Senior Manager of IT

Job Title: Senior Manager of IT 

Entity & Department: Altus Community Healthcare | IT 

Reports To: The President

FLSA Status: Exempt

Job Summary:

The Senior Manager of IT leads the IT function across Altus Community Healthcare’s clinic portfolio, with accountability for technology infrastructure, systems reliability, cybersecurity readiness, vendor performance, and scalable technology processes. This senior leadership role combines people leadership, operational ownership, and hands-on technical expertise to ensure clinic locations receive reliable, secure, and efficient technology support.
The Senior Manager of IT serves as the primary escalation point and incident commander during network outages, system failures, or other technology disruptions. Clinics depend on uptime; therefore, this role must be able to direct the team, prioritize triage, communicate with leadership, and personally step into network and systems troubleshooting when needed to drive timely resolution.
The role also oversees roadmap planning, budget oversight, vendor management, documentation, team development, HIPAA-aligned security practices, and technology improvements that support current operations and future growth.

  Essential Duties and Responsibilities 

  Leadership and Team Management

• Lead, mentor, and develop the IT support team responsible for clinic locations, including on-call expectations, response procedures, escalation paths, and training.

IT Strategy and Operations

• Own IT strategy, roadmap planning, infrastructure priorities, budget planning, and technology processes for the clinic portfolio.

Technical Escalation and Infrastructure Support

• Serve as the final technical escalation point for complex issues, including network architecture, switches, firewalls, VPNs, Wi-Fi, site connectivity, servers, workstations, and phone/VoIP systems.

Systems Administration

• Configure, manage, and troubleshoot Cisco switches, Microsoft 365, Azure AD/Entra, user accounts, licensing, security groups, access controls, and related compliance requirements.

Vendor, Asset, and Lifecycle Management

• Manage IT vendors, service providers, contracts, renewals, invoices, asset inventory, software licensing, warranties, cost tracking, and equipment lifecycle planning.

Security, Documentation, and Continuous Improvement

• Ensure HIPAA-aligned practices, backup and disaster recovery processes, technology policies, documentation, runbooks, SOPs, knowledge resources, and recommendations that improve reliability, security, efficiency, user experience, and cost-effectiveness.

Clinic Technology Support

• Coordinate new clinic technology setup, onboarding, equipment deployment, and decommissioning of retired systems and devices.

Core Competencies

Technical Leadership
Demonstrates hands-on knowledge of networks, systems, infrastructure, and troubleshooting; able to lead by expertise as well as authority.
Incident Management
Leads triage during outages, communicates clearly, and drives timely resolution with urgency and accountability.
Strategic Planning
Aligns IT roadmap, infrastructure investments, vendor decisions, and security priorities with business and clinic operational needs.
People Leadership
Coaches and develops IT staff while setting clear expectations, accountability standards, and service response procedures.
Vendor and Budget Management
Manage contracts, renewals, negotiations, vendor performance, invoices, and cost controls across the IT portfolio.
Security and Compliance Mindset
Applies HIPAA-aligned practices, access controls, disaster recovery planning, data protection, and security best practices.
Operational Discipline
Build documentation, runbooks, inventory controls, and repeatable processes that improve service consistency and reduce preventable escalations.
Communication and Collaboration
Communicates technical issues to non-technical leaders, partners with clinic leadership, and balances competing priorities across multiple sites.

  KPIs

System Uptime
Maintain targeted clinic network and system uptime, with outages documented, escalated, and resolved according to established service expectations.
Response and Resolution Time
Meet or improve response and resolution time targets for priority tickets, outages, and executive or clinic escalations.
Incident Documentation
Complete root cause analysis and corrective action documentation for significant network or system incidents.
Asset and Lifecycle Accuracy
Maintain accurate IT asset inventory, licensing records, warranty information, and equipment lifecycle plans across clinic locations.
Access and Licensing Controls
Keep Microsoft 365/Azure user access, licensing, security groups, and account changes current, accurate, and aligned with approved processes.
Security and Compliance Readiness
Maintain HIPAA-aligned access control, backup, disaster recovery, and security documentation with timely remediation of identified gaps.
Vendor and Budget Accountability
Complete vendor renewals, contract reviews, invoice approvals, and service performance reviews within established timelines and budget parameters.
Process Documentation
Develop and maintain current runbooks, SOPs, escalation procedures, and training resources for recurring IT support needs.
Team Development
Improve team capability through documented coaching, cross training, and reduced dependency on senior-level escalation for routine issues

  Marginal Duties

• Participate in special projects, technology evaluations, audits, and organizational initiatives as assigned by leadership.
• Support clinic expansion, relocation, onboarding, or decommissioning activities requiring IT planning or coordination.
• Provide technical guidance for business continuity planning, emergency preparedness, and operational readiness efforts.
• Perform other related duties as assigned based on business needs, clinic priorities, or leadership direction.