Director of Cloud Operations

Director of Cloud Operations

Core Sound Imaging, LLC Raleigh, North Carolina, United States

About Core Sound Imaging

Core Sound Imaging, a PSG company, is redefining the future of medical imaging through innovative, cloud-based technology. Our flagship platform,
Studycast® , is a comprehensive PACS solution designed to enhance operational efficiency, reduce costs, and accelerate the delivery of patient care.

Studycast seamlessly integrates the entire imaging workflow — from EMR to exam, to report, and back to EMR — within a secure, cloud-based environment. Its intuitive interface enables clinicians to view diagnostic-quality images and generate structured reports anytime, anywhere, ensuring timely and informed clinical decisions. Join us in transforming how healthcare professionals manage and share imaging data through innovation, reliability, and cloud technology.

Join us in transforming how healthcare professionals manage and share imaging data through innovation, reliability, and cloud technology

About the role

The Director of Cloud Operations will take ownership of two critical, closely related functions: our outsourced IT operations delivered through a managed service provider (MSP), and our internal AWS Dev Ops team. This is a hands-on leadership role for someone who can operate at both the strategic level — vendor management, budget, roadmap, cloud architecture, automation, and reliability. This role will serve as the single point of accountability for the reliability, security, and cost-effectiveness of our IT operations and cloud infrastructure, bridging the gap between an external MSP and an internal engineering team so that both operate against one set of standards, one roadmap, and one incident-response process.

• Own the day-to-day and strategic relationship with our IT operations MSP, including contract negotiation, renewals, and pricing.
• Define and enforce SLAs and KPIs for the MSP covering uptime, ticket response/resolution times, patching cadence, and security compliance.
• Hold regular business and technical reviews with the MSP; elevate and resolve performance issues.
• Evaluate ongoing build-vs-buy decisions — determining which IT operations functions should remain with the MSP versus move in-house.
• Oversee MSP-managed helpdesk, network, endpoint, and infrastructure services to ensure they meet business needs.
• Directly manage and grow the internal AWS Dev Ops team, including hiring, mentoring, and performance management.
• Set technical direction for cloud architecture, infrastructure-as-code, CI/CD pipelines, containerization, and observability.
• Own AWS cost management and optimization, including rightsizing, reserved capacity/savings plans, and tagging governance.
• Drive infrastructure security best practices in partnership with the security team (IAM, network segmentation, secrets management, compliance controls).
• Champion automation and self-service tool to reduce manual operational work and improve developer velocity.

• Unify incident management, on-call, and change-management processes across the MSP and Dev Ops team so there is one escalation path regardless of where an issue originates.
• Build a single set of operational metrics and dashboards (uptime, MTTR, deployment frequency, cost per workload) and report them to executive leadership.
• Own the combined IT operations and cloud infrastructure budget.
• Develop and maintain a multi-year cloud operations and IT infrastructure roadmap aligned with company growth plans.
• Partner with security, compliance, product, and engineering leadership on audits, certifications (e.g., SOC 2, ISO 27001), and disaster recovery / business continuity planning.

Required…