VP of IT Infrastructure & Operations
19 hours ago
Miami
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 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.