Director of Infrastructure Engineering

About U.S. Urology Partners

U.S. Urology Partners (USUP) is a private equity‑backed multi‑specialty urology management services organization operating across six regional markets—Ohio, Indiana, New York, Massachusetts, Florida, and New Jersey—with more than 85 clinic locations and a multi‑EMR environment that spans Epic, Athena One, Mod Med, and others.

Reporting directly to the Chief Information Officer, the Director of Infrastructure Engineering is a senior engineering leader responsible for designing, building, and architecting USUP’s enterprise infrastructure across all affiliate markets.

This role focuses on translating business and clinical requirements into scalable, secure, and modern infrastructure solutions, owning the technical roadmap, and driving delivery from concept through implementation.

Define and own the enterprise infrastructure technology roadmap, translating USUP’s clinical, operational, and growth objectives into a multi‑year engineering plan.

Architect scalable, resilient, and secure solutions across network, compute, storage, cloud, and data center domains for a 85+ location, multi‑affiliate environment.

Evaluate and select infrastructure platforms, technologies, and vendors; establish architecture standards and engineering patterns across the enterprise.

Lead infrastructure design and build for M&A integration and affiliate onboarding work streams, serving as the primary technical authority from due diligence through go‑live.

Lead infrastructure design and build for clinic openings, closings, upgrades, and relocations — delivering repeatable, standards‑based deployment frameworks.

Design and build enterprise network architecture across LAN, WAN, and SD‑WAN domains, with a current focus on the CATO SASE platform and Meraki switching and wireless.

Architect connectivity solutions for all clinic and corporate locations, defining standards for internet, cellular, and WiFi infrastructure.

Lead the engineering design of voice and collaboration infrastructure, including the Ring Central UCaaS platform and migration from legacy telephony systems across affiliate markets.

Define network segmentation, redundancy, and fail‑over architecture to meet clinical availability requirements.

Architect and build USUP’s hybrid cloud environment, with primary focus on Microsoft Azure infrastructure, Entra , and integration with on‑premises systems.

Lead data center engineering and migration strategy, including the Expedient co‑location environment and ongoing workload migration initiatives.

Define cloud landing zone architecture, governance guardrails, and infrastructure‑as‑code standards to support a consistent, scalable build model.

Design compute, storage, and backup architectures that meet clinical and operational availability, recovery, and compliance requirements.

Lead security architecture and engineering across all infrastructure domains, embedding Zero Trust principles, HIPAA/HITECH and PCI requirements into every design.

Design and build the endpoint security architecture including Crowd Strike EDR deployment and integration with the Arctic Wolf SOC platform.

Engineer and mature the Entra  / Active Directory identity architecture, including conditional access policies, privileged identity management, and account lifecycle automation.

Define Disaster Recovery architecture—designing the technical recovery framework, RTO/RPO targets, and build‑out of DR environments across affiliate markets.

Lead and develop a geographically distributed infrastructure engineering team, including onshore engineers and managed service resources.

Set technical direction, establish engineering standards, and create a culture of design quality, peer review, and continuous improvement.

Partner closely with IT operations, clinical informatics, and affiliate IT leadership to align engineering deliverables to business priorities.

Build compelling business cases for infrastructure investments and present roadmap and architecture decisions to C‑suite…