ACIO for Clinical Solutions

Tier4 Group; Quincy (MA); On-site; USD 180,000 - 240,000; Full time

Job summary

Tier4 Group seeks an experienced Deputy Assistant Chief Information Officer (DACIO) to lead strategy, development, support, and optimization of clinical technology solutions in a complex healthcare environment.

The DACIO will oversee enterprise clinical applications, data services, and technical teams, aligning technology with business goals and patient care initiatives. Strong leadership and healthcare IT experience are required.

Qualifications

• Bachelor’s degree in IT, CS, Healthcare Informatics, Business Administration, or related field.
• 510 years of progressive IT experience within healthcare or other large, complex enterprise environments.
• Experience managing application development, infrastructure, operations, and technology delivery teams.
• Strong leadership experience overseeing technical teams, including employee development, mentoring, coaching, and performance management.
• Experience supporting enterprise clinical platforms and electronic health record (EHR) systems.
• Knowledge of SDLC methodologies and application delivery frameworks.
• Strong analytical, problem-solving, and decision-making skills.
• Excellent written, verbal, and stakeholder communication skills.
• Proficiency with Microsoft Office 365 and collaboration tools.

Responsibilities

• Lead the development, maintenance, and optimization of enterprise clinical applications and related technology services.
• Establish processes, procedures, governance frameworks, and delivery methodologies to support scalable, secure, and cost-effective solutions.
• Oversee clinical technology initiatives and collaborate with internal technology teams and business stakeholders.
• Support the full System Development Life Cycle (SDLC), including requirements gathering, analysis, design, development, testing, implementation, and support.
• Review and evaluate business and technical documentation for completeness, quality, and alignment with organizational goals.
• Develop and maintain service-level metrics, quality assurance processes, and operational performance measures.
• Manage technical teams, including resource planning, staffing, workload prioritization, coaching, and performance management.
• Maintain strategic plans, operational procedures, knowledge management resources, and issue resolution processes.
• Serve as a liaison between business users, technical teams, project managers, and leadership to align priorities and drive successful outcomes.
• Evaluate requests for new systems, enhancements, and automation opportunities by assessing business needs, technical feasibility, and operational impacts.
• Assess regulatory and compliance changes and recommend technology solutions to address evolving requirements.
• Contribute to organizational technology strategy and continuous improvement initiatives.

Skills

Leadership

Stakeholder comms

Problem solving

Project management

Healthcare IT

EHR knowledge

Education

Bachelor's degree

Tools

AWS

Azure

Cerner

Oracle Health

Meditech

Office 365

Job description

Position Overview

We are seeking an experienced Deputy Assistant Chief Information Officer (DACIO) to lead the strategy, development, support, and optimization of clinical technology solutions within a complex healthcare environment. This leadership role is responsible for overseeing enterprise clinical applications, data services, and technical teams while ensuring reliable, secure, and scalable technology solutions that support organizational operations and patient care initiatives.

The DACIO will provide strategic direction for clinical systems, partner with business and technology stakeholders, and oversee application lifecycle management, operational support, system modernization efforts, and technology roadmaps. The ideal candidate is a collaborative leader with extensive healthcare IT experience, strong operational management skills, and a demonstrated ability to align technology solutions with business objectives.

Key Responsibilities

• Lead the development, maintenance, and optimization of enterprise clinical applications and related technology services.
• Establish processes, procedures, governance frameworks, and delivery methodologies to support scalable, secure, and cost-effective solutions.
• Oversee clinical technology initiatives and collaborate with internal technology teams and business stakeholders.
• Support the full System Development Life Cycle (SDLC), including requirements gathering, analysis, design, development, testing, implementation, and support.
• Review and evaluate business and technical documentation for completeness, quality, and alignment with organizational goals.
• Develop and maintain service-level metrics, quality assurance processes, and operational performance measures.
• Manage technical teams, including resource planning, staffing, workload prioritization, coaching, and performance management.
• Maintain strategic plans, operational procedures, knowledge management resources, and issue resolution processes.
• Serve as a liaison between business users, technical teams, project managers, and leadership to align priorities and drive successful outcomes.
• Evaluate requests for new systems, enhancements, and automation opportunities by assessing business needs, technical feasibility, and operational impacts.
• Assess regulatory and compliance changes and recommend technology solutions to address evolving requirements.
• Contribute to organizational technology strategy and continuous improvement initiatives.

Required Qualifications

• Bachelor's degree in Information Technology, Computer Science, Healthcare Informatics, Business Administration, or a related field.
• 510 years of progressive IT experience within healthcare or other large, complex enterprise environments.
• Experience managing application development, infrastructure, operations, and technology delivery teams.
• Strong leadership experience overseeing technical teams, including employee development, mentoring, coaching, and performance management.
• Experience supporting enterprise clinical platforms and electronic health record (EHR) systems.
• Knowledge of software development lifecycle (SDLC) methodologies and application delivery frameworks.
• Strong analytical, problem-solving, and decision-making skills.
• Excellent written, verbal, and stakeholder communication skills.
• Proficiency with Microsoft Office 365 and collaboration tools.

Preferred Qualifications

• Extensive experience supporting and implementing Electronic Health Record (EHR) platforms.
• Experience with Cerner/Oracle Health and Meditech environments.
• Knowledge of Health Information Exchange (HIE) technologies and interoperability standards.
• Hands-on experience with cloud platforms such as AWS and Microsoft Azure.
• Strong background in change management and process improvement initiatives.
• Experience with application architecture, database design, reporting, analytics, and information management.
• Demonstrated success identifying business process improvements through technology solutions.
• Experience implementing Agile methodologies and leading Agile teams.
• Healthcare operations, hospital systems, or clinical technology leadership experience preferred.
• Experience supporting large-scale technology transformation, facility modernization, or healthcare infrastructure projects.