POSITION OVERVIEW
We are seeking a rare and exceptional Technical Program Manager to lead our Healthcare IT infrastructure and engineering organisation. This is a senior leadership role that demands both the strategic vision of an enterprise architect and the operational discipline of an experienced programme manager — applied specifically within the complex regulatory, clinical, and operational environment of healthcare technology.
The successful candidate will own the end-to-end delivery of multi-domain IT programmes spanning network engineering (data and voice), HCI and storage infrastructure, ServiceNow ITSM, cloud platforms, Linux systems, customer experience technology, and clinical application support — all within HIPAA, HITRUST, and ONC compliance frameworks. This person is the technical authority, people leader, and programme executive for a team of 25–60 engineers across multiple disciplines, accountable for uptime, delivery, compliance, and the continuous modernization of the healthcare IT estate.
TECHNICAL DOMAINS UNDER LEADERSHIP
This role provides technical oversight, architectural governance, and programme management across all of the following engineering disciplines:
0
Network – Data
Cisco CCNA/CCNP Routing & Switching SD-WAN / LAN / WAN
Network – Voice
Voicerra / Amazon Connect SIP / VoIP / QoS UCaaS / CCaaS
HCI & Storage
Cisco HyperFlex Nutanix AOS / AHV Cohesity / Zerto / SQL
Linux & Automation
Red Hat RHEL 8/9 Ansible / SQL DBs Security & Patching
Healthcare IT / PMO
Department
CX & Contact Centre
Amazon Connect Salesforce CRM Escalations / Support
Healthcare IT
EHR/EMR (Epic/Cerner) HL7 / FHIR / DICOM HIPAA / HITRUST / ONC
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Cloud & Architecture
AWS / Azure Hybrid TOGAF Governance Zero Trust / DR / BCP
HOW SUCCESS IS MEASURED
40
Healthcare IT / PMO
Department
99.99%
Clinical systems uptime SLA
> 90%
Programme milestone on-time delivery
< 4 hr
P1 incident MTTR across all domains
> 85%
Engineer engagement & retention score
Zero
Unplanned clinical system outages
Director/ VP IT
$xM
Annual IT CapEx / OpEx budget ownership
KEY RESPONSIBILITIES
Healthcare IT Programme Leadership-
Own the strategic roadmap and multi-year programme plan for all healthcare IT infrastructure, ensuring alignment with clinical operations, organisational growth, and regulatory requirements.
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Lead planning, execution, and governance of complex healthcare IT programmes including EHR/EMR system integrations (Epic, Cerner), clinical network upgrades, and HIPAA-compliant cloud migrations.
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Serve as the primary technical liaison between IT engineering teams and clinical leadership — CMOs, CNOs, department heads — translating operational needs into infrastructure solutions.
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Manage HIPAA Security Rule compliance across all IT domains — risk assessments, Business Associate Agreements (BAAs), security incident response, and annual audit readiness.
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Oversee HITRUST CSF certification programmes — gap assessments, control implementation, evidence collection, and external auditor engagement.
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Drive HL7 v2 / FHIR R4 integration programme governance — ADT feeds, clinical data exchange, API gateway management, and ONC interoperability mandate compliance.
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Ensure clinical uptime SLAs (99.99%) for EHR, PACS/DICOM, pharmacy, and medical device network connectivity — coordinating DR, BCP, and fail-safe protocols.
Multi-Domain Team Leadership & Engineering Management-
Lead, mentor, and develop a multi-disciplinary team of 25–60 engineers across network, voice, HCI, storage, Linux, ITSM, and CX disciplines — setting performance goals, career pathways, and technical standards.
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Establish and chair the Architecture Review Board (ARB) — evaluating all significant infrastructure design proposals for technical soundness, security compliance, scalability, and alignment to the enterprise architecture.
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Define and enforce engineering standards, design patterns, and best-practice frameworks across all technical domains — IaC, network design, security hardening baselines, and ITSM process maturity.
