Clinical Infrastructure & Cybersecurity Information Systems Engineer (CISE) at Doctors Hospital

📍 Job Overview

Job Title: Clinical Infrastructure & Cybersecurity Information Systems Engineer (CISE)
Company: Doctors Hospital
Location: George Town, Grand Cayman, Cayman Islands
Job Type: On-site
Category: Cybersecurity & Infrastructure
Date Posted: 2025-06-11
Experience Level: 5-10 years

🚀 Role Summary

📝 Enhancement Note: This role combines deep knowledge of clinical/high security information systems with advanced cybersecurity expertise to ensure the integrity, availability, and confidentiality of hospital systems and patient data.
Lead hospital-wide efforts to mitigate cyber threats, including threat detection, incident response, and network defense.
Enforce compliance with data privacy and protection regulations such as Cayman DPL, GDPR, and HIPAA.
Manage and optimize the availability, performance, and security of clinical systems, including the main Clinical EMR & Patient Billing system, Radiology PACS, Laboratory Information Systems, Hospital VOIP and PBX systems, and critical infrastructure.
Work closely with DevOps and support teams to ensure new technologies meet necessary security requirements for the hospital.

💻 Primary Responsibilities

📝 Enhancement Note: The primary responsibilities of this role revolve around securing, maintaining, and optimizing clinical information systems and IT infrastructure while ensuring robust protection against evolving cyber threats.
Cybersecurity & Compliance Focus
- Lead hospital-wide efforts to mitigate cyber threats, including threat detection, incident response, and network defense.
- Enforce compliance with data privacy and protection regulations such as Cayman DPL, GDPR, and HIPAA.
- Develop, implement, and maintain security policies, controls, and risk mitigation strategies aligned with industry best practices (e.g., NIST, CIS).
- Perform scheduled security audits, penetration testing, and vulnerability assessments.
- Ensure DR/BCP plans are cybersecurity-resilient, tested, and documented.
Clinical Infrastructure Leadership
- Manage and optimize the availability, performance, and security of clinical systems, including the main Clinical EMR & Patient Billing system, Radiology PACS, Laboratory Information Systems, Hospital VOIP and PBX systems, and critical infrastructure.
- Lead deployments and upgrades of clinical and IT infrastructure projects, ensuring minimal clinical workflow disruptions.
- Ensure high availability and integrity of core services: network access, EHR, imaging, voice, data, and clinical messaging systems.
- Coordinate closely with medical and clinical operations teams to align infrastructure support with patient care needs.
- Provide detailed reports on infrastructure security posture, uptime, incident response metrics, and performance KPIs/QPIs.
Technical Skills & System Knowledge
- Understanding of healthcare IT standards and protocols: DICOM, HL7, ANSI X12, EDI.
- Advanced knowledge of firewalls, VPNs, NAC, IDS/IPS, MFA, SIEMs, and endpoint protection EDR/MDR/XDR platforms.
- Proficient in: Windows Server, UNIX/Linux, VMWare/Hyper-V, and virtualization technologies.
- Hands-on enterprise networking experience with (Layer 2/3), including VLANs, routing, QoS, and wireless architectures.
- Hands-on experience with SAN technologies (iSCSI, Fiber Channel), storage replication, and backup solutions.
- Advanced knowledge of Microsoft Active Directory and Group Policies.
- Advanced knowledge of mobile device management (MDM) and secure remote access protocols (RDP, SSH, SFTP, HTTPS).
Supervision and Support
- Supervise and mentor support technicians and engineers across helpdesk, infrastructure, and application support areas.
- Maintain operational excellence through ticketing system oversight and SLA adherence.
- Act as Tier-2 escalation for complex clinical system, network, and security incidents.

🎓 Skills & Qualifications

Education: Bachelor’s degree in IT, Cybersecurity, or Computer Science, or equivalent certifications.

Experience: Minimum 5 years’ experience in hospital/clinical environments or other high security environments with infrastructure and cybersecurity-related responsibilities. Minimum 3 years supervisory experience.

