Technical Program Delivery Director

Rackspace Technology•San Antonio, TX

22h•$165,830 - $243,142•Remote

About The Position

The Technical Program Delivery Director is accountable for end-to-end delivery leadership for a strategic enterprise healthcare customer, ensuring the successful execution of complex, high-risk programs aligned to business outcomes, contractual commitments, and organizational strategy. The Technical Program Delivery Director serves as the single point of accountability for overall program performance, overseeing governance, financial outcomes, and executive stakeholder engagement while driving consistent, high-quality delivery across all workstreams. The Technical Program Delivery Director provides program-level technical oversight across private cloud, infrastructure, and migration initiatives, ensuring solutions meet architecture, security, and regulatory standards. Operating within a highly regulated healthcare environment, this leader ensures programs deliver measurable business value while adapting to evolving customer priorities. The Technical Program Delivery Director also carries full accountability for aligning delivery with U.S. healthcare regulations such as HIPAA and HITECH, as well as patient safety and clinical operational requirements, including proactive risk management in patient-critical environments. Additionally, the Director ensures the resilience and continuity of patient-critical systems through high availability design, downtime risk mitigation, and robust operational recovery planning.

Requirements

A minimum of 15 years of experience delivering complex programs and/or managed services in enterprise environments
Proven experience managing large-scale, high-risk, multi-stream programs
Strong executive presence with extensive customer-facing leadership experience
Experience managing strategic enterprise customers with executive-level visibility
Demonstrated expertise in data center infrastructure, private cloud, and hybrid cloud environments
Experience managing delivery under strict SLAs and contractual frameworks
Strong understanding of governance, PMO frameworks, and financial management
Strong healthcare experience, including knowledge of HIPAA / HITECH, patient safety considerations, interoperability standards (FHIR / HL7), and clinical systems
Bachelor’s degree required, preferably in a field related to the role. At the manager’s discretion, additional relevant experience may substitute for the degree requirement
Project Management Professional (PMP) certification required

Nice To Haves

Master’s degree preferred
Program Management Professional (PgMP) preferred

Responsibilities

Own and define the overall program vision, strategy, and delivery approach across multiple interdependent projects, including complex infrastructure and migration initiatives
Ensure full lifecycle ownership from initiation through delivery, migration execution, operational transition, and closure
Direct the development and approval of integrated program and project plans, incorporating technical delivery, dependencies, and sequencing across private cloud environments
Maintain alignment between program outcomes and strategic objectives, ensuring delivery across private cloud infrastructure, networking, security, and platform services
Ensure the program environment supports successful delivery across all workstreams, including technical assurance, SDDC integration, and management of technical risks and escalations
Ensure program plans explicitly account for patient safety, clinical workflows, system resilience, and regulatory compliance, not just technology outcomes
Establish and operate within a standardized enterprise governance framework, ensuring consistency and predictability of delivery
Define and maintain program governance structures including Program Board, SteerCo, and escalation paths
Ensure adherence to PMO standards including RAID management, stage gates, reporting cadence, and financial control
Continuously assess and improve governance processes, contributing to enterprise best practices
Ensure all program activities comply with internal standards and delivery frameworks
Embed governance controls covering patient safety risk, clinical impact assessments, cybersecurity posture, data protection, and interoperability compliance
Act as the senior accountable interface for executive customer stakeholders (CIO, CTO, Program Sponsors)
Lead complex stakeholder engagement across clinical, operational, and technology domains
Deliver clear, integrated, and outcome-focused communications to senior stakeholders
Manage stakeholder expectations and resolve conflicts across multiple parties
Ensure alignment across customer, delivery teams, vendors, and internal leadership
Build strong engagement with clinical stakeholders to ensure program decisions support safe, effective care delivery and do not disrupt clinical workflows
Own program financial performance including revenue, margin, forecasting, and cost control
Ensure accurate tracking of program financials including revenue recognition, invoicing, and receivables
Lead financial integration across multiple projects within the program
Support commercial activities including bids, RFP responses, and vendor selection
Ensure the program achieves agreed commercial and contractual outcomes
Ensure financial planning accounts for regulatory compliance, cybersecurity, data protection, resilience requirements, and clinical risk mitigation investments
Own the identification, assessment, and mitigation of program-level risks and issues
Ensure appropriate escalation of risks and issues within governance structures
Develop and implement corrective actions to address complex delivery challenges
Maintain proactive risk management ensuring program outcomes are protected
Ensure unresolved issues are addressed through structured governance forums
Explicitly manage risks relating to patient safety, clinical system availability, data privacy, cybersecurity threats, and regulatory compliance
Ensure resilience and continuity risks (including downtime and failure scenarios) are proactively assessed and mitigated
Ensure all program deliverables meet defined quality standards and customer expectations
Lead program-level quality reviews, audits, and assurance activities
Validate project quality plans and ensure adherence to quality management processes
Drive continuous improvement through lessons learned and best practice adoption
Ensure consistent application of delivery methodologies across all projects
Ensure quality assurance includes clinical safety validation, regulatory compliance checks, cybersecurity controls, and interoperability standards (FHIR / HL7)
Ensure program delivery aligns to healthcare regulatory, compliance, and operational requirements (HIPAA / HITECH)
Manage risks related to patient data, clinical safety, system availability, and critical healthcare services
Ensure adherence to data protection, privacy, and cybersecurity standards
Ensure solutions support interoperability and integration across healthcare ecosystems (e.g., FHIR, HL7)
Navigate complex healthcare stakeholder environments including clinical and administrative functions
Ensure programs are designed with full awareness of clinical workflows, patient safety implications, and operational continuity requirements
Lead and coordinate multi-disciplinary program and project teams
Ensure effective allocation and utilization of shared resources across the portfolio
Define program organization structures, roles, and responsibilities (RACI)
Support development of program and project management capability
Drive a high-performance culture focused on accountability and delivery excellence
Ensure teams are aligned to healthcare delivery priorities, including patient safety, regulatory accountability, cybersecurity awareness, and clinical impact sensitivity