Job Description
Job Summary
The Vice President of IT Infrastructure & Operations will lead the stabilization, modernization, and future-state readiness of enterprise technology services across a growing, multi-entity healthcare platform. This role is accountable for enterprise infrastructure, IT operations, end-user services, service delivery, and operational coordination of security. The role has a clear mandate to restore and sustain operational reliability, establish disciplined, trusted IT service management, prepare the organization – technically, operationally, and organizationally – for a planned migration to Microsoft Azure, uplift a team with limited current cloud experience, and drive cost transparency, vendor accountability, and execution rigor. This leader will move Femwell from reactive operations to a predictable, metrics-driven, healthcare-compliant infrastructure and operations model that supports physicians, practices, and corporate growth. This role does not replace a CISO or security leadership function but retains accountability for security execution within Infrastructure & Operations.
Essential Job Functions
Infrastructure & Cloud Readiness (Azure-Focused)
- Own Femwell’s infrastructure modernization and cloud readiness strategy, with Microsoft Azure as the target platform, and own accountability for preparing Femwell to migrate successfully.
- Lead all pre-migration activities, including:
- Current-state infrastructure and dependency assessment
- Application and workload readiness analysis
- Azure architecture standards and landing zone design
- Identity, network, security, and operational readiness
- Partner with Application, Security, and Finance leaders to define migration sequencing, governance, and cost models.
- Build internal cloud capability through training, hiring, and selective partner support.
- Ensure cloud strategy aligns with HIPAA, HITRUST, and healthcare regulatory requirements.
IT Operations & Service Delivery
- Own all day-to-day IT operations, including:
- Service Desk and end-user support
- Infrastructure and network operations
- Incident, problem, and change management
- Establish and enforce ITSM processes using Salesforce as the enterprise ticketing and service management platform
- Define SLAs, escalation paths, and executive-level visibility into service performance
- Improve MTTR, incident communication, and operational predictability
- Ensure business continuity, disaster recovery readiness, and operational resilience
Security Operations Coordination
- Own operational coordination of security vendors and internal security functions
- Ensure infrastructure, cloud, endpoint, and network operations are secure by design and secure by default
- Coordinate MSSPs and security partners to ensure:
- Clear ownership and escalation paths
- Integrated incident response and communication
- Consistent execution of security controls
- Ensure security incidents and alerts are fully integrated into Salesforce-based ITSM workflows
- Support audits, risk assessments, and compliance activities by ensuring infrastructure and operations teams reliably execute required controls
Financial, Vendor & Partner Management
- Own the Infrastructure & Operations budget, forecasting, and cost controls
- Create transparency around run vs. transformation spend, including future Azure cost modeling
- Lead strategic vendor relationships (MSPs, cloud partners, telecom, infrastructure vendors)
- Retain executive accountability for outcomes regardless of vendor involvement
- Drive continuous cost optimization without compromising reliability or security
Organizational Leadership & Performance
- Build, lead, and develop a high-performing Infrastructure & Operations organization
- Establish clear roles, accountability, and execution discipline
- Uplift team capabilities in cloud, automation, and modern service operations
- Address performance gaps quickly and decisively to protect operational reliability
- Establish succession planning and reduce single points of failure
Enterprise Partnership
- Act as a trusted partner to executive leadership, clinical leaders, and practice operations
- Translate infrastructure risks and constraints into clear business impact
- Support M&A onboarding and integration from an infrastructure and operations perspective
- Collaborate closely with Application, Security, Data, and Integration leaders to ensure cohesive execution
*NOTE: The list of tasks is illustrative only and is not a comprehensive list of all functions and tasks performed by this position.
Education, Experience, Skills, and Requirements
- Bachelor’s degree in Information Systems, Computer Science, or equivalent experience.
- 10+ years of IT experience, including 5+ years in senior Infrastructure & Operations leadership roles.
- Demonstrated experience preparing organizations for cloud migration (Azure strongly preferred).
- Strong background in IT operations, service delivery, and ITSM.
- Experience coordinating security teams and managed security vendors in regulated environments.
- Healthcare IT experience (provider, MSO, payer, or healthcare services) preferred.
- Experience migrating from on-prem or legacy environments to Azure preferred.
- Familiarity with EHR-adjacent infrastructure requirements (eCW, Epic, Athena, etc.) preferred.
- Experience operating in multi-entity or federated environments is preferred.
- Healthcare experience is strongly preferred.
- Experience operating in complex, federated environments (MSAs, LLCs, acquired entities) is highly valued.
- Knowledge of HIPAA Security preferred.
- Hybrid rotation schedule and/or onsite as needed.
Core Skills & Competencies
- Azure architecture and cloud operating models
- ITSM and service delivery using Salesforce
- Vendor and partner management
- Financial discipline and cost optimization
- Executive-level communication and decision-making
- Demonstrates strong accountability, structure, and execution, ensuring initiatives are clearly owned, organized, and delivered on time.