VP Cloud Engineering

🕒 July 1

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Monogram Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2019

💼 Consulting

🛡️ Insurance

📦 Logistics

Consulting • Insurance • Logistics

Monogram Health is a leading multispecialty provider that delivers in-home, evidence-based care and benefit management for patients with complex, multiple chronic conditions, with a strong focus on chronic kidney disease and related metabolic, cardiovascular, pulmonary, and behavioral health needs. The company coordinates multispecialty clinical teams (nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care), provides 24/7 home-based support including home dialysis and medication management, and partners with payers and physician groups to improve outcomes, reduce hospitalizations, and lower costs.

📋 Description

• 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 • Own Azure landing zones, subscription strategy, network topology, shared platform services, and the end-to-end Azure environment • Establish infrastructure standards for availability, resiliency, scalability, lifecycle, change management, and governance • Lead modernization initiatives including cloud-native adoption, containerization, serverless, and legacy platform refactoring • Ensure high availability, performance, and reliability of systems supporting clinical and business workflows • Partner with application, data, product, and analytics teams on infrastructure for data pipelines, AI/ML workloads, and analytics • Administer and optimize the Microsoft 365 E5 tenant and its security and compliance capabilities • Build and evolve an Internal Developer Platform with paved paths, golden templates, and self-service capabilities • Drive Terraform, GitOps, policy-as-code, CI/CD, automated testing, release engineering, and progressive delivery • Treat cloud and developer platforms as internal products with roadmaps, OKRs, adoption metrics, and feedback loops • Influence product architecture toward cloud-native, secure-by-design, and cost-aware patterns • Own enterprise Azure networking architecture and partner with Cybersecurity on zero-trust networking • Ensure cloud and M365 environments meet HIPAA, HITRUST, and internal risk requirements • Own infrastructure security posture, auditability, logging, compliance reporting, risk assessments, and remediation planning • Lead FinOps practices including cost visibility, chargeback, optimization, forecasting, and capacity planning • Lead the DevOps organization and embed DevOps and Site Reliability principles across teams • Manage relationships with Microsoft and other strategic technology vendors • Establish SLAs, SLOs, error budgets, and 24x7 incident response practices • Build observability across metrics, logs, traces, and proactive alerting • Build, coach, and lead Cloud Engineering, DevOps, and Platform teams • Set technical direction, architectural standards, and career paths • Foster cross-functional collaboration with Product, Engineering, Data, Security, and IT Operations leadership

🎯 Requirements

• Bachelor’s degree in computer science, Engineering, or related field • Minimum of ten (10) years in infrastructure, cloud, or platform engineering • 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 experience 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 experience with Infrastructure as Code (Terraform), CI/CD, GitOps, containers (AKS), and cloud-native architecture patterns • Experience scaling infrastructure in high-growth, regulated environments such as HIPAA, HITRUST, SOC 2, or equivalent • Advanced FinOps discipline and experience managing strategic cloud and software vendor relationships • Strong communication and credible partnership with Product, Engineering, Security, and executive leadership • Experience supporting healthcare, data-intensive, or analytics-heavy platforms strongly preferred • Advanced degree and relevant Microsoft certifications a plus

🏖️ Benefits

• Medical, dental, and vision insurance • Employee assistance program • Employer-paid and voluntary life insurance • Disability insurance • Health and flexible spending accounts • Competitive compensation • 401k with employer match • Financial wellness resources • Paid holidays • Flexible vacation time/PSSL • Paid parental leave • Work life assistance resources • Physical wellness perks • Mental health support • Employee referral program • BenefitHub for employee discounts