{"id":4345592,"url":"https://alion.io/job/monogram-health-director-it-operations","title":"Director IT Operations","company":{"id":3211139,"name":"Monogram Health","domain":"monogramhealth.com","url":"https://alion.io/company/monogramhealth","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"UltiPro","truth_index":null},"role":"Leadership","role_family":"Leadership","seniority":"head","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Brentwood, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":135000,"max":175000,"currency":"USD","period":"year","gross":null,"usd_annual":175000},"salary_estimate":null,"experience_years_min":7,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Azure","optional":false},{"name":"FinOps","optional":false},{"name":"HIPAA","optional":false},{"name":"ITSM","optional":false},{"name":"Microsoft Entra ID","optional":false},{"name":"OneDrive","optional":false},{"name":"Platform Engineering","optional":false},{"name":"SharePoint","optional":false},{"name":"SLI/SLO/SLA","optional":false},{"name":"VPN","optional":false}],"status":"live","first_seen_at":"2026-08-27T13:15:09Z","employer_posted_date":"2026-08-27","last_verified_at":"2026-11-15T21:37:31Z","board_verified":true,"closed_at":null,"days_open":80,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":80},"description":"Position:Director, IT Operations\nMonogram Health is seeking an experienced Director, IT Operations to run the day-to-day operation of our enterprise IT environment end-to-end. Reporting to the VP of Cloud Engineering, this leader is the operational counterpart to the VP's architectural and platform mandate: where the VP defines how our cloud and platform foundations are designed, the Director is accountable for how they run - alongside endpoint, identity, collaboration, network, and service management.\nThis is a hands-on operational leadership role for someone who blends classic IT service management discipline with modern Site Reliability Engineering practices. The Director ensures that core IT services, infrastructure, and platforms are reliable, secure, cost-effective, and demonstrably improving over time, measured by service levels, employee experience, and operational maturity, not just uptime.\nThis role partners closely with Cloud Engineering, Security, Applications, Data, and Business leaders, and is expected to operate as a peer-level technical leader who can push back constructively when operational realities require it. This position reports to the Vice President, Cloud Engineering.\nThe Director, IT Operations owns the operation of:\nMicrosoft Azure environments (IaaS, PaaS, and supporting services) - operating to the architectural standards and platform patterns set by Cloud Engineering\nEnterprise networking - operating cloud networks, VPN, firewalls, and connectivity between on-premises, cloud, and remote users\nIdentity & access - Microsoft Entra ID, conditional access, RBAC, and identity lifecycle\nMicrosoft 365 services - Exchange Online, Teams, SharePoint, OneDrive\nEndpoint and user productivity platforms - device lifecycle, patching, and support\nIT service management - incident, problem, change, release, and request management\nService monitoring, observability, and operational tooling across the IT estate\nResponsibilities \nRun end-to-end IT operations across cloud, network, identity, endpoint, and collaboration platforms\nEstablish and operate Service Level Objectives (SLOs) and error budgets alongside traditional SLAs; use them to drive prioritization between reliability work and change velocity\nLead incident response and major incident command for IT services; drive post-incident reviews and ensure systemic remediation\nOperate mature ITSM practices (incident, problem, change, release) and continuously evolve them - moving routine change toward automated, pipeline-driven flow while preserving controls\nOperate resilient compute, storage, networking, backup, and disaster recovery in Microsoft Azure to the standards set by Cloud Engineering\nRun cloud networking, VPN, firewall operations, and secure connectivity between on-premises, cloud, and remote users\nOwn operational readiness for new systems, applications, and platform changes - including go/no-go authority for production cutover\nOperate Microsoft Entra ID, conditional access, and RBAC in partnership with Security; own identity hygiene and lifecycle execution\nEnsure reliable, performant delivery of Microsoft 365 services across the enterprise\nImprove the employee IT experience through automation, self-service, and modern workplace tooling; measure it with experience-level metrics (XLAs), not just ticket SLAs\nEnsure reliable IT connectivity and service delivery for corporate and clinical operations\nPromote and operationalize Infrastructure as Code (IaC) and configuration management in alignment with Cloud Engineering's standards\nDrive automation for provisioning, monitoring, patching, and routine operational tasks; measure and reduce manual toil\nSelectively adopt emerging automation