Healthcare IT | ITSM | Endpoint Support | Identity & Access Support | Operations Improvement

Ermano D. Cayard

ITSM & Endpoint Support Analyst

Healthcare IT support professional focused on ITSM workflows, endpoint support, identity and access support, clinical device troubleshooting, and operations improvement.

Technical Focus

Support Areas

ITSM & Ticketing Workflows

Incident intake, service request documentation, escalation notes, status updates, and workflow awareness.

Endpoint & Desktop Support

Windows devices, peripherals, imaging support, troubleshooting, and end-user coordination.

Healthcare IT Support

Clinical endpoint support, EHR access coordination, Epic-connected devices, and healthcare support context.

Identity & Access Support

AD user support, MFA troubleshooting, access request handling, and provisioning coordination within assigned scope.

Citrix / VDI Support

Citrix and virtual desktop access troubleshooting for clinical and enterprise users.

Reporting & Process Improvement

Ticket review, workflow analysis, knowledge base updates, and reporting exploration.

Selected Experience

Relevant Roles

Tallahassee Memorial HealthCare

Desktop Support Technician II

  • Tier 2 endpoint, Citrix/VDI, Epic-connected device, peripheral, access, and clinical workflow support.
  • Supported Ivanti / Ivanti Neurons ITSM, internally known as Merlin, through ticket documentation and workflow follow-up.
  • Provided delegated AD workstation support and Entra MFA/authentication support within assigned scope.
  • Troubleshot healthcare endpoints and clinical peripherals in coordination with users and support teams.

Centurion Health

Technical Support Specialist

  • Supported corporate IT help desk needs for correctional healthcare contracts across multiple states.
  • Used Freshservice for service desk ticket documentation, triage, and escalation workflows.
  • Supported AD user provisioning, Exchange/Microsoft 365 users, and distribution group requests within assigned scope.
  • Troubleshot Duo MFA, BitLocker recovery, 8x8/Polycom phones, Windows imaging, Ricoh/printer scanning, EHR access, and Citrix access issues.

Alorica

Technical Support Analyst

  • Provided remote technical support for New York Life insurance agents.
  • Supported Citrix/virtual desktop, Cisco VPN, PingID, and Salesforce access troubleshooting.
  • Worked in a service desk phone queue with documentation, user communication, and escalation workflows.

Case Studies / Portfolio Projects

Practical Work Samples

Project examples use mock, sanitized, or recreated information.

ITSM Ticket Audit Dashboard

A sanitized concept for reviewing ticket patterns, documentation quality, and workflow improvement opportunities.

Status: In Progress

View project brief

Healthcare Endpoint Support Knowledge Base

A structured knowledge base concept for recurring endpoint, clinical peripheral, and access support scenarios.

Status: In Progress

View project brief

New Hire Access Provisioning Workflow

A mock workflow for coordinating account, group, MFA, and application access requests within assigned scope.

Status: In Progress

View project brief

Tools & Technologies

Working Knowledge

ITSM

Ivanti Neurons ITSM, Merlin, Freshservice, Incident Management, Service Requests, Ticket Documentation

Identity

Active Directory, Microsoft Entra ID, Duo MFA, PingID, BitLocker Recovery

Microsoft

Microsoft 365, Exchange, Outlook, Teams, Office Apps

Endpoint

Windows, Imaging/Reimaging, Printers, Scanners, Thin Clients, WOW Carts

Healthcare IT

Epic Hyperspace through Citrix, Epic-connected devices, Imprivata OneSign, EHR access support

Remote Access

Citrix, VDI, Cisco AnyConnect, VPN

Process

Knowledge Base Documentation, Escalation Notes, Workflow Analysis, Reporting Exploration

Contact

Professional Links

Connect with me through the links below.