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Salary
≈ $7.5k – $18k per year (Estimated)
Location
Remote (India)
Seniority
Middle · 3+ years exp
Employment
Full-Time

Confirmed on the employer's own hiring board on Oct 30, 2026. First seen by Alion on Oct 29, 2026. Altera Digital Health scores B on the Alion truth index.

Overview
Company
Impact
Profile match
Altera Digital Health is a health IT company that develops electronic health record, financial, interoperability and laboratory software for hospitals and physician practices, with headquarters in Chicago, Illinois. Formed in 2022 when N. Harris Computer Corporation acquired the hospitals and large physician practices business of Allscripts, it offers the Sunrise, Paragon Denali and TouchWorks EHRs, CareInMotion and dbMotion interoperability, Ventus revenue tools and managed IT and cloud services. It hires software, systems, network and site reliability engineers, implementation consultants, product managers, client success executives and support staff, with large teams in Pune and Vadodara.

We are seeking an enthusiastic Associate System Engineer from within our team to join our operations and client services function. This is a great opportunity to grow your technical foundation, work closely with clients, and contribute to a high-performing 24×7 support team.

What You Will Do

  • Support a 24×7 operational environment across rotational shifts, ensuring consistent service delivery.
  • Handle Level 1 analysis, troubleshooting, and resolution of application and infrastructure incidents.
  • Conduct recording reviews to assess user experience and gauge service impact.
  • Collect application logs and escalate cases to the Development team with clear context.
  • Deliver a premium client experience - tracking open issues, coordinating responses, and helping clients resolve problems efficiently.
  • Contribute to weekly/monthly client read-outs and progress presentations.
  • Identify and help drive issue/bug remediation to resolution across the client base.
  • Maintain an up-to-date log of known issues and fixes, supporting consistent resolution outcomes.
  • Author and maintain technical and operational procedure documentation.
  • Participate in daily/weekly technical and leadership calls, keeping stakeholders informed on progress.
  • Build positive, professional relationships with customers and teammates.

What We Are Looking For

  • 3-4 years of experience in proactive support and infrastructure/application monitoring.
  • Familiarity with Global Command Center, Service Desk, or Frontline Monitoring operations.
  • Commitment to following team, account, and client policies and procedures.
  • Exposure to Application/Infrastructure Monitoring tools and solutions.
  • Experience with Windows Server environments, .NET-based application support, IIS, worker processes, Web.config, and Event Logs.
  • Basic understanding of networking and Azure Monitoring.
  • Intermediate SQL skills - including SQL Jobs, queries, blocking scenarios, and Always On configuration.
  • Experience with ITSM platforms such as ServiceNow or equivalent Service Desk tools.
  • Basic knowledge of ITIL framework (V3.0 Foundation certification is an advantage).
  • Ability to present data clearly using Power BI, Excel pivot tables, and charts.
  • Good command of written and verbal English; international support experience (US or Europe preferred).

Nice to Have

  • Exposure to healthcare-related applications or patient care environments.
  • Familiarity with Azure cloud environments.

Qualifications

  • Bachelor's degree in Computer Science, Information Technology, or a related field.
  • Relevant IT certification(s) are a plus.
  • Strong interpersonal and communication skills - written and verbal - with a customer-first approach.
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