VP Cloud Engineering

Monogram Health

VP of Cloud Engineering overseeing Azure strategies and operations. Leading cross-functional teams to enhance healthcare solutions via cloud infrastructure and services.

Posted 6/13/2026full-timeRemote • Texas • 🇺🇸 United StatesLeadWebsite

Tech Stack

Tools & technologies

AzureCloudCyber SecurityTerraform

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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)
Experience supporting healthcare, data-intensive, or analytics-heavy platforms strongly preferred
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.

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

AzureInfrastructure as CodeTerraformCI/CDGitOpscloud-native architecturecontainerizationserverlessDevOpsplatform engineering

Soft Skills

leadershipcommunicationcollaborationproduct managementagile methodologycoachingcross-functional teamworkstrategic thinkingproblem-solvinginclusivity

Certifications

Microsoft certificationsadvanced degree in computer scienceadvanced degree in engineering