Business Services & Consulting • all cities, WA 48
Reporting to the Chief Technology Officer, the Vice President of Cloud Engineering is a hands-on, modern technology leader accountable for the strategy, reliability, scalability, security, and cost-effectiveness of the company's Microsoft Azure cloud platform and Microsoft 365 environment.Operating as a true product-minded partner, the VP leads the Cloud Engineering, DevOps, and Platform teams in close collaboration with Product, Engineering, and Security to deliver an internal developer platform that accelerates the way product teams ship value.
This leader champions a product- and agile-operating model, treating cloud and platform services as internal products with clear roadmaps, SLOs, and customer feedback loops.The VP owns cloud architecture, networking, identity, automation, M365 administration, and operational excellence across all environments.
Responsibilities include defining and executing the enterprise Azure cloud and platform strategy, aligned with business growth, clinical operations, and product delivery needs.The VP sets the multi-year vision for cloud architecture, internal developer platforms, and DevOps capabilities that enable product teams to move faster with less friction.They own Azure landing zones, subscription strategy, core network topology, and shared platform services across all environments.The VP establishes standards for infrastructure design, availability, resiliency, and scalability across Azure, M365, and supporting platforms.
They champion modernization initiatives, including cloud-native adoption, containerization, serverless, and legacy platform refactoring.The VP ensures high availability, performance, and operational reliability of mission-critical systems supporting clinical and business workflows.They 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.The VP drives continuous evaluation and adoption of new Azure services where they create measurable business value.
They administer and optimize the Microsoft 365 E5 tenant, including Exchange, SharePoint, Teams, OneDrive, Intune, and the full E5 security and compliance stack.The VP maximizes 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.They establish governance, lifecycle, and licensing optimization practices to ensure cost discipline and full utilization of E5 entitlements.The VP modernizes end-user collaboration, identity, and device management experiences while maintaining strong compliance posture.
They build and evolve an Internal Developer Platform (IDP) that provides paved paths, golden templates, and self-service capabilities for product teams.The VP drives adoption of Infrastructure as Code (Terraform), GitOps, and policy-as-code for provisioning, configuration, and lifecycle management.They standardize CI/CD pipelines, automated testing, release engineering, and progressive delivery patterns across the enterprise.The VP reduces manual operations through automation, self-service tooling, and platform observability — measured by developer velocity, deployment frequency, lead time, and change failure rate.
They treat the cloud and developer platforms as internal products with roadmaps, OKRs, adoption metrics, and stakeholder feedback loops.The VP operates as a peer to Product and Engineering leadership within an agile, product-led operating model.They embed platform engineers alongside product squads to architect scalable, resilient solutions from day one.The VP influences product architecture decisions, ensuring cloud-native, secure-by-design, and cost-aware patterns are adopted upstream rather than retrofitted.They use product management practices — discovery, prioritization, roadmaps, customer interviews — to shape platform investments.
The VP owns enterprise Azure networking architecture, including VNet design, hub-and-spoke topologies, peering, routing, private endpoints, and Azure Firewall strategy.They partner with the Cybersecurity team on inspection, segmentation, and zero-trust networking, while retaining ownership of network design, performance, and reliability boundaries.The VP supports third-party integrations and secure data movement patterns required by the business.They partner deeply with the Security, Privacy, and Compliance teams to ensure cloud and M365 environments meet HIPAA, HITRUST, and internal risk requirements.
The VP owns infrastructure-level security posture: network segmentation, identity foundations, encryption standards, secrets management, and secure-by-design architecture.They embed shift-left security and DevSecOps practices into the platform and CI/CD pipelines.The VP ensures infrastructure supports auditability, logging, and compliance reporting requirements.They participate in enterprise risk assessments and lead remediation planning for infrastructure-related findings.The VP owns cloud financial management (FinOps) practices: cost visibility, chargeback, optimization, forecasting, and capacity planning.They drive a culture of cost-aware engineering across cloud and DevOps teams, with clear unit economics for platform services.
The VP leads the DevOps organization, embedding DevOps and Site Reliability principles across engineering and product teams.They lead vendor relationships with Microsoft and other strategic cloud, hosting, networking, and platform tooling partners.The VP balances cost efficiency with performance, resilience, and time-to-market.They establish SLAs, SLOs, and error budgets for infrastructure and platform services.The VP leads 24x7 incident response for infrastructure and platform-related events; drive blameless post-incident reviews and systemic improvements.They define infrastructure lifecycle standards, change management practices, and environment governance that scale with the business.
The VP builds mature observability practices spanning metrics, logs, traces, and proactive alerting.They 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.The VP sets technical direction, architectural standards, and clear career paths for engineers across multiple disciplines.They cultivate a product-minded, learning-oriented, and inclusive culture grounded in engineering excellence.The VP fosters strong cross-functional collaboration with Product, Engineering, Data, Security, and IT Operations leadership.
Position requirements include a 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 include 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.
About Monogram Health
Monogram 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.
Monogram 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 counseling 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.
