VP, Delivery & Platform Enablement

• Base Pay $ - $ / Year
• Employee Type FT Exempt
• Manage Others Yes

(Serving as Chief Security Officer for Care Director USA)

Location: Remote (Must be US based in OH, IN, KY, WI, WA, VA, UT or TX. Sponsorship not available.)

Job Type:Full-Time, Exempt

Build What Matters. Scale What Serves. Secure What Enables.

At Care Director USA (CD USA), you’ll lead application delivery for a statewide Medicaid care management platform, building delivery infrastructure, processes, and systems from the ground up. This role is for a hands‑on technology leader who drives product delivery, scales applications, and enables secure, reliable technology in a regulated healthcare environment.

Care Director USA (CD USA), an Area Agency on Aging–owned joint venture supporting Ohio’s Medicaid service delivery system, is seeking a hands‑on delivery leader who also serves as the organization’s Chief Security Officer.

This is a builder role for a doer‑leader who thrives in growth environments, someone who can design delivery infrastructure, lead application development and deployment, and scale platforms, while owning security and regulatory outcomes. Security is a core accountability of this role, but application delivery, development, and platform enablement are the primary day‑to‑day focus.

You’ll partner closely with the CEO, engineering team, and statewide partners to ensure CD USA delivers reliable, secure, and mission‑critical technology at scale.

Own end‑to‑end application delivery for a statewide Medicaid care management platform

Build delivery infrastructure from scratch, including governance, planning cadences, prioritization, and release practices

Lead application delivery across the full product and application lifecycle

Improve delivery predictability, quality, and execution across internal teams and vendors

Translate strategy into operational execution and measurable outcomes

Align scope and priorities across AAAs, Managed Care Organizations, state agencies, and partners

Support modern application development and Dev Ops‑aligned workflows

Establish scalable engineering and platform standards that enable speed and quality

Support API‑driven integrations and platform growth across statewide partners

Strengthen deployment, observability, rollback, and operational readiness practices

Serve as the designated Chief Security Officer for CD USA

Own the organization’s security posture, privacy program, and risk management strategy

Ensure applications operate within regulated healthcare requirements (e.g., HIPAA‑aligned environments)

Maintain audit‑ready posture as the platform scales

Lead incident response readiness, vendor risk management, and access controls

Balance delivery priorities with security and risk considerations through pragmatic decision‑making

Define and manage service‑level objectives for availability, performance, and service quality

Lead incident response and post‑incident learning with a blameless mindset

Build reliable systems that scale with increased usage and integrations

Lead as both a strategist and a hands‑on operator

Communicate clearly with technical and non‑technical stakeholders

Model accountability, transparency, and mission‑driven decision‑making

Partner closely with the CEO, founding engineers, and COA leadership

• 10+ years in application delivery, product development, engineering operations, or technology leadership
• Proven experience building delivery systems, processes, and governance from scratch
• Strong background in modern application development and platform delivery
• Experience operating in regulated, complex, or public‑sector environments
• Ability to move fluidly between strategy and hands‑on execution

• Healthcare, Medicaid, managed care, or health‑adjacent technology experience
• Familiarity with healthcare security and compliance frameworks (e.g., HIPAA, SOC 2, HITRUST, NIST‑aligned controls)
• Experience balancing application…