and AI-assisted tooling where it materially improves reliability, response time, or employee experience\nStandardize platforms, reduce technical debt, and improve operational maturity over time\nPartner with Security to operationalize security controls, vulnerability management, and incident response\nEnsure IT operations meet HIPAA, HITRUST, and internal risk management requirements through evidenced, auditable practices\nOwn operational evidence for audits - logging, access reviews, change records, and configuration baselines\nDrive FinOps practices across cloud and infrastructure platforms in partnership with Cloud Engineering\nOwn the IT operations budget, forecasting, and vendor spend optimization\nManage vendor and managed service provider relationships, including Microsoft\nBuild, lead, and develop high-performing IT operations teams and managers; set career paths for operations engineers, SREs, and service managers\nFoster strong working relationships with Security, Applications, Data, and Business leadership\nTranslate clinical and business needs into reliable, secure, well-operated IT services\nPosition Requirements \nMinimum of seven (7) years in enterprise IT infrastructure and operations, including a minimum of three (3) years in an IT leadership role with production accountability\nDemonstrated experience operating Microsoft-centric environments at scale (Azure and Microsoft 365)\nWorking knowledge of modern operational practices - SLOs, error budgets, postmortems, observability - layered onto a foundation of mature ITSM\nTrack record of partnering with cloud architecture and platform engineering leaders\nExperience driving automation and reducing manual toil through IaC and operational tooling\nProficiency with FinOps, vendor management, and managed service provider experience\nPrior experience in healthcare or other regulated environments (HIPAA/HITRUST a plus)\nRelevant Microsoft and/or ITSM certifications a plus\nCompensation\nThe base salary range for this role is $135,000 to $175,000 and reflects the range of experience and qualifications we may consider. Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, certifications, and internal compensation considerations. While a larger range is posted, most offers will typically fall within a narrower band based on these factors.\nIn addition to base salary, this role is eligible for additional compensation, including bonus opportunities and a comprehensive benefits package.\nBenefits\nComprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts\nFinancial & Retirement Support - Competitive compensation, 401k with employer match, and financial wellness resources\nTime Off & Leave - 20 PTO days, 7 paid holidays, and 1 floating day to make your own, and paid parental leave\nWellness & Growth - Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts\nAbout Monogram Health\nMonogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.\nMonogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.\nMonogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.","description_format":"text","description_chars":8113,"description_truncated":false,"requirements":{"experience_years_min":7,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["401k plan","Life insurance","Parental leave","Vision insurance"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Hospitals & Health Systems","Pharmacies","Care Coordination & Population Health"],"lifecycle":[{"event":"open","at":"2026-11-15T21:37:31Z"}],"visa":[],"liveness":{"score":17,"band":"cold","label":"Long shot","p_open":1,"p_active":0.614,"p_room":0.28,"age_days":80,"expected_fill_days":30,"reasons":["conf:1","win:tail","crowd:"],"computed_at":"2026-11-15T22:54:05Z"},"pay":{"stated_usd_annual":175000,"is_top_pay":false},"html_url":"https://alion.io/job/monogram-health-director-it-operations","json_url":"https://alion.io/job/monogram-health-director-it-operations.json","meta":{"generated_at":"2026-11-15T22:54:05Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":19285,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-16T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":3211139},"rest":"https://alion.io/mcp/rest/get_company?id=3211139"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fmonogram-health-director-it-operations"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"free","price":{"credits":0,"usd":0},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fmonogram-health-director-it-operations"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fmonogram-health-director-it-operations"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/monogram-health-director-it-operations\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fmonogram-health-director-it-operations"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":4345592}},{"tool":"search_jobs","arguments":{"company":"monogramhealth.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":4345592},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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