Monogram 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.
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Reporting to the Chief Technology Officer, the Vice President of Cloud Engineering is a hands-on, modern technology leader accountable for the strategy, reliability, scalability, security, and cost-effectiveness of the company's Microsoft Azure cloud platform and Microsoft 365 environment.Operating as a true product-minded partner, the VP leads the Cloud Engineering, DevOps, and Platform teams in close collaboration with Product, Engineering, and Security to deliver an internal developer platform that accelerates the way product teams ship value.
This leader champions a product- and agile-operating model, treating cloud and platform services as internal products with clear roadmaps, SLOs, and customer feedback loops.The VP owns cloud architecture, networking, identity, automation, M365 administration, and operational excellence across all environments.
Responsibilities include defining and executing the enterprise Azure cloud and platform strategy, aligned with business growth, clinical operations, and product delivery needs.The VP sets the multi-year vision for cloud architecture, internal developer platforms, and DevOps capabilities that enable product teams to move faster with less friction.They own Azure landing zones, subscription strategy, core network topology, and shared platform services across all environments.The VP establishes standards for infrastructure design, availability, resiliency, and scalability across Azure, M365, and supporting platforms.
They champion modernization initiatives, including cloud-native adoption, containerization, serverless, and legacy platform refactoring.The VP ensures high availability, performance, and operational reliability of mission-critical systems supporting clinical and business workflows.They 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.The VP drives continuous evaluation and adoption of new Azure services where they create measurable business value.
They administer and optimize the Microsoft 365 E5 tenant, including Exchange, SharePoint, Teams, OneDrive, Intune, and the full E5 security and compliance stack.The VP maximizes 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.They establish governance, lifecycle, and licensing optimization practices to ensure cost discipline and full utilization of E5 entitlements.The VP modernizes end-user collaboration, identity, and device management experiences while maintaining strong compliance posture.
They build and evolve an Internal Developer Platform (IDP) that provides paved paths, golden templates, and self-service capabilities for product teams.The VP drives adoption of Infrastructure as Code (Terraform), GitOps, and policy-as-code for provisioning, configuration, and lifecycle management.They standardize CI/CD pipelines, automated testing, release engineering, and progressive delivery patterns across the enterprise.The VP reduces manual operations through automation, self-service tooling, and platform observability — measured by developer velocity, deployment frequency, lead time, and change failure rate.
They treat the cloud and developer platforms as internal products with roadmaps, OKRs, adoption metrics, and stakeholder feedback loops.The VP operates as a peer to Product and Engineering leadership within an agile, product-led operating model.They embed platform engineers alongside product squads to architect scalable, resilient solutions from day one.The VP influences product architecture decisions, ensuring cloud-native, secure-by-design, and cost-aware patterns are adopted upstream rather than retrofitted.They use product management practices — discovery, prioritization, roadmaps, customer interviews — to shape platform investments.
The VP owns enterprise Azure networking architecture, including VNet design, hub-and-spoke topologies, peering, routing, private endpoints, and Azure Firewall strategy.They partner with the Cybersecurity team on inspection, segmentation, and zero-trust networking, while retaining ownership of network design, performance, and reliability boundaries.The VP supports third-party integrations and secure data movement patterns required by the business.They partner deeply with the Security, Privacy, and Compliance teams to ensure cloud and M365 environments meet HIPAA, HITRUST, and internal risk requirements.
The VP owns infrastructure-level security posture: network segmentation, identity foundations, encryption standards, secrets management, and secure-by-design architecture.They embed shift-left security and DevSecOps practices into the platform and CI/CD pipelines.The VP ensures infrastructure supports auditability, logging, and compliance reporting requirements.They participate in enterprise risk assessments and lead remediation planning for infrastructure-related findings.The VP owns cloud financial management (FinOps) practices: cost visibility, chargeback, optimization, forecasting, and capacity planning.They drive a culture of cost-aware engineering across cloud and DevOps teams, with clear unit economics for platform services.
The VP leads the DevOps organization, embedding DevOps and Site Reliability principles across engineering and product teams.They lead vendor relationships with Microsoft and other strategic cloud, hosting, networking, and platform tooling partners.The VP balances cost efficiency with performance, resilience, and time-to-market.They establish SLAs, SLOs, and error budgets for infrastructure and platform services.The VP leads 24x7 incident response for infrastructure and platform-related events; drive blameless post-incident reviews and systemic improvements.They define infrastructure lifecycle standards, change management practices, and environment governance that scale with the business.
The VP builds mature observability practices spanning metrics, logs, traces, and proactive alerting.They 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.The VP sets technical direction, architectural standards, and clear career paths for engineers across multiple disciplines.They cultivate a product-minded, learning-oriented, and inclusive culture grounded in engineering excellence.The VP fosters strong cross-functional collaboration with Product, Engineering, Data, Security, and IT Operations leadership.
Position requirements include a 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 include 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.
About Monogram Health
Monogram 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.
Monogram 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 counseling 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.
Monogram 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.
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
