Director of Technology & Business Systems

At Optimum, technology is not a back-office utility. It is how patients reach us, calls route, appointments get scheduled, employees execute, information moves, leaders make decisions and new operating capacity gets created.

We need a rare hands-on technology leader who can personally solve difficult problems, create order from fragmentation and build a technology environment that becomes more dependable and less dependent on individual heroics.

You will lead technology across Southwest Women’s Oncology, Optimum Human, Optimum Infusion and Optimum Clinical Research Group. You will inherit a tactical support technician capable of Level 1 and selected Level 2 work. You will provide the advanced judgment, architecture, technical problem-solving, leadership and operating discipline the function requires.

This is not a role for someone who has only managed an MSP, delegated technical work or produced roadmaps others implemented.

What You’ll Own

Technology Leadership & Executive Partnership

• Build and execute a practical 12- to 24-month technology roadmap aligned with patient access, operations, growth, financial priorities and risk.
• Translate technical complexity into clear executive decisions: one issue, three viable options and one recommendation.
• Communicate risks, incidents, progress and changes before they surprise leadership or users.
• Run technology through the Optimum Operating System, including measurable objectives, Vital Metrics, disciplined decisions and documented learning.

Advanced Technical Operations

• Serve as the primary internal escalation point for complex issues across Google Workspace, Windows Server, Active Directory, identity, endpoints, networks, switches, wireless, firewalls, VLANs, DNS, DHCP, backup, recovery and cybersecurity.
• Lead critical incidents and personally diagnose unfamiliar problems when vendors or routine playbooks are insufficient.
• Establish sustainable coverage without becoming the permanent help desk or sole after-hours responder.

Business Systems, Integrations & Automation

• Own the enterprise application portfolio, including system ownership, administrative control, permissions, costs, renewals, integrations, recovery and lifecycle recommendations.
• Connect applications through APIs, webhooks, SSO, SCIM, native connectors and automation platforms.
• Reduce duplicate entry, broken handoffs, shadow systems and manual work.
• Build technology support for Optimum’s dashboards, Vital Metrics, FOCUS meetings and operating workflows.
• Put AI and automation into controlled production only where they deliver measurable value.

Telecommunications & Contact Center

• Own the technical architecture of VoIP, UCaaS, SIP, IVR, routing, queues, softphones, SMS, fax, recording and communications continuity.
• Connect communications technology with CRM, scheduling and reporting systems.

People, Specialists & Vendors

• Lead and develop our tactical support technician.
• Build a narrow bench of strong specialists rather than depending on one generalist MSP.
• Define clear scopes, outcomes, documentation, knowledge transfer and accountability for every provider.
• Maintain company-controlled access so no employee or vendor becomes an institutional point of failure.

What Success Looks Like

First 90 Days

• Complete enterprise technology, access, risk and dependency assessment.
• Secure company-controlled access to every critical platform.
• Publish system ownership, vendor, application and network documentation.
• Establish one support queue, escalation model, incident process and prioritized roadmap.
• Define what stays internal, what Tristan owns and where specialist depth is required.

First Year

• Critical systems are reliable, documented, recoverable and securely controlled.
• Routine work is handled consistently without senior-leader intervention.
• Applications, communications, reporting and infrastructure operate as a connected platform.
• Manual work is measurably reduced through integration and automation.
• Optimum can continue operating if any one employee or vendor is unavailable.

• 8+ years of progressive experience across enterprise technology, business systems, cloud administration, infrastructure, cybersecurity, integrations, or related functions.
• 3+ years leading a broad technology function, team, portfolio, or major cross-functional program.
• Strong Google Workspace administration experience, including identity, groups, security, access, lifecycle management, collaboration, and data protection.
• Demonstrated ownership of a SaaS or enterprise application portfolio.
• Experience connecting applications through APIs, webhooks, native connectors, automation platforms, or secure data transfers.
• Experience putting workflow automation or AI into real production with a measurable result.
• Working command of Windows Server, Active Directory, networking, firewalls, DNS, backup, recovery, and incident response.
• Experience with cybersecurity controls, privileged access, endpoint protection, vendor security, and regulated information.

Preferred

• Experience in healthcare, specialty medicine, multi-site services, or another environment where downtime and confidentiality have serious consequences.
• Experience with HIPAA and PCI requirements.
• Experience connecting contact-center technology to CRM, scheduling, or patient systems.
• Experience building an internal technology team supported by an MSP or specialist partners.
• Familiarity with platforms such as Google Workspace, Notion, IKM, Boulevard, GoHighLevel, RingCentral, Fortinet, Ruckus One, Juniper Mist, Atera, Axcient, Bitdefender, WP Engine, or Apple Business.
• Relevant security, Google, Microsoft, networking, cloud, or technology-management certifications. Certifications are useful. Evidence matters more.

We serve with precision and hold ourselves to impeccable standards - then raise them.

We reject mediocrity and the comfort of “good enough.”

We measure success not only by outcomes, but by the integrity, excellence, and humanity we bring to every interaction.

Way Better. Extraordinary by Design.

If you crave mastery, meaning, and measurable impact - welcome home.

Compensation & Benefits

• Competitive salary
• Health benefits
• 401(k)
• Paid time off
• Professional development and continuing education support
• Opportunity to grow within the Optimum Platform

This is a full-time, on-site position at our Albuquerque, New Mexico office.