Director of Cloud Operations

Core Sound Imaging, LLC; Raleigh (NC); On-site; USD 140,000 - 210,000; Full time

Job summary

Core Sound Imaging, LLC in Raleigh, North Carolina, seeks a Director of Cloud Operations to lead MSP-driven IT operations and the internal AWS DevOps team. You will drive cloud strategy, security, and cost optimization while aligning external and internal teams around one roadmap and incident-response process.

You will own infrastructure security practices, CI/CD pipelines, and IaC (Terraform/CloudFormation), ensuring reliable, scalable cloud services and strong governance across the

Qualifications

• Bachelor’s degree in Computer Science, Information Technology, Engineering, Information Systems, or related field, or equivalent experience.
• 8+ years in IT operations, infrastructure, or cloud engineering; 3+ years in leadership.
• Proven MSP/vendor relationship management, including contracts and SLAs.
• Hands-on AWS production experience (EC2, VPC, IAM, RDS, ECS/EKS, Lambda, CloudWatch).
• Leadership of DevOps/SRE teams; strong CI/CD, IaC (Terraform/CloudFormation), and containerization (Docker/Kubernetes).
• Budget ownership, vendor negotiations, and cloud cost optimization experience.
• Strong incident management background and on-call/escalation process improvements.
• Excellent communication for presenting metrics/roadmaps to executives.
• Familiarity with ITIL or similar ITSM frameworks.

Responsibilities

• Own MSP relationships, including contract renewals and pricing.
• Define SLAs/KPIs for uptime, support response/resolution, patch cadence, and security.
• Lead regular business/technical reviews with MSP; resolve performance issues.
• Decide build-vs-buy strategies for IT operations and cloud services.
• Oversee MSP helpdesk, network, endpoints, and infrastructure services.
• Lead internal AWS DevOps team with hiring, mentoring, and performance reviews.
• Set cloud architecture direction: IaC, CI/CD, containers, observability.
• Manage AWS cost, rightsizing, savings plans, tagging governance.
• Promote automation and self-service to improve developer velocity.
• Coordinate audits, certifications (SOC 2, ISO 27001) and DR/BC planning.

Skills

Vendor management

AWS leadership

DevOps leadership

CI/CD

IaC

Incident management

Budgeting & cost optimization

Communication to execs

Security awareness

Education

Bachelor’s degree in CS/IT/Engineering or related field

Tools

AWS

Terraform/CloudFormation

Docker/Kubernetes

CloudCost tools

Job description

Director of Cloud Operations

Core Sound Imaging, LLC Raleigh, North Carolina, United States

About this position

About Core Sound Imaging

Core Sound Imaging, a PSG company, is redefining the future of medical imaging through innovative, cloud-based technology. Our flagship platform, Studycast® , is a comprehensive PACS solution designed to enhance operational efficiency, reduce costs, and accelerate the delivery of patient care.

Studycast seamlessly integrates the entire imaging workflow — from EMR to exam, to report, and back to EMR — within a secure, cloud-based environment. Its intuitive interface enables clinicians to view diagnostic-quality images and generate structured reports anytime, anywhere, ensuring timely and informed clinical decisions. Join us in transforming how healthcare professionals manage and share imaging data through innovation, reliability, and cloud technology.

Join us in transforming how healthcare professionals manage and share imaging data through innovation, reliability, and cloud technology

About the role

The Director of Cloud Operations will take ownership of two critical, closely related functions: our outsourced IT operations delivered through a managed service provider (MSP), and our internal AWS DevOps team. This is a hands-on leadership role for someone who can operate at both the strategic level — vendor management, budget, roadmap, cloud architecture, automation, and reliability. This role will serve as the single point of accountability for the reliability, security, and cost-effectiveness of our IT operations and cloud infrastructure, bridging the gap between an external MSP and an internal engineering team so that both operate against one set of standards, one roadmap, and one incident-response process.

MSP & IT Operations Management

• Own the day-to-day and strategic relationship with our IT operations MSP, including contract negotiation, renewals, and pricing.
• Define and enforce SLAs and KPIs for the MSP covering uptime, ticket response/resolution times, patching cadence, and security compliance.
• Hold regular business and technical reviews with the MSP; elevate and resolve performance issues.
• Evaluate ongoing build-vs-buy decisions — determining which IT operations functions should remain with the MSP versus move in-house.
• Oversee MSP-managed helpdesk, network, endpoint, and infrastructure services to ensure they meet business needs.
• Directly manage and grow the internal AWS DevOps team, including hiring, mentoring, and performance management.
• Set technical direction for cloud architecture, infrastructure-as-code, CI/CD pipelines, containerization, and observability.
• Own AWS cost management and optimization, including rightsizing, reserved capacity/savings plans, and tagging governance.
• Drive infrastructure security best practices in partnership with the security team (IAM, network segmentation, secrets management, compliance controls).
• Champion automation and self-service tool to reduce manual operational work and improve developer velocity.

Cross-Functional & Strategic Leadership

• Unify incident management, on-call, and change-management processes across the MSP and DevOps team so there is one escalation path regardless of where an issue originates.
• Build a single set of operational metrics and dashboards (uptime, MTTR, deployment frequency, cost per workload) and report them to executive leadership.
• Own the combined IT operations and cloud infrastructure budget.
• Develop and maintain a multi-year cloud operations and IT infrastructure roadmap aligned with company growth plans.
• Partner with security, compliance, product, and engineering leadership on audits, certifications (e.g., SOC 2, ISO 27001), and disaster recovery / business continuity planning.

Required Qualifications

• Bachelor’s degree in Computer Science, Information Technology, Engineering, Information Systems, or a related technical field, or equivalent combination of education and relevant professional experience.
• 8+ years of progressive experience in IT operations, infrastructure, or cloud engineering, including 3+ years in a people-management or leadership role.
• Proven experience managing a managed service provider (MSP) or other significant outsourced IT vendor relationships, including contracts and SLAs.
• Hands-on experience with AWS at a production scale (e.g., EC2, VPC, IAM, RDS, ECS/EKS, Lambda, CloudWatch).
• Experience leading a DevOps or SRE team, with strong understanding of CI/CD, infrastructure-as-code (Terraform/CloudFormation), and containerization (Docker/Kubernetes).
• Track record of owning budgets, vendor negotiations, and cost optimization for cloud or IT infrastructure spend.
• Strong incident management background, with experience building or improving on-call and escalation processes.
• Excellent communication skills, including experience presenting metrics and roadmaps to executive stakeholders.
• Familiarity with ITIL or similar IT service management frameworks.

Preferred Qualifications

• AWS certification (Solutions Architect Professional, DevOps Engineer Professional, or equivalent).
• Experience in a regulated or compliance-driven industry (SOC 2, HIPAA, PCI-DSS, ISO 27001).
• Prior experience consolidating or transitioning services between an MSP and an internal team.