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Drive a culture of automation, documentation discipline, and continuous improvement — sponsoring Ansible automation, GitOps, and Infrastructure-as-Code adoption across engineering teams.
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Manage technical resource planning — headcount forecasting, skills gap analysis, recruitment, vendor augmentation, and certification investment plans aligned to technology roadmaps.
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Facilitate cross-domain incident command during major P1 outages — coordinating network, storage, compute, application, and clinical operations teams through structured war room leadership.
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Conduct regular 1:1s, team performance reviews, and individual development planning sessions — fostering psychological safety, technical growth, and high-performing team culture.
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Enterprise Architecture & Technical Governance-
Develop and maintain the enterprise IT architecture framework (aligned to TOGAF or equivalent) covering network, compute, storage, security, application, and data architecture domains.
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Lead technology roadmap planning — evaluating emerging platforms, cloud-native solutions, AI/ML in clinical operations, and zero-trust security architectures for multi-year investment planning.
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Define reference architectures for all major technology domains: network (Cisco SD-WAN, DNA Center), HCI (HyperFlex / Nutanix), data protection (Cohesity / Zerto), voice (Amazon Connect / Voicerra), and ITSM (ServiceNow).
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Own the technology lifecycle management programme — tracking hardware and software end-of-life, planning refresh cycles, managing vendor relationships, and negotiating enterprise licensing agreements.
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Govern cloud architecture decisions across AWS and Azure hybrid environments — security posture, data residency for PHI, cost optimisation, and cloud exit strategy.
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Conduct periodic technology portfolio reviews with C-suite stakeholders — presenting investment priorities, risk exposure, technical debt remediation plans, and ROI metrics.
Programme & Project Management Excellence-
Lead the IT PMO function — establishing programme governance frameworks, project intake processes, prioritisation methodologies, and portfolio reporting cadences.
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Manage concurrent IT programmes across all technical domains using agile (SAFe / Scrum) and waterfall delivery methodologies appropriate to programme complexity and regulatory context.
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Own programme budgets (CapEx and OpEx) — developing business cases, tracking actuals vs. forecast, managing variance, and reporting financial performance to IT leadership and finance.
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Maintain master programme schedules, dependency registers, RAID logs (Risks, Assumptions, Issues, Dependencies), and stakeholder communication plans across all active programmes.
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Drive change management for major IT programmes — stakeholder impact analysis, communication planning, clinical staff training coordination, and adoption measurement.
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Produce executive-level programme dashboards, steering committee presentations, and board-level IT governance reports using data-driven insights and clear risk articulation.
Security, Compliance & Risk Management-
Own the IT risk register — identifying, assessing, prioritizing, and tracking remediation of technical risks across all infrastructure domains within the healthcare regulatory environment.
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Lead HIPAA Security Rule risk analysis — conducting annual enterprise-wide security risk assessments, managing findings, and reporting to the Privacy and Security Officer.
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Govern vulnerability management program — overseeing scanning cadence (Nessus, Qualys), CVSS prioritization, patch SLA compliance, and exception management across all teams.
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Manage third-party and vendor risk — reviewing BAAs, conducting IT due diligence for technology partnerships, and overseeing vendor access controls within the clinical environment.
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Oversee business continuity and disaster recovery programs — BCP plan development, tabletop exercises, DR test scheduling, and annual review with clinical operations leadership.
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Ensure CMS (Centers for Medicare & Medicaid) and Joint Commission IT standards compliance — documentation readiness, staff training, and survey preparedness.
Stakeholder Engagement & Vendor Management-
Build and maintain trusted relationships with C-suite stakeholders (CIO, CFO, CMO, CNO, CISO) — operating as a credible technical advisor and strategic IT partner to clinical leadership.
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Lead strategic vendor partnerships across Cisco, Nutanix, Cohesity, Red Hat, ServiceNow, AWS, Microsoft, and clinical IT vendors — managing escalations, roadmap alignment, and commercial negotiations.
