and creative problem solving skills.
Communicate with a wide variety of users from executives to individual users.
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 $80,000.00 - $100,000.00 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 .