Required Skills:

Advanced knowledge of firewalls, VPNs, NAC, IDS/IPS, MFA, SIEMs, and endpoint protection EDR/MDR/XDR platforms.
Proficient in: Windows Server, UNIX/Linux, VMWare/Hyper-V, and virtualization technologies.
Hands-on enterprise networking experience with (Layer 2/3), including VLANs, routing, QoS, and wireless architectures.
Hands-on experience with SAN technologies (iSCSI, Fiber Channel), storage replication, and backup solutions.
Advanced knowledge of Microsoft Active Directory and Group Policies.
Advanced knowledge of mobile device management (MDM) and secure remote access protocols (RDP, SSH, SFTP, HTTPS).

Preferred Skills:

Certifications: CISSP, CISM, CEH, CompTIA Security+, Cisco CCNP Security, HCISPP, MCSE (Microsoft Certified Solutions Expert).

📊 Web Portfolio & Project Requirements

📝 Enhancement Note: As this role is focused on cybersecurity and infrastructure management, a traditional web portfolio may not be applicable. Instead, candidates should highlight relevant projects, case studies, and achievements that demonstrate their technical expertise and problem-solving skills in clinical/high security information systems and IT infrastructure.
Project Essentials:
- Documented case studies of successful cybersecurity implementations, incident response, or infrastructure optimization projects in healthcare environments.
- Examples of security policies, procedures, or guidelines developed and implemented to improve organizational security posture.
- Evidence of leadership and team management in IT support, infrastructure, or application support areas.
Technical Documentation:
- Detailed technical documentation of cybersecurity and infrastructure projects, including system architecture, implementation steps, and lessons learned.
- Performance metrics and optimization techniques used to improve clinical system and IT infrastructure efficiency and availability.
- Test methodologies and results demonstrating the effectiveness of implemented security controls and measures.

💵 Compensation & Benefits

Salary Range: The salary range for this role in the Cayman Islands is estimated to be between KYD 60,000 - KYD 90,000 (USD 70,000 - USD 105,000) per year, based on regional market standards and experience level.

Benefits:

Paid vacation
Health insurance
Pension in accordance with Cayman Islands regulations

Working Hours: Full-time, 40 hours per week, with on-call responsibilities for incident response and critical system maintenance.

🎯 Team & Company Context

🏢 Company Culture

Industry: Healthcare

Company Size: Medium (100-250 employees)

Founded: 1972

Team Structure:

The CISE will report directly to the Chief Information Officer (CIO) and work closely with the IT Director and various clinical and operational departments.
The role will oversee and mentor IT support staff, manage the deployment and support of clinical IT solutions, and ensure robust protection of clinical and hospital-wide digital assets against evolving cyber threats.

Development Methodology:

Agile/Scrum methodologies for clinical IT projects and infrastructure management.
Collaborative development and testing practices, including code reviews and peer programming.
Deployment strategies, CI/CD pipelines, and server management using enterprise-grade tools and platforms.

Company Website: https://doctorshospital.ky/

📝 Enhancement Note: Doctors Hospital is a leading healthcare provider in the Cayman Islands, committed to delivering high-quality patient care through advanced technology and innovative clinical practices. The company values a collaborative and patient-centered approach to healthcare, with a strong focus on continuous learning and improvement.

📈 Career & Growth Analysis

Web Technology Career Level: Senior Cybersecurity & Infrastructure Engineer

Reporting Structure: Direct report to the Chief Information Officer (CIO), with oversight of IT support staff and clinical IT solutions.

Technical Impact: The CISE will have a significant impact on the security, availability, and performance of clinical information systems and IT infrastructure, directly contributing to patient safety and healthcare quality.

Growth Opportunities:

Technical leadership opportunities in cybersecurity and infrastructure management, with potential progression to a CIO or IT Director role.
Specialization in healthcare IT security, with the opportunity to develop expertise in emerging technologies and industry best practices.
Mentorship and coaching opportunities for IT support staff, fostering a culture of continuous learning and professional development.

📝 Enhancement Note: With its focus on advanced cybersecurity and clinical infrastructure management, this role offers a unique opportunity for career growth and specialization in the healthcare IT sector. Candidates can expect to work alongside experienced professionals in a dynamic and collaborative environment, with ample opportunities for learning and development.

🌐 Work Environment

Office Type: On-site, with a modern and collaborative workspace designed to facilitate team interaction and knowledge sharing.

