Vice President, IT Operations & Infrastructure

We are seeking a VP of IT Operations & Infrastructure to join us in Austin, Texas. You will develop and execute our IT strategy while managing day-to-day operations. You will lead our IT organization—including our dedicated Site Reliability Engineering (SRE) group—and oversee back-office IT functions, AWS-based cloud operations, and DevOps practices.

This role requires a collaborative leader who can balance managing tactical work while addressing long-term strategic goals. In addition, you will provide technical leadership focused on cloud operations, DevOps, and SRE best practices to drive innovation, efficiency, and reliability across our healthcare platform, while partnering closely with product teams and ensuring adherence to stringent security and compliance standards (e.g., HIPAA).

How you will make an impact

• Strategic Leadership & Planning:
• Develop and execute a comprehensive IT strategy that aligns with Nomi Health’s mission and business goals.
• Lead initiatives to modernize and scale the IT infrastructure to support rapid growth in a competitive healthcare environment.
• Balance Tactical and Strategic Execution: Efficiently manage day-to-day operational tasks while formulating and implementing long-term strategic IT initiatives.




• Technical Leadership in Cloud Operations, DevOps, and SRE:
• Provide visionary technical leadership in designing, building, and maintaining scalable, secure, and cost-effective cloud infrastructures on AWS.
• Champion DevOps best practices, including continuous integration/continuous deployment (CI/CD), infrastructure as code, and automation across our development and operational processes.
• Oversee and guide the SRE team in establishing effective monitoring, alerting, logging, and incident response strategies to ensure high system availability and performance.
• Mentor cross-functional teams in adopting modern practices that improve operational efficiency and system reliability.




• Team & Operations Management:
• Lead and mentor the IT organization, including the SRE team, fostering a culture of innovation, accountability, and collaboration.
• Ensure seamless IT service delivery and support across all divisions, maintaining high availability, performance, and reliability of critical systems.




• Technology Infrastructure & Cloud Management:
• Oversee and optimize all aspects of our technology infrastructure, including back office IT systems, DevOps environments, and AWS-based cloud operations.
• Implement robust cybersecurity measures, disaster recovery plans, and business continuity strategies with a strong focus on healthcare data security and regulatory compliance.




• Product Team Collaboration:
• Partner with product teams to understand technical requirements and ensure IT systems effectively support the delivery of specific product objectives.
• Collaborate on designing and implementing innovative solutions that enhance patient care and drive operational efficiency.




• Budget, Vendor, and Financial Management:
• Develop, manage, and optimize the IT budget, ensuring cost-effective technology investments that support long-term scalability.
• Negotiate and manage vendor contracts and partnerships to secure high-quality services and solutions.
• Interface with the accounting and finance teams to ensure IT expenditures are accurately tracked, properly allocated, and aligned with the company’s financial objectives.




• Process Improvement & Innovation:
• Continuously assess and enhance IT processes, driving automation, efficiency, and adherence to best practices across the organization.
• Leverage Agile methodologies to drive iterative improvements and foster cross-functional collaboration.
• Stay informed of emerging technologies and industry trends to maintain Nomi Health’s competitive edge.




• Collaboration & Stakeholder Engagement:
• Work closely with executive leadership, division heads, and cross-functional teams to ensure IT initiatives align with overall business and product strategies.
• Clearly communicate complex technical concepts to non-technical stakeholders, ensuring broad understanding and support for IT projects.

What we are looking for

• This hybrid role requires onsite work on Tuesdays, Wednesdays, and Thursdays
• 10+ years of progressive IT leadership experience with a proven track record in IT operations and infrastructure management—preferably in a startup or fast-paced, highly regulated environment.




• Technical Expertise:
• Extensive experience managing back-office IT, AWS-based cloud operations, DevOps practices, and overall technology infrastructure.
• Proven proficiency in cybersecurity, risk management, disaster recovery, and regulatory compliance (experience with HIPAA is highly desirable).
• Familiarity with Agile practices and methodologies (such as Scrum or Kanban) to support efficient, iterative project development and cross-functional collaboration.
• Deep understanding of SRE principles and best practices, with a demonstrated ability to implement strategies that ensure system reliability and performance.




• Leadership & Communication:
• Exceptional leadership and team-building skills with a hands-on, entrepreneurial mindset.
• Excellent communication skills, capable of articulating technical concepts clearly to diverse audiences, including executive leadership and product teams.




• Budget & Vendor Management:
• Demonstrated ability to develop and manage IT budgets and negotiate favorable vendor agreements.




• Strategic & Analytical Thinking:
• A strategic thinker with the capability to translate business and product needs into actionable IT strategies.
• Experience navigating multi-divisional organizations and managing change in a dynamic, growth-oriented environment.