Note: The job is a remote job and is open to candidates in USA. Monogram Health is a leading multispecialty provider of in-home, evidence-based care for complex patients with multiple chronic conditions. The Vice President of Cloud Engineering is responsible for the strategy, reliability, scalability, security, and cost-effectiveness of the company’s Microsoft Azure cloud platform and Microsoft 365 environment, leading the Cloud Engineering, DevOps, and Platform teams to enhance product delivery and operational excellence.
Responsibilities
- Define and execute the enterprise Azure cloud and platform strategy, aligned with business growth, clinical operations, and product delivery needs
- Set the multi-year vision for cloud architecture, internal developer platforms, and DevOps capabilities that enable product teams to move faster with less friction
- Own Azure landing zones, subscription strategy, core network topology, and shared platform services across all environments
- Establish standards for infrastructure design, availability, resiliency, and scalability across Azure, M365, and supporting platforms
- Champion modernization initiatives, including cloud-native adoption, containerization, serverless, and legacy platform refactoring
- Own the end-to-end Azure environment, including compute, storage, networking, identity (Entra ID), PaaS services, and platform tooling
- Ensure high availability, performance, and operational reliability of mission-critical systems supporting clinical and business workflows
- Partner with application, data, product, and analytics teams to design infrastructure that supports high-throughput data pipelines, AI/ML workloads, and advanced analytics use cases
- Drive continuous evaluation and adoption of new Azure services where they create measurable business value
- Administer and optimize the Microsoft 365 E5 tenant, including Exchange, SharePoint, Teams, OneDrive, Intune, and the full E5 security and compliance stack
- Maximize the value of E5 capabilities such as Defender for Endpoint, Defender for Cloud Apps, Purview, and Entra ID Premium P2, in close partnership with the Cybersecurity team
- Establish governance, lifecycle, and licensing optimization practices to ensure cost discipline and full utilization of E5 entitlements
- Modernize end-user collaboration, identity, and device management experiences while maintaining strong compliance posture
- Build and evolve an Internal Developer Platform (IDP) that provides paved paths, golden templates, and self-service capabilities for product teams
- Drive adoption of Infrastructure as Code (Terraform), GitOps, and policy-as-code for provisioning, configuration, and lifecycle management
- Standardize CI/CD pipelines, automated testing, release engineering, and progressive delivery patterns across the enterprise
- Reduce manual operations through automation, self-service tooling, and platform observability — measured by developer velocity, deployment frequency, lead time, and change failure rate
- Treat the cloud and developer platforms as internal products with roadmaps, OKRs, adoption metrics, and stakeholder feedback loops
- Operate as a peer to Product and Engineering leadership within an agile, product-led operating model
- Embed platform engineers alongside product squads to architect scalable, resilient solutions from day one
- Influence product architecture decisions, ensuring cloud-native, secure-by-design, and cost-aware patterns are adopted upstream rather than retrofitted
- Use product management practices — discovery, prioritization, roadmaps, customer interviews — to shape platform investments
- Own enterprise Azure networking architecture, including VNet design, hub-and-spoke topologies, peering, routing, private endpoints, and Azure Firewall strategy
- Partner with the Cybersecurity team on inspection, segmentation, and zero-trust networking, while retaining ownership of network design, performance, and reliability boundaries
- Support third-party integrations and secure data movement patterns required by the business
- Partner deeply with the Security, Privacy, and Compliance teams to ensure cloud and M365 environments meet HIPAA, HITRUST, and internal risk requirements
- Own infrastructure-level security posture: network segmentation, identity foundations, encryption standards, secrets management, and secure-by-design architecture
- Embed shift-left security and DevSecOps practices into the platform and CI/CD pipelines
- Ensure infrastructure supports auditability, logging, and compliance reporting requirements
- Participate in enterprise risk assessments and lead remediation planning for infrastructure-related findings
- Own cloud financial management (FinOps) practices: cost visibility, chargeback, optimization, forecasting, and capacity planning
- Drive a culture of cost-aware engineering across cloud and DevOps teams, with clear unit economics for platform services
- Lead the DevOps organization, embedding DevOps and Site Reliability principles across engineering and product teams
- Lead vendor relationships with Microsoft and other strategic cloud, hosting, networking, and platform tooling partners
- Balance cost efficiency with performance, resilience, and time-to-market
- Establish SLAs, SLOs, and error budgets for infrastructure and platform services
- Lead 24x7 incident response for infrastructure and platform-related events; drive blameless post-incident reviews and systemic improvements
- Define infrastructure lifecycle standards, change management practices, and environment governance that scale with the business
- Build mature observability practices spanning metrics, logs, traces, and proactive alerting
- Build, coach, and lead high-performing Cloud Engineering, DevOps, and Platform teams — including cloud engineers, system administrators, system engineers, and Azure platform engineers, building deep technical excellence and clear career paths
- Set technical direction, architectural standards, and clear career paths for engineers across multiple disciplines
- Cultivate a product-minded, learning-oriented, and inclusive culture grounded in engineering excellence
- Foster strong cross-functional collaboration with Product, Engineering, Data, Security, and IT Operations leadership
Skills
- Bachelor's degree in computer science, Engineering, or related field; advanced degree and relevant Microsoft certifications a plus
- Minimum of ten (10) years in infrastructure, cloud, or platform engineering, with a minimum of five (5) years in leadership roles
- Advanced, hands-on experience designing and operating large-scale Microsoft Azure environments at enterprise scale
- Advanced working knowledge of Microsoft 365, including identity, security, compliance, and collaboration workloads
- Proven track record building and leading DevOps, System Engineering, and/or Platform Engineering organizations in a product/agile operating model
- Demonstrated success delivering Internal Developer Platforms, paved paths, and self-service capabilities that improve developer velocity
- Advanced background in Infrastructure as Code (Terraform), CI/CD, GitOps, containers (AKS), and cloud-native architecture patterns
- Experience scaling infrastructure in high-growth, regulated environments (HIPAA, HITRUST, SOC 2, or equivalent)
- Advanced FinOps discipline and experience managing strategic cloud and software vendor relationships
- Evidence of communication skills and the ability to partner credibly with Product, Engineering, Security, and executive leadership
- Experience supporting healthcare, data-intensive, or analytics-heavy platforms strongly preferred
Benefits
- Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
- Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
- Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
- Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts
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