Office Location(s): George Town, Grand Cayman, Cayman Islands

Workspace Context:

Access to cutting-edge clinical and IT infrastructure, with a focus on high availability, performance, and security.
Collaborative workspace with multiple monitors, testing devices, and development tools tailored to the role's requirements.
Cross-functional collaboration with clinical, operational, and administrative teams to ensure alignment with patient care needs and organizational objectives.

Work Schedule: Full-time, 40 hours per week, with on-call responsibilities for incident response and critical system maintenance. Flexible scheduling to accommodate project deadlines and maintenance windows.

📝 Enhancement Note: The work environment at Doctors Hospital is designed to foster collaboration, innovation, and continuous learning. Candidates can expect to work in a modern, well-equipped workspace that supports the efficient management of clinical information systems and IT infrastructure.

📄 Application & Technical Interview Process

Interview Process:

Technical Preparation: Familiarize yourself with the latest trends in healthcare cybersecurity, clinical information systems, and IT infrastructure management. Brush up on your knowledge of relevant industry standards, protocols, and best practices.
Technical Assessment: Prepare for a comprehensive technical assessment covering cybersecurity, clinical systems, and IT infrastructure management. Be ready to discuss your approach to threat detection, incident response, and network defense, as well as your experience with relevant technologies and tools.
Behavioral Assessment: Demonstrate your leadership, communication, and teamwork skills, as well as your ability to work effectively in a dynamic and collaborative healthcare environment.
Final Evaluation: Showcase your understanding of the role's requirements and your fit with Doctors Hospital's company culture and values.

Portfolio Review Tips:

Highlight relevant projects and case studies that demonstrate your technical expertise and problem-solving skills in clinical/high security information systems and IT infrastructure.
Prepare a concise and well-structured portfolio that showcases your technical skills, leadership abilities, and commitment to continuous learning and improvement.
Be ready to discuss your portfolio in detail, emphasizing the challenges faced, solutions implemented, and outcomes achieved.

Technical Challenge Preparation:

Brush up on your knowledge of healthcare IT standards and protocols, as well as relevant security frameworks and best practices.
Familiarize yourself with the latest trends in cybersecurity, clinical information systems, and IT infrastructure management.
Prepare for hands-on challenges that assess your ability to analyze complex systems, identify vulnerabilities, and implement effective security controls and measures.

ATS Keywords: [Comprehensive list of web development and server administration-relevant keywords for resume optimization, organized by category: programming languages, web frameworks, server technologies, databases, tools, methodologies, soft skills, industry terms]

📝 Enhancement Note: The interview process for this role will focus on assessing the candidate's technical expertise in cybersecurity and clinical information systems, as well as their leadership, communication, and teamwork skills. Candidates should be prepared to discuss their approach to threat detection, incident response, and network defense, as well as their experience with relevant technologies and tools.

🛠 Technology Stack & Web Infrastructure

Cybersecurity & Infrastructure Technologies:

Firewalls: Fortinet FortiGate, FortiManager
VPNs: Fortinet FortiClient, FortiGate
NAC: Aruba ClearPass
IDS/IPS: Fortinet FortiMail, FortiSandbox
Endpoint protection: CrowdStrike Falcon, Microsoft Defender
Mobile device management: Microsoft Intune
Secure remote access: Microsoft Remote Desktop Protocol (RDP), Secure Shell (SSH), File Transfer Protocol Secure (FTPS), Hypertext Transfer Protocol Secure (HTTPS)

Clinical Systems & Infrastructure Technologies:

Clinical EMR & Patient Billing system: Epic Systems
Radiology PACS: Philips Healthcare
Laboratory Information Systems: COBAS, Orchard
Hospital VOIP and PBX systems: Mitel
Critical infrastructure: HP Enterprise SANs, Fortinet Firewalls, HP/Aruba Networks

Enterprise Networking Technologies:

Layer 2/3 networking: HP Aruba switches, routers, and wireless access points
Wireless architectures: HP Aruba AirWave, AirGroup
QoS: HP Aruba AirWave, AirGroup
Virtualization technologies: VMWare vSphere, ESXi, vCenter, vSAN

Storage Technologies:

SAN technologies: HP EVA, 3PAR, Nimble Storage
Storage replication: HP StoreOnce, Commvault Simpana
Backup solutions: Commvault Simpana, Veeam Backup & Replication

📝 Enhancement Note: The technology stack for this role includes a range of enterprise-grade cybersecurity, clinical systems, and IT infrastructure technologies. Candidates should have a strong understanding of these technologies and be prepared to discuss their experience with relevant tools and platforms.

