Senior Systems Administrator Jobs in Tennessee
Senior Systems Administrator jobs in Tennessee are open across Nashville, Franklin, and Hermitage and other Tennessee metros, with employers like HCA Healthcare, Community Health Systems, and Deloitte hiring at every experience level. Find a role that fits below and apply directly.
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Job Summary and Responsibilities
This is a 100% on-site position.
As an IT PACS Sr. Systems Administrator, you will be a lead technical expert, responsible for advanced management, maintenance, troubleshooting, and optimization of our PACS and enterprise imaging infrastructure.
Every day you will oversee system health, implement complex configurations, manage data migration, resolve critical issues, ensure security/compliance, and mentor junior staff, collaborating with imaging departments.
To be successful, you will possess deep PACS architecture expertise, extensive experience with database management, virtualization, storage, and networking in healthcare imaging.
- Oversee the complete administration of Picture Archiving and Communication System (PACS) and related medical imaging applications infrastructure.
- Lead the implementation, configuration, and maintenance of PACS and related medical imaging applications software and hardware components.
- Facilitate the resolution and documentation of major incidents and outages to our production environment.
- Collaborate closely with radiologists, physicians, and other healthcare professionals to ensure efficient use of the PACS system.
- Proactively monitor and optimize PACS performance, identifying and resolving issues to ensure uninterrupted access to medical imaging data.
- Provide advanced technical support and training to end-users, troubleshooting complex PACS-related problems.
Job Requirements
This is a 100% on-site position.
- Bachelor's degree or equivalent job experience in Medical Imaging related field, computer science, Health Informatics, clinical imaging technology.
- 7+ years of experience in PACS Administration including hands-on involvement in system implementation and optimization.
- In-depth knowledge of data security regulations and compliance standards in healthcare.
Where You'll Work
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.
Pay Range
$44.18 - $65.71 /hour
See All 17 Senior Systems Administrator Jobs in Tennessee
Find roles in Tennessee that match your experience and apply in just a few clicks.
Find JobsSenior Systems Administrator Jobs by City in Tennessee
Where Tennessee roles are concentrated, by current openings.
Senior Systems Administrator Job Market in Tennessee
A snapshot from current Tennessee openings, updated as new roles post.
Who's Hiring
- HCA Healthcare3

- Community Health Systems2

- Deloitte2

- Altera Digital Health Inc. Fka Allscripts Managed Services1

- AutoZone1

Top Industries Hiring
- Healthcare & Medical Services8
- Chemicals & Materials2
- Technology & Software2
- Automotive1
- Human Resources1
What Tennessee Employers Look For
The qualifications that appear most often in senior systems administrator jobs across Tennessee.
- Five or more years of hands-on systems administration experience in enterprise environments
- Proficiency with Windows Server and Active Directory administration and management
- Experience managing Linux systems including configuration, patching, and user administration
- Hands-on experience with virtualization platforms such as VMware vSphere or Hyper-V
- Familiarity with cloud platforms including AWS, Azure, or Google Cloud infrastructure services
- Bachelor's degree in computer science, information technology, or a related technical field
Senior Systems Administrator Jobs in Tennessee: Frequently Asked Questions
How many senior systems administrator jobs are there in Tennessee?
There are 17+ senior systems administrator openings in Tennessee on Migrate Mate as of June 2026, with the most roles in Nashville, Franklin, and Hermitage. New positions post regularly as employers across Tennessee hire.
How much do senior systems administrators make in Tennessee?
Senior systems administrators in Tennessee earn a median of about $88,100 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $60,530 for the lowest 10% to over $128,920 for the top 10%. Pay rises with experience, specialty, and employer.
Which Tennessee cities have the most senior systems administrator jobs?
Nashville, Franklin, and Hermitage have the most senior systems administrator openings in Tennessee right now, with additional roles spread across smaller metros statewide.
Which companies hire senior systems administrators in Tennessee?
Employers hiring senior systems administrators in Tennessee include HCA Healthcare, Community Health Systems, and Deloitte, based on current listings on Migrate Mate as of June 2026.
Are there remote senior systems administrator jobs in Tennessee?
Yes. About 6% of senior systems administrator openings tied to Tennessee are remote or hybrid as of June 2026. The rest are on-site roles based in Tennessee metros.
How do I apply for senior systems administrator jobs in Tennessee?
You can apply to senior systems administrator jobs in Tennessee directly on Migrate Mate. Search the listings above, find roles that match your experience and preferred Tennessee location, then apply to each one that fits.
See All 17 Senior Systems Administrator Jobs in Tennessee
Find roles in Tennessee that match your experience and apply in just a few clicks.
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