Director, IT Infrastructure and Cloud

QualDerm Partners; Brentwood (TN); On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

Competitive pay

Health coverage

401(k) plan

Paid time off

Life insurance

Disability insurance

Wellness plans

Employee discounts

Referral bonuses

Job summary

QualDerm Partners seeks a Director of IT Infrastructure & Cloud to lead strategy, architecture, and operations across on‑premises and Azure cloud environments. This leadership role focuses on scale, cost discipline, security, and regulatory compliance in a multisite healthcare setting.

The candidate will drive cloud modernization, hybrid architectures, and de‑novo site launches, while guiding incident response, budget planning, and vendor partnerships to support patient care and organizational

Qualifications

• Hands-on experience migrating and operating workloads in Microsoft Azure.
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• Experience leading de‑novo site setups and M&A IT integration.
• Healthcare/regulatory environment experience preferred (HIPAA, HITECH, HITRUST).

Responsibilities

• Own architecture, roadmap, and lifecycle of infrastructure across facilities and Azure.
• Lead cloud migration and optimization initiatives in Azure IaaS/PaaS.
• Standardize and modernize clinic-level infrastructure.
• Oversee IT budgeting and vendor management.
• Partner with security to meet HIPAA/HITECH requirements.

Skills

Cloud leadership

Azure expertise

Budget management

Vendor management

Strategic planning

Security awareness

Education

Bachelor's degree in IT or related field

Tools

Azure

Azure AD/Entra ID

Backup/DR tooling

Job description

Company Summary:

To achieve and maintain our high-quality standards, we see to partner with physicians and staff who share our vision, values and brand promises and are dedicated to advancing our culture. 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 across the full spectrum of dermatology, skin cancer care, cosmetics, plastic surgery, and pathology with continued plans to expand further across the nation.

We will partner with you to establish the best combination of environment, technology, teamwork and personal reward opportunities to earn your confidence that we are your best place to work.

Purpose:

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 support 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, and who understands that in this industry, downtime and security incidents have direct consequences for patient care and compliance.

Essential Duties and Responsibilities:

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

Benefits of joining Qualderm Partners:

• Competitive Pay - Attractive compensation to reward your hard work
• Comprehensive Health Coverage - Includes Medical, Dental, and Vision plans to keep you covered
• Generous 401(k) Plan - Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting
• Paid Time Off (PTO) - Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year
• Company‑Paid Life Insurance - Peace of mind with basic life coverage, with the option for additional plans
• Disability Protection - Short‑term and long‑term disability coverage to protect you in unexpected circumstances
• Additional Wellness Plans - Accident, critical illness, and identity theft protection plans for extra security
• Employee Assistance Program (EAP) - Access confidential support for personal or work‑related challenges
• Exclusive Employee Discounts - Save on products and services with special discounts just for you
• Referral Bonus Program - Earn bonuses by referring qualified candidates to join the team

QualDerm Partners is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants must be currently authorized to work in the United States in a full‑time basis.