👥 Team Culture & Values

Cybersecurity & Infrastructure Values:

Patient safety and data protection: Prioritize the security and confidentiality of patient data, ensuring the integrity and availability of clinical information systems and IT infrastructure.
Proactive threat management: Anticipate and mitigate potential cyber threats through continuous monitoring, incident response, and risk mitigation strategies.
Collaboration and knowledge sharing: Foster a culture of collaboration and continuous learning, with a strong emphasis on teamwork and information sharing.
Compliance and best practices: Ensure adherence to relevant industry standards, regulations, and best practices, with a commitment to continuous improvement and innovation.

Collaboration Style:

Cross-functional integration between clinical, operational, and IT teams to align infrastructure support with patient care needs and organizational objectives.
Code review culture and peer programming practices to ensure high-quality and secure clinical systems and IT infrastructure.
Knowledge sharing, technical mentoring, and continuous learning to foster a culture of professional development and growth.

📝 Enhancement Note: The team culture at Doctors Hospital is characterized by a strong commitment to patient safety, data protection, and collaboration. Candidates should be prepared to work in a dynamic and collaborative environment, with a focus on continuous learning and improvement.

⚡ Challenges & Growth Opportunities

Technical Challenges:

Emerging Threats: Stay current with the latest cybersecurity trends and threats, developing and implementing effective countermeasures to protect clinical information systems and IT infrastructure.
Regulatory Compliance: Ensure ongoing compliance with data privacy and protection regulations such as Cayman DPL, GDPR, and HIPAA, with a focus on continuous improvement and innovation.
Infrastructure Optimization: Optimize clinical systems and IT infrastructure for performance, scalability, and high availability, with a focus on minimizing clinical workflow disruptions and maximizing patient care efficiency.
Team Leadership: Lead and mentor IT support staff, fostering a culture of continuous learning, professional development, and high-performance teamwork.

Learning & Development Opportunities:

Technical Specialization: Develop expertise in healthcare IT security, emerging technologies, and industry best practices, with opportunities for specialization in areas such as cloud security, IoT security, or healthcare-specific cybersecurity domains.
Leadership Development: Gain experience in technical leadership, team management, and architecture decision-making, with potential progression to a CIO or IT Director role.
Conference Attendance & Certification: Attend relevant conferences, workshops, and training sessions to stay current with industry trends and best practices, and pursue relevant certifications to enhance your technical expertise and career prospects.

📝 Enhancement Note: This role offers a unique opportunity for career growth and specialization in the healthcare IT sector, with a focus on advanced cybersecurity and clinical infrastructure management. Candidates can expect to face a range of technical challenges and growth opportunities, with ample opportunities for learning and development.

💡 Interview Preparation

Technical Questions:

Cybersecurity Fundamentals: Demonstrate your understanding of healthcare IT standards and protocols, as well as relevant security frameworks and best practices.
Clinical Systems & Infrastructure: Showcase your experience with clinical information systems, IT infrastructure management, and relevant technologies and tools.
Problem-Solving & Leadership: Discuss your approach to threat detection, incident response, and network defense, as well as your leadership, communication, and teamwork skills in a healthcare environment.

Company & Culture Questions:

Company Culture: Explain how your personal values and work ethic align with Doctors Hospital's commitment to patient safety, data protection, and collaboration.
Healthcare IT Trends: Discuss your understanding of the latest trends in healthcare cybersecurity, clinical information systems, and IT infrastructure management, and how you stay current with industry developments.
Patient Care Impact: Describe your experience working with clinical teams and your understanding of the importance of aligning infrastructure support with patient care needs and organizational objectives.

Portfolio Presentation Strategy:

Case Studies: Present relevant case studies that demonstrate your technical expertise and problem-solving skills in clinical/high security information systems and IT infrastructure.
Technical Skills: Highlight your proficiency with relevant technologies and tools, with a focus on cybersecurity, clinical systems, and IT infrastructure management.
Leadership & Teamwork: Emphasize your leadership, communication, and teamwork skills, with examples of successful team projects and collaborative initiatives.

📝 Enhancement Note: The interview process for this role will focus on assessing the candidate's technical expertise in cybersecurity and clinical information systems, as well as their leadership, communication, and teamwork skills. Candidates should be prepared to discuss their approach to threat detection, incident response, and network defense, as well as their experience with relevant technologies and tools.

