Director, IT Infrastructure and Cloud

QualDerm Partners • Brentwood, TN

7h • Hybrid

About The Position

Our organization operates a network of healthcare facilities and depends on reliable, secure, and scalable technology to support patient care, clinical staff, and back-office operations across all sites. We are seeking a Director, IT Infrastructure & Cloud to lead the strategy, operations, and support security posture of our infrastructure environment - spanning on-premises systems, and our Microsoft Azure cloud footprint. This is a hands-on leadership role for someone who has both architected and operated cloud infrastructure in a healthcare or other highly regulated, multisite environment, and who understands that in this industry, downtime and security incidents have direct consequences for patient care and compliance.

Requirements

• Bachelor's degree in Information Technology, Computer Science, or related field (or equivalent experience).
• 8+ years of progressive cloud infrastructure experience, including 3+ years in a leadership/management role.
• Demonstrated, hands-on experience designing, migrating, and operating workloads in Microsoft Azure (compute, storage, networking, identity/Entra ID, backup/DR).
• Proven track record leading day-to-day IT operations at scale, ideally across multiple physical locations or business units.
• Direct experience leading de-novo site setup (new facility IT builds) and M&A IT integration (due diligence, systems/network integration, and post-acquisition consolidation).
• Solid working knowledge of cybersecurity principles and practices — identity management, network security, endpoint protection, vulnerability management, and incident response.
• Experience operating within regulated environments; healthcare industry experience strongly preferred (HIPAA, HITECH, HITRUST familiarity).
• Experience managing budgets, vendor contracts, and cross-functional teams.
• Strong communication skills with the ability to translate technical risk into business terms for executive audiences.

Nice To Haves

• Experience in multisite healthcare delivery organizations (hospital systems, ambulatory networks, home health, behavioral health, or similar).
• Relevant certifications such as Microsoft Certified: Azure Solutions Architect Expert, CISSP, CISM, or ITIL.
• Experience with EHR/clinical systems infrastructure requirements and uptime expectations.
• Familiarity with network infrastructure connecting distributed clinical sites (SD-WAN, MPLS, site-to-site VPN).
• Experience leading or supporting disaster recovery and business continuity planning in a clinical setting.
• Track record supporting rapid organizational growth through de-novo expansion and/or acquisition activity in a healthcare or multisite services environment.

Responsibilities

• Own the architecture, roadmap, and lifecycle management of infrastructure across facility-level IT, and Azure cloud environments.
• Own and evolve the Company’s Azure-based cloud environment, ensuring scalability, resilience, performance, and cost discipline.
• Standardize and modernize clinic-level infrastructure (networks, devices, connectivity) while enabling local operational excellence.
• Lead ongoing cloud migration and optimization initiatives (Azure IaaS/PaaS, Azure AD/Entra ID, Azure networking, backup/DR, cost management).
• Evaluate and implement hybrid cloud architectures that balance performance, cost, scalability, and regulatory requirements (HIPAA, HITRUST).
• Develop and maintain a multi-year infrastructure investment and refresh plan across all sites.
• Lead IT planning and execution for de-novo site launches - network design, hardware procurement, connectivity, security baseline, and go-live readiness - ensuring new facilities meet operational and compliance standards from day one.
• Serve as the IT lead for mergers, acquisitions, and divestitures, including technical due diligence, infrastructure and security risk assessment, systems/network integration planning, and post-close consolidation of acquired sites into the corporate environment.
• Direct 24/7 operational support for infrastructure, network, servers, storage, virtualization, and end-user computing across all locations.
• Establish and monitor SLAs/KPIs for uptime, incident response, and service desk performance; drive continuous improvement via automation and AI enablement.
• Oversee capacity planning, patching, monitoring, and change management processes to minimize disruption to clinical operations.
• Manage vendor and managed service provider (MSP) relationships, contracts, and performance.
• Lead incident and problem management for infrastructure-related outages, including on-call escalation processes.
• Own IT budget planning and management for infrastructure and cloud operations.
• Partner with the security function to ensure infrastructure and cloud environments meet HIPAA, HITECH, and applicable state/federal security requirements.
• Champion secure architecture practices: identity and access management, endpoint protection, network segmentation, encryption, and vulnerability management.
• Lead response and remediation for infrastructure-related security incidents in coordination with security/compliance teams.
• Support risk assessments, security audits, and third-party/vendor risk reviews.
• Ensure business continuity and disaster recovery plans are documented, tested, and aligned with clinical operational needs.
• Build, mentor, and develop a high-performing infrastructure and operations team across multiple sites.
• Serve as a key advisor to executive leadership on infrastructure risk, investment priorities, and technology roadmap.
• Partner with clinical, facilities, and compliance leaders to ensure technology decisions support patient care delivery and regulatory obligations.
• Standardize infrastructure practices, documentation, and tooling across all facilities to reduce variability and risk.
• Perform other duties as assigned.

Benefits

• Competitive Pay – Attractive compensation to reward your hard work
• Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans to keep you covered
• Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting
• Paid Time Off (PTO) – Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year
• Company-Paid Life Insurance – Peace of mind with basic life coverage, with the option for additional plans
• Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances
• Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra security
• Employee Assistance Program (EAP) – Access confidential support for personal or work-related challenges
• Exclusive Employee Discounts – Save on products and services with special discounts just for you
• Referral Bonus Program – Earn bonuses by referring qualified candidates to join the team

What This Job Offers

• Job Type: Full-time
• Career Level: Director