Business Vice President

Premise Health is Different on Purpose. Premise Health serves large organizations and their people with exceptional healthcare. The result? Better experiences, better health, and better value, all while helping organizations lower their healthcare costs. Premise's mission is to help people get, stay, and be well. Come join us and see for yourself why amazing health starts with amazing healthcare. For more information, visit

The VP, Business Applications is a senior technology leader responsible for the strategy, implementation, and optimization of the organization’s enterprise business application portfolio supporting a large direct healthcare business. Scope includes ERP, Service Now (or similar), Salesforce, legal and contract platforms, accounting and finance systems, HRIS, and Microsoft 365, with a strong focus on enabling compliant, efficient clinical and corporate operations.

This is a Full Time, hybrid,
Business Applications Vice President role located in Brentwood, TN.

• Define and execute the enterprise business applications strategy, establishing a multi-year roadmap that aligns with organizational growth, margin improvement, and operational excellence goals.
• Partner with executive and clinical leadership (CIO, CFO, CHRO, COO, CRO, CGO, General Counsel, and operations leaders) to ensure technology investments are aligned with enterprise priorities and care delivery needs.
• Establish and govern enterprise application demand, prioritization, and release management processes, ensuring balance across regulatory requirements, clinical needs, and business value.
• Provide executive oversight of the enterprise application portfolio, including ERP, ITSM/ESM platforms, CRM, HRIS, legal/contracting systems, and productivity platforms.
• Lead ERP strategy, implementation, and optimization, ensuring standardized, scalable processes that support financial integrity, workforce management, and enterprise operations.
• Drive enterprise workflow automation and service management capabilities, improving cross-functional case management, service delivery efficiency, and end-user experience.
• Ensure integration and interoperability across enterprise systems, including ERP, CRM, clinical platforms, and other business applications to enable a unified, accurate view of operations and stakeholders.
• Oversee legal, compliance, and contract lifecycle management systems, ensuring regulatory adherence, auditability, and risk mitigation across provider, payor, and vendor relationships.
• Lead HRIS and workforce platform strategy, ensuring systems effectively support a large, distributed workforce with complex scheduling, credentialing, and payroll requirements.
• Establish standards and drive adoption of collaboration and productivity platforms (e.g., Microsoft 365) to enable secure, compliant communication across corporate, clinical, and field environments.
• Ensure compliance with healthcare regulations and data privacy requirements (e.g., HIPAA), partnering with security and compliance teams to enforce access controls, monitoring, and data protection practices.
• Drive delivery of application initiatives and services, ensuring projects and enhancements are executed on time, within scope and budget, and supported by effective change management and training.
• Build and lead a high-performing applications organization, including talent development, operating model design, and 24x7 support capabilities for a healthcare environment.
• Manage strategic vendor and partner relationships, including contract negotiation, performance oversight, and alignment with organizational objectives.

• Bachelor’s degree in Information Systems, Computer Science, Business Administration, or related field
• Master’s degree preferred.
• 15+ years of progressive experience in enterprise applications or IT leadership, including at least 7–10 years leading ERP and related business systems.
• Significant experience in healthcare or closely related, highly regulated industries; experience in provider, payor, or direct healthcare delivery strongly preferred.
• Proven track record leading ERP implementations or major transformations in multi site, multi…