Jobs › Northwestern Medicine

Senior Systems Engineer, ServiceNow

Northwestern Medicine · Chicago, IL · Remote available · Full time · Health Care Provider

Posted Oct 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 a time you used automation to remove manual work.

What they are checking: Fit with the organization's push toward automation and AI.

How do you mentor less experienced engineers on the platform?

What they are checking: Whether they act at a senior level by sharing knowledge.

What would you do

A clinical team says a workflow change slowed them down during patient care. How do you respond?

What they are checking: Understanding that in a health system, IT changes affect patient care and need fast attention.

You disagree with another team about how an integration should work. How do you resolve it?

What they are checking: Collaboration across IT teams to keep systems working together.

About the work

Tell me about the ServiceNow environment you supported most recently: modules, scale and integrations.

What they are checking: Depth of hands-on ServiceNow platform work, beyond just using the ticketing system.

How do you plan and test a ServiceNow family upgrade without breaking customizations?

What they are checking: Upgrade discipline, including skipped records, testing in sub-production and rollback plans.

A MID Server goes down and integrations stop. Walk me through your troubleshooting.

What they are checking: Real troubleshooting experience with connectivity and integration components.

How do you decide between configuring out of the box and writing custom code in ServiceNow?

What they are checking: Judgment that limits technical debt and keeps future upgrades easier.

How do you monitor capacity and performance so problems surface before users notice?

What they are checking: Proactive monitoring and capacity planning, which the posting lists as core.

How do you handle security and access controls on a platform that holds sensitive data?

What they are checking: Awareness of role-based access and data protection in a HIPAA environment.

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The full job description

As published by Northwestern Medicine.

The Senior Systems Engineer , reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Senior Systems Engineer is responsible for keeping the hardware systems, their associated operating systems, and connectivity capabilities fully operational and well-integrated into NMHC information technology environment. This position also monitors, analyzes and plans upgrades, as necessary, to ensure adequate capacity and availability to meet the user needs. Northwestern Medicine Information Services drives innovative, high-value solutions to transform health care. We are committed to supporting the relentless pursuit of better medicine by providing exceptional service to our patients and guests as well as internal clients across the organization. To ensure excellence, our team goes to extraordinary lengths to ensure that our systems work together seamlessly. Northwestern Medicine understands that technology plays an integral role in shaping the future of health care. Information Services strategically supports the organization by: • Leveraging AI, automation and rollout of advanced cyber controls that support digital transformation strategies • Implementing advanced technologies in clinical and administrative areas • Furthering development of the end user support model to help enhance modern infrastructure Responsibilities: General Technical Skills • Maintains solid technical competence for assigned services and systems while grasping the integration and interaction of all supported services and systems. • Provides technical leadership and support for computing systems and systems integration. • Conducts, analyzes, recommends and presents performance and/or capacity analysis to assure systems reliability for current and/or future use. • Maintains a broad working knowledge of the full range of NMHC IT server/distributed systems. • Provides diagnostic skills and expertise to coordinate problem determination and solution, including vendors and manufacturers, across the full range of NMHC server/distributed system IT environment. Customer Service • Responds thoroughly and promptly to customer needs as defined in conjunction with our customers. Manages customer relationships and follows issues through to closure. Includes all aspects of customers (NMHC technology users, IS team members, etc.). • Works effectively in supporting the application teams with project and support activities. • Actively participates and communicates with the project teams. • Prepares and delivers effective support by seeking a thorough understanding of the team’s goals and objectives. • Understands the business and clinical processes at NMHC and the operational environments of assigned customers. Communication Skills • Communicates clearly, responsively, and purposely with customers and team members. • Proficient in all written communication, both internally and externally. • Develops effective relationships with users and other IS team members to enhance the timeliness and effectiveness of technology solutions. Planning • Determines strategy and supports system-to-network connectivity and interfacing to assure stable integration of the NMHC distributed system IT environment. • Reviews technology projects, analyzes business requirements, recommends system changes, writes technical specifications, and implements system changes to address changing application requirements. • Provides technical leadership including the identification and implementation of NMHC best practice standards. • Develops project plans to direct technology activities either in support of application projects or as independent work activities. • Works directly with project managers to understand application objectives, develop scope of project, outline effort projections, determine schedules, and finalize plans. • Establishes and enforces standards, policies , and procedures for local area networks. • Participates in long- and short-range technology planning. Personal and Staff Development • Leads on-going process to integrate vendor, manufacturer , and point-expertise technical knowledge into NMHC. • Seeks to improve talents and skills consistent with overall IS direction. • Provides mentoring and acts as a resource for others on the immediate team, as well as members of the application teams. Teamwork • Focuses on IS team success and promotes collaborative efforts with others. • Shifts easily among different technical and project roles as required by situation. • Anticipates and adapts well to rapid change and multiple priorities. • Contributes to the IS Knowledge Repository. Additional Functions • Providing on-call support is required. Required: • 7+ years of experience in core discipline • Excellent verbal and written communications skills Preferred: • Bachelor’s in computer science or related field • 5+ years of experience in core discipline in the healthcare industry Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Click on or copy and paste URL to your browser to view detailed benefits information NorthwesternMedicine Career Page https://jobs.nm.org/benefits Please refer to the Benefits Eligibility by Employment Classification to determine benefits eligibility for job postings. If sign-on bonus is included in a job posting eligibility is as followed: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign-on bonus. Exception : New graduate internal employees seeking their first licensed clinical position as a Registered Nurse at NM may be eligible.

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