Vice President of Technology

Real Radiology, an established, privately held healthcare services organization, is hiring a Vice President of Technology. The company delivers clinical services to a national client footprint through a distributed provider network. Technology is the operating platform of the business, not a support function, and the company is funding a full modernization of that platform over the next twenty-four months.

This is a build-and-run mandate. You will take ownership of an established technology operation, a funded roadmap, and direct executive sponsorship, and you will be accountable for scaling that into a durable engineering and technology organization.

• Full accountability for technology strategy, delivery, operations, and spend, reporting to the President.
• Replacement and implementation of the core clinical platform, including workflow design, data migration, and cutover.
• The integration layer connecting clinical systems, client systems, and internal applications, including HL7 and modern API-based interfaces.
• The data platform: warehouse, pipelines, and the analytics and business intelligence layer that leadership and clients depend on.
• Business systems, including CRM, productivity, identity, and document management.
• Information security and compliance operations, including annual certification and remediation against a recognized healthcare security framework.
• Vendor strategy and contract performance across the platform portfolio.
• Applied AI and workflow automation, evaluated on measured operational outcomes rather than pilots.
• Building and leading the internal engineering function, including team structure, hiring, and delivery model.

• Take ownership of the core platform decision and drive it to implementation on a committed timeline.
• Establish the engineering function: hiring plan, team structure, and delivery discipline.
• Establish a single operating view of technology cost, risk, and roadmap for the executive team.
• Close outstanding security and compliance remediation items ahead of the next certification cycle.
• Instrument and automate operational workflows to remove manual handling.

• Ten or more years in technology, including at least five leading a technology function with full budget and delivery accountability.
• Direct experience in healthcare or another regulated environment where uptime, data integrity, and audit posture are non-negotiable.
• Demonstrated ownership of a core platform migration from selection through cutover, including the failure modes.
• Track record building or scaling an internal engineering team, including hiring, structure, and delivery cadence.
• Working command of integration and data architecture. You do not need to write production code, but you must be able to evaluate the work.
• Vendor and contract negotiation experience with material commercial exposure.
• Executive presence, direct communication, and a bias toward decisions. Comfort with a short decision path and accountability directly to the executive team.

• Experience with clinical imaging, EHR, or other core clinical workflow systems.
• Experience carrying a security certification through audit and recertification.