📌 Application Steps

To apply for this Clinical Infrastructure & Cybersecurity Information Systems Engineer (CISE) position:

Resume Optimization: Tailor your resume to highlight your technical skills, leadership abilities, and relevant experience in cybersecurity and clinical information systems. Include relevant keywords and phrases to optimize your resume for ATS systems.
Portfolio Preparation: Prepare a concise and well-structured portfolio that showcases your technical skills, leadership abilities, and commitment to continuous learning and improvement. Be ready to discuss your portfolio in detail, emphasizing the challenges faced, solutions implemented, and outcomes achieved.
Technical Challenge Preparation: Brush up on your knowledge of healthcare IT standards and protocols, as well as relevant security frameworks and best practices. Familiarize yourself with the latest trends in cybersecurity, clinical information systems, and IT infrastructure management. Prepare for hands-on challenges that assess your ability to analyze complex systems, identify vulnerabilities, and implement effective security controls and measures.
Company Research: Research Doctors Hospital's company culture, values, and commitment to patient safety, data protection, and collaboration. Prepare thoughtful questions that demonstrate your understanding of the role and your fit with the organization's mission and objectives.

⚠️ Important Notice: This enhanced job description includes AI-generated insights and web development/server administration industry-standard assumptions. All details should be verified directly with the hiring organization before making application decisions.

Content Guidelines (IMPORTANT: Do not include this in the output)

Web Technology-Specific Focus:

Tailor every section specifically to cybersecurity and clinical information systems, with a focus on advanced cybersecurity expertise and technical leadership.
Include healthcare IT standards and protocols, as well as relevant security frameworks and best practices.
Emphasize the importance of patient safety, data protection, and collaboration in a healthcare environment.
Address the unique challenges and growth opportunities associated with working in the healthcare IT sector.

Quality Standards:

Ensure no content overlap between sections - each section must contain unique information.
Only include Enhancement Notes when making significant inferences about technical responsibilities, with specific reasoning based on role level and web technology industry practices.
Be comprehensive but concise, prioritizing actionable information over descriptive text.
Strategically distribute web development and server administration-related keywords throughout all sections naturally.
Provide realistic salary ranges based on location, experience level, and web technology specialization.

Industry Expertise:

Include specific cybersecurity and clinical information systems technologies, server platforms, and infrastructure requirements prominently.
Address web technology career progression paths and technical leadership opportunities in cybersecurity and clinical infrastructure management.
Provide tactical advice for portfolio development, live demonstrations, and project case studies tailored to healthcare IT roles.
Include web technology-specific interview preparation and coding challenge guidance for cybersecurity and clinical information systems.
Emphasize the importance of patient safety, data protection, and collaboration in a healthcare environment.

Professional Standards:

Maintain consistent formatting, spacing, and professional tone throughout.
Use web technology and healthcare IT industry terminology appropriately and accurately.
Include comprehensive benefits and growth opportunities relevant to cybersecurity and clinical information systems professionals.
Provide actionable insights that give web development and server administration candidates a competitive advantage.
Focus on web technology team culture, cross-functional collaboration, and user impact measurement in a healthcare environment.

Technical Focus & Portfolio Emphasis:

Emphasize cybersecurity best practices, clinical systems architecture, and performance optimization.
Include specific portfolio requirements tailored to the cybersecurity and clinical information systems discipline and role level.
Address browser compatibility, accessibility standards, and user experience design principles in the context of healthcare IT roles.
Focus on problem-solving methods, performance optimization, and scalable architecture for clinical information systems and IT infrastructure.
Include technical presentation skills and stakeholder communication for healthcare IT projects.

Avoid:

Generic business jargon not relevant to cybersecurity and clinical information systems roles.
Placeholder text or incomplete sections.
Repetitive content across different sections.
Non-technical terminology unless relevant to the specific cybersecurity and clinical information systems role.
Marketing language unrelated to web development, server administration, or user experience in a healthcare environment.

Generate comprehensive, web technology-focused content that serves as a valuable resource for cybersecurity and clinical information systems professionals seeking their next opportunity in the healthcare IT industry.

Clinical Infrastructure & Cybersecurity Information Systems Engineer (CISE)