[Remote] VP Cloud Engineering

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. They are seeking a Vice President of Cloud Engineering to lead the strategy and operations of their Microsoft Azure cloud platform and Microsoft 365 environment, ensuring reliability, scalability, and security while collaborating closely with various teams to enhance product delivery.ResponsibilitiesDefine and execute the enterprise Azure cloud and platform strategy, aligned with business growth, clinical operations, and product delivery needsSet the multi-year vision for cloud architecture, internal developer platforms, and DevOps capabilities that enable product teams to move faster with less frictionOwn Azure landing zones, subscription strategy, core network topology, and shared platform services across all environmentsEstablish standards for infrastructure design, availability, resiliency, and scalability across Azure, M365, and supporting platformsChampion modernization initiatives, including cloud-native adoption, containerization, serverless, and legacy platform refactoringOwn the end-to-end Azure environment, including compute, storage, networking, identity (Entra ID), PaaS services, and platform toolingEnsure high availability, performance, and operational reliability of mission-critical systems supporting clinical and business workflowsPartner with application, data, product, and analytics teams to design infrastructure that supports high-throughput data pipelines, AI/ML workloads, and advanced analytics use casesDrive continuous evaluation and adoption of new Azure services where they create measurable business valueAdminister and optimize the Microsoft 365 E5 tenant, including Exchange, SharePoint, Teams, OneDrive, Intune, and the full E5 security and compliance stackMaximize 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 teamEstablish governance, lifecycle, and licensing optimization practices to ensure cost discipline and full utilization of E5 entitlementsModernize end-user collaboration, identity, and device management experiences while maintaining strong compliance postureBuild and evolve an Internal Developer Platform (IDP) that provides paved paths, golden templates, and self-service capabilities for product teamsDrive adoption of Infrastructure as Code (Terraform), GitOps, and policy-as-code for provisioning, configuration, and lifecycle managementStandardize CI/CD pipelines, automated testing, release engineering, and progressive delivery patterns across the enterpriseReduce manual operations through automation, self-service tooling, and platform observability — measured by developer velocity, deployment frequency, lead time, and change failure rateTreat the cloud and developer platforms as internal products with roadmaps, OKRs, adoption metrics, and stakeholder feedback loopsOperate as a peer to Product and Engineering leadership within an agile, product-led operating modelEmbed platform engineers alongside product squads to architect scalable, resilient solutions from day oneInfluence product architecture decisions, ensuring cloud-native, secure-by-design, and cost-aware patterns are adopted upstream rather than retrofittedUse product management practices — discovery, prioritization, roadmaps, customer interviews — to shape platform investmentsOwn enterprise Azure networking architecture, including VNet design, hub-and-spoke topologies, peering, routing, private endpoints, and Azure Firewall strategyPartner with the Cybersecurity team on inspection, segmentation, and zero-trust networking, while retaining ownership of network design, performance, and reliability boundariesSupport third-party integrations and secure data movement patterns required by the businessPartner deeply with the Security, Privacy, and Compliance teams to ensure cloud and M365 environments meet HIPAA, HITRUST, and internal risk requirementsOwn infrastructure-level security posture: network segmentation, identity foundations, encryption standards, secrets management, and secure-by-design architectureEmbed shift-left security and DevSecOps practices into the platform and CI/CD pipelinesEnsure infrastructure supports auditability, logging, and compliance reporting requirementsParticipate in enterprise risk assessments and lead remediation planning for infrastructure-related findingsOwn cloud financial management (FinOps) practices: cost visibility, chargeback, optimization, forecasting, and capacity planningDrive a culture of cost-aware engineering across cloud and DevOps teams, with clear unit economics for platform servicesLead the DevOps organization, embedding DevOps and Site Reliability principles across engineering and product teamsLead vendor relationships with Microsoft and other strategic cloud, hosting, networking, and platform tooling partnersBalance cost efficiency with performance, resilience, and time-to-marketEstablish SLAs, SLOs, and error budgets for infrastructure and platform servicesLead 24x7 incident response for infrastructure and platform-related events; drive blameless post-incident reviews and systemic improvementsDefine infrastructure lifecycle standards, change management practices, and environment governance that scale with the businessBuild mature observability practices spanning metrics, logs, traces, and proactive alertingBuild, 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 pathsSet technical direction, architectural standards, and clear career paths for engineers across multiple disciplinesCultivate a product-minded, learning-oriented, and inclusive culture grounded in engineering excellenceFoster strong cross-functional collaboration with Product, Engineering, Data, Security, and IT Operations leadershipSkillsBachelor's degree in computer science, Engineering, or related field; advanced degree and relevant Microsoft certifications a plusMinimum of ten (10) years in infrastructure, cloud, or platform engineering, with a minimum of five (5) years in leadership rolesAdvanced, hands-on experience designing and operating large-scale Microsoft Azure environments at enterprise scaleAdvanced working knowledge of Microsoft 365, including identity, security, compliance, and collaboration workloadsProven track record building and leading DevOps, System Engineering, and/or Platform Engineering organizations in a product/agile operating modelDemonstrated success delivering Internal Developer Platforms, paved paths, and self-service capabilities that improve developer velocityAdvanced background in Infrastructure as Code (Terraform), CI/CD, GitOps, containers (AKS), and cloud-native architecture patternsExperience scaling infrastructure in high-growth, regulated environments (HIPAA, HITRUST, SOC 2, or equivalent)Advanced FinOps discipline and experience managing strategic cloud and software vendor relationshipsEvidence of communication skills and the ability to partner credibly with Product, Engineering, Security, and executive leadershipExperience supporting healthcare, data-intensive, or analytics-heavy platforms strongly preferredBenefitsComprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accountsFinancial & Retirement Support 6 Competitive compensation, 401k with employer match, and financial wellness resourcesTime Off & Leave 6 Paid holidays, flexible vacation time/PSSL, and paid parental leaveWellness & Growth 6 Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discountsCompany OverviewMonogram Health is a specialty provider of evidence-based in-home care and benefit management services for polychronic patients. It was founded in 2019, and is headquartered in Brentwood, Tennessee, USA, with a workforce of 1001-5000 employees. Its website is https://www.monogramhealth.com.