Head of Technology & Business SystemsOptimum Platform | Albuquerque, New Mexico | Full-Time, On-Site
What You'll OwnTechnology Leadership & Executive Partnership
- Build and execute a practical 12- to 24-month technology roadmap aligned with patient access, operations, growth, financial priorities and risk.
- Translate technical complexity into clear executive decisions: one issue, three viable options and one recommendation.
- Communicate risks, incidents, progress and changes before they surprise leadership or users.
- Run technology through the Optimum Operating System, including measurable objectives, Vital Metrics, disciplined decisions and documented learning.
Advanced Technical Operations
- Serve as the primary internal escalation point for complex issues across Google Workspace, Windows Server, Active Directory, identity, endpoints, networks, switches, wireless, firewalls, VLANs, DNS, DHCP, backup, recovery and cybersecurity.
- Lead critical incidents and personally diagnose unfamiliar problems when vendors or routine playbooks are insufficient.
- Establish sustainable coverage without becoming the permanent help desk or sole after-hours responder.
Business Systems, Integrations & Automation
- Own the enterprise application portfolio, including system ownership, administrative control, permissions, costs, renewals, integrations, recovery and lifecycle recommendations.
- Connect applications through APIs, webhooks, SSO, SCIM, native connectors and automation platforms.
- Reduce duplicate entry, broken handoffs, shadow systems and manual work.
- Build technology support for Optimum's dashboards, Vital Metrics, FOCUS meetings and operating workflows.
- Put AI and automation into controlled production only where they deliver measurable value.
Telecommunications & Contact Center
- Own the technical architecture of VoIP, UCaaS, SIP, IVR, routing, queues, softphones, SMS, fax, recording and communications continuity.
- Connect communications technology with CRM, scheduling and reporting systems.
People, Specialists & Vendors
- Lead and develop our tactical support technician.
- Build a narrow bench of strong specialists rather than depending on one generalist MSP.
- Define clear scopes, outcomes, documentation, knowledge transfer and accountability for every provider.
- Maintain company-controlled access so no employee or vendor becomes an institutional point of failure.
What Success Looks LikeFirst 90 Days
- Complete enterprise technology, access, risk and dependency assessment.
- Secure company-controlled access to every critical platform.
- Publish system ownership, vendor, application and network documentation.
- Establish one support queue, escalation model, incident process and prioritized roadmap.
- Define what stays internal, what Tristan owns and where specialist depth is required.
First Year
- Critical systems are reliable, documented, recoverable and securely controlled.
- Routine work is handled consistently without senior-leader intervention.
- Applications, communications, reporting and infrastructure operate as a connected platform.
- Manual work is measurably reduced through integration and automation.
- Optimum can continue operating if any one employee or vendor is unavailable.
What You Bring- Demonstrated leadership across broad enterprise technology environments.
- Strong hands-on command of infrastructure, networking, identity, Google Workspace, Windows systems, telecom, security and incident response.
- Experience owning business applications and connecting systems through APIs, webhooks, SSO, SCIM or automation tools.
- Evidence of systems you personally stabilized, built or materially improved.
- Ability to explain technical decisions in business language.
- Healthcare or regulated-environment experience preferred.
Who Thrives HereYou own outcomes, solve root causes, document your work and bring solutions rather than problem dumps. You are technically credible, commercially sensible and direct without becoming careless with people. You build capability around you instead of protecting your value through dependency.
This is a full-time, on-site position in Albuquerque, New Mexico.
