Director, IT Infrastructure and Cloud

QualDerm providers and staff are well-trained, highly skilled, and recognized as leaders in the specialty of dermatology. We currently have 158 practices in 17 states, spanning dermatology, skin cancer care, cosmetics, plastic surgery, and pathology, with continued plans to expand further across the nation. We partner with you to establish the best combination of environment, technology, teamwork, and personal reward opportunities.

About the Role

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 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. In this industry, downtime and security incidents have direct consequences for patient care and compliance.

Responsibilities

Infrastructure & Cloud Strategy

• Own the architecture, roadmap, and lifecycle management of infrastructure across facility-level IT and Azure cloud environments.
• 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.

Day-to-Day IT Operations

• 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.

Cybersecurity & Risk Management

• 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.

Leadership & Cross-Functional Collaboration

• 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.

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.

Preferred Qualifications

• 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.

Benefits

• Competitive pay.
• Comprehensive health coverage (Medical, Dental, and Vision plans).
• Generous 401(k) plan with company match: 100% of the first 3%, plus 50% of the next 2%, with immediate vesting.
• Paid Time Off (PTO) accrued from day one, plus 6 paid holidays and 2 floating holidays each year.
• Company-paid life insurance with optional additional plans.
• Disability protection (short-term and long-term coverage).
• Additional wellness plans (accident, critical illness, and identity theft protection).
• Employee Assistance Program (EAP) for confidential support.
• Exclusive employee discounts on products and services.
• Referral bonus program for qualified candidate referrals.