Jobs › Sanford Health

Principal Infrastructure Engineer

Sanford Health · City, WI · Remote available · $49.50–$81.50 an hour · Full time

Posted Jun 5, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about an engineering roadmap you built. How did you get leadership to fund it?

What they are checking: Whether they can turn technical needs into a strategic plan that business leaders support.

This is a technical leadership role in a large, mature team. How do you influence engineers who don't report to you?

What they are checking: Leadership through credibility and mentoring rather than authority.

Tell me about a major outage you were involved in. What did you change afterward?

What they are checking: Learning from incidents through root cause and lasting fixes.

How do you keep up with infrastructure technology without chasing every trend?

What they are checking: Judgment in adopting new technology that serves the organization's needs.

What would you do

A vendor's product doesn't meet the performance they promised in production. What do you do?

What they are checking: How they gather evidence, manage vendors and protect operations.

How do you translate a vague business request into infrastructure requirements?

What they are checking: Whether they ask the right questions before designing a solution.

About the work

Walk me through a multi-vendor infrastructure design you led, covering servers, storage, network or cloud. What tradeoffs did you make?

What they are checking: Whether they can reason across the full stack at the principal level, not just one tower.

How would you design hosting for a clinical application that cannot go down?

What they are checking: Resilience thinking, including failover, maintenance windows and recovery targets, in a health care context.

How do you decide what belongs in the cloud versus on premises for a health system?

What they are checking: Balanced judgment on cost, latency, security and compliance rather than a blanket preference.

How do you build security into infrastructure from the start in an environment with protected health information?

What they are checking: Whether security is part of their design habits, not added at the end.

How do you plan capacity for storage growth from imaging and clinical data?

What they are checking: Forecasting and scaling for health care data volumes that grow steadily.

Practice this interview out loud.

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The full job description

As published by Sanford Health.

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. 

 Work Shift: 8 Hours - Day Shifts (United States of America)

 Scheduled Weekly Hours: 40

 Compensation: Salary Range: $49.50 - $81.50



 Union Position: No

 Department Details Opportunity for technical leadership role in a large, mature and growing infrastructure team. Diverse experience, skills and singular mission combine to deliver high quality, secure and performant infrastructure products. Come grow with us! Summary Applies expert technology infrastructure knowledge and experience to research, recommend, design, and implement complex multi-vendor infrastructure solutions for the organization. Responsible for analyzing business and technical requirements, identifying broad design issues, and providing solutions that meet the organization’s needs. Job Description Develop, design, and implement secure, resilient, scalable infrastructure solutions (servers, storage, network, cloud) aligned with business goals. Develop strategic and tactical engineering roadmaps for technologies and services in your area of responsibility. Design, implement, and maintain our organization's server, storage and application hosting infrastructure at an optimal level of performance and availability. Apply expertise and problem-solving to consult on technology platforms in a strategic, resilient, secure, and cost-effective manner. Analyze, scope and identify technical requirements for new and existing products, and determine optimum hosting configuration in hybrid (cloud, on-premises, SaaS) environments. Work with technical architects to obtain strategic designs and ensure compatibility with existing infrastructure. Prototype and validate emerging computing/storage/cloud technologies. Lead and infrastructure teams in building, managing, supporting and maintaining solutions while ensuring compliance with Sanford policy. Oversee or consult on mid-to-large, complex infrastructure projects. Foster and champion modern IT practices that embrace standardization, automation and artificial intelligence. Mentor senior infrastructure team members to provide technical guidance and promote a culture of excellence. Build partnerships across the technology organization to align infrastructure design to business, security, resiliency, and architectural standards. Lead or consult on mid-to-large-scale infrastructure projects, requiring deep technical expertise and leadership. Provide strong leadership, communication, and project management skills while managing multiple simultaneous priorities. Work independently with minimal oversight as well as collaboratively as part of multi-disciplined teams. Qualifications Bachelor’s Degree in Computer Science, Information Technology, or related technical field required. 10 years of technical experience in enterprise server, storage, or cloud environments with at least two years in a senior or principal level role. Advanced knowledge and experience with in enterprise compute systems, storage arrays, hyperconverged infrastructure, cloud platform as a service, and server virtualization. Proficiency in scripting languages such as Python, Bash, or PowerShell. Proficiency with network topologies, communication protocols, application delivery controllers, load balancers, and firewalls. Proven ability to lead and mentor infrastructure engineers and administrators. Advanced infrastructure certifications desired. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.

Apply at Sanford Health