About this role
JOB DESCRIPTION · HEALTHCARE IT · TECHNICAL LEADERSHIP Technical Program Manager Healthcare IT · Multi-Domain Infrastructure · Enterprise Architecture Network · HCI & Storage · Voice & CCaaS · ITSM · Linux · Cloud · CX · Compliance PMP / PgMP HIPAA / HL7 / FHIR ITIL 4 TOGAF Agile / SAFe ONC / HITRUST Epic / Cerner Awareness Healthcare IT / PMO Department Director/ VP IT Full-Time Employment 12–18 Years Experience 25–60 Engineers Team Size 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 ☁️ 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 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. 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. Serve as the primary technical liaison between IT engineering teams and clinical leadership — CMOs, CNOs, department heads — translating operational needs into infrastructure solutions. Manage HIPAA Security Rule compliance across all IT domains — risk assessments, Business Associate Agreements (BAAs), security incident response, and annual audit readiness. Oversee HITRUST CSF certification programmes — gap assessments, control implementation, evidence collection, and external auditor engagement. Drive HL7 v2 / FHIR R4 integration programme governance — ADT feeds, clinical data exchange, API gateway management, and ONC interoperability mandate compliance. 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. 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. 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. Drive a culture of automation, documentation discipline, and continuous improvement — sponsoring Ansible automation, GitOps, and Infrastructure-as-Code adoption across engineering teams. Manage technical resource planning — headcount forecasting, skills gap analysis, recruitment, vendor augmentation, and certification investment plans aligned to technology roadmaps. Facilitate cross-domain incident command during major P1 outages — coordinating network, storage, compute, application, and clinical operations teams through structured war room leadership. Conduct regular 1:1s, team performance reviews, and individual development planning sessions — fostering psychological safety, technical growth, and high-performing team culture. ️ 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. 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. Define referenc