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Represent IT in clinical governance forums, board technology committees, and healthcare industry working groups — contributing to policy development and standards adoption.
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Partner with clinical informatics, biomedical engineering, and facilities management to coordinate clinical technology deployments, infrastructure readiness, and system commissioning.
REQUIRED QUALIFICATIONS
Education & Experience-
Bachelor's degree in Computer Science, Information Technology, Network Engineering, or a related technical field. Master's degree (MBA, MIS, or MHA) strongly preferred.
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12–18 years of progressive IT experience with a minimum of 5 years in a senior technical leadership or programme management role managing multi-disciplinary engineering teams.
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Minimum 5 years of healthcare IT experience — with direct ownership of HIPAA compliance, clinical systems availability, or EHR/EMR integration programmes.
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Proven track record of delivering large-scale, multi-domain IT infrastructure programmes on time and within budget in complex, regulated environments.
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Demonstrable hands-on technical background across two or more of the core domains: network engineering, HCI/storage, Linux administration, ITSM, or cloud architecture.
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Demonstrated experience leading and growing high-performing engineering teams of 20+ individuals across multiple technical disciplines.
Certifications
20
Director/ VP IT
Issuing Body
Status
Project Management Professional (PMP)
PMI
Mandatory
ITIL 4 Managing Professional or Strategic Leader
AXELOS / PeopleCert
Full-Time
Employment
TECHNICAL KNOWLEDGE AREAS
While this is a leadership and programme management role, the TPM must maintain sufficient technical depth to govern architecture decisions, challenge engineering proposals, and earn credibility across all specialisms:
1
Full-Time
Employment
HCI, Storage & Compute-
Cisco HyperFlex / UCS / Intersight
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Nutanix AOS / AHV / Prism Central
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Cohesity DataProtect & SmartFiles
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Zerto DR (VPGs, RTO/RPO design)
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VMware vSphere / vSAN
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SQL database storage & backup
Linux & Automation-
Red Hat RHEL 8/9 (RHCE awareness)
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Ansible Automation Platform
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Shell / Python scripting
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Configuration-as-Code (IaC)
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SELinux / security hardening
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Red Hat Satellite / lifecycle mgmt
ServiceNow & ITSM-
ServiceNow ITSM (CSA / CIS-ITSM)
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CMDB & Discovery governance
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Flow Designer & integrations
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ITIL 4 process design & maturity
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SLA / OLA framework design
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ServiceNow Performance Analytics
Healthcare IT & Standards-
HIPAA Security & Privacy Rules
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HITRUST CSF v11 framework
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HL7 v2 / FHIR R4 / DICOM
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EHR/EMR (Epic / Cerner awareness)
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ONC interoperability mandates
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CMS / Joint Commission IT standards
Cloud & Architecture-
AWS / Azure hybrid architecture
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TOGAF ADM methodology
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Zero Trust Network Architecture
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PHI data residency & encryption
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Cloud DR / BCP design
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FinOps & cloud cost governance
PREFERRED QUALIFICATIONS
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Direct experience managing IT infrastructure for acute care hospitals, health systems, or integrated delivery networks (IDNs) with 24/7 clinical uptime obligations.
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Hands-on familiarity with medical device network segmentation (IoMT), FDA-regulated device connectivity, and biomedical engineering IT coordination.
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Experience with healthcare-specific cloud platforms — Microsoft Cloud for Healthcare, AWS HealthLake, or Google Cloud Healthcare API.
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Knowledge of value-based care IT enablement — population health platforms, care coordination tools, and clinical analytics infrastructure.
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Experience implementing Zero Trust Network Architecture (ZTNA) in healthcare environments with HIPAA-compliant identity and access management.
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Exposure to AI/ML applications in clinical operations — clinical decision support, predictive alerting, NLP-based documentation, or diagnostic imaging AI infrastructure.
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Prior experience presenting technology strategy at board level or to healthcare executive leadership teams in a regulated, mission-critical environment.
