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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Director, IT Infrastructure and Cloud - **Company:** QualDerm Partners, LLC - **Location:** Brentwood, TN, United States - **Experience:** Experienced - **Contract:** Permanent contract - **Skills:** Microsoft Azure, Cloud Computing, Cyber Security, Disaster Recovery, Identity and Access Management, IT Management, Information Technology Operations, Virtual Private Networks (VPN), Multi-protocol Systems, Network Security, Uptime, Network Architecture, Network Planning and Design, Network Segmentation, Platform as a Service (PAAS), Azure Active Directory, Systems Integration, Software Vulnerability Management, Wide Area Networks, Cloud Platform System, HybridCloud, Information Technology, Enterprise Integration, Cloud Optimization - **Published:** August 10, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=b470b36ff1a9dfb8 ## About the Role * 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. ## Description 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., Infrastructure & Cloud Strategy * 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. ## Related Videos - [ZEISS & Microsoft - Building the Next Generation Medical Ecosystem in the Cloud](https://www.wearedevelopers.com/videos/424-zeiss-microsoft-building-the-next-generation-medical-ecosystem-in-the-cloud) - [Your Manager Doesn’t Come with a User Manual (But You Can Totally Write One)](https://www.wearedevelopers.com/videos/1495-your-manager-doesn-t-come-with-a-user-manual-but-you-can-totally-write-one) - [DevOps at Netflix](https://www.wearedevelopers.com/videos/270-devops-at-netflix) - [What makes Cybersecurity different for critical infrastructure?](https://www.wearedevelopers.com/videos/571-what-makes-cybersecurity-different-for-critical-infrastructure) - [Engineering/Manager Pendulum: Generating compound interest on your career](https://www.wearedevelopers.com/videos/100348-engineering-manager-pendulum-generating-compound-interest-on-your-career) - [Leading with Reliability: Applying SRE Principles to Build Stronger Engineering Organizations](https://www.wearedevelopers.com/videos/100185-leading-with-reliability-applying-sre-principles-to-build-stronger-engineering-organizations) ## Related Articles - [What Are The Top Skills Required For Azure Developers?](https://www.wearedevelopers.com/magazine/77-what-are-the-top-skills-required-for-azure-developers) - [The Most Popular IT Jobs on the Market](https://www.wearedevelopers.com/magazine/376-the-most-popular-it-jobs-on-the-market) - [7 Cloud Computing Trends Coming in 2025 for Developers](https://www.wearedevelopers.com/magazine/412-7-cloud-computing-trends-coming-in-2025-for-developers) - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [The Biggest German Tech Companies](https://www.wearedevelopers.com/magazine/424-the-biggest-german-tech-companies) - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs)