Director, Technical Operations

Director Of Technical Operations

Town Square Health is reimagining what healthcare can be. We're building a first-of-its-kind value-based care model with a singular mission: to set the gold standard for how Americans experience healthcare. Our primary care locations offer comprehensive primary care with coordinated specialty support for Medicare-eligible patients, and we're growing fast, with expansion into multiple markets on the horizon. If you're bold, collaborative, and driven to make a real difference in people's lives, we'd love to have you on our team!

This is not a traditional IT leadership role.

Town Square Health is seeking a Director of Technical Operations to build and own everything that makes our technology trustworthy and operational: our HIPAA compliance program, corporate IT foundation, EHR administration, and the managed service partnerships that keep our clinics running. You'll stand these functions up from scratch before our first patient walks through the door — then scale them across every location we open.

This is a player-coach role by design. Because we're pre-launch and deliberately lean, you'll set strategy and also do the hands-on work: configuring tools, directing vendors, and solving day-to-day problems yourself until there's a team beneath you. You'll be the CTO's counterpart on the operational side of technology, partnering closely with our VP of Operations on clinic readiness and with counsel on compliance.

You'll have the opportunity to:

• Build our HIPAA compliance program from the ground up and serve as our named HIPAA Security Officer
• Own the full technical operations footprint: identity, devices, EHR, vendor relationships, and clinic technology readiness
• Create the repeatable clinic IT playbook we'll use for every future location we open
• Grow into a team leadership role as the organization scales across markets
• Work at the intersection of healthcare, technology, and operational execution in a high-visibility, high-trust role

What You'll Do

You'll own a wide surface area — and that's intentional. We're building from scratch, and this role is the foundation of our technical operations function. Below is a view into the core areas you'll lead. The expectation on day one is that you're ready to do the work yourself; the expectation over time is that you build systems and relationships that scale beyond you.

HIPAA & Security Program

• Build and run our HIPAA compliance program, including policies and procedures, workforce training, security risk assessments, and incident response planning
• Serve as our named HIPAA Security Officer
• Own the vendor risk program: BAA tracking, security review of vendors, and a maintained risk inventory covering our EHR marketplace tools and technology partners
• Establish security baselines across access control, audit logging, encryption standards, and workforce device security

Corporate IT & Identity

• Stand up identity and access management; work with our MSP on MDM and device provisioning for a growing distributed team
• Administer Google Workspace and our SaaS stack; own onboarding and offboarding workflows
• Set policies and tooling for a clinical workforce, including shared workstations, clinical devices, and role-based access

EHR & Vendor Operations

• Serve as system administrator for our EHR (Athena): user provisioning, configuration, workflow setup, and vendor support coordination
• Manage EHR marketplace vendors (ambient documentation, AI tooling) and other clinical software vendors across contracts, performance, and risk posture

MSP & Clinic Technology Operations

• Partner with our MSP on helpdesk, clinic networking, telephony, and on-site support
• Own clinic technology readiness: network, devices, phones, printing, and exam room technology, delivered through MSP partners under your direction
• Build the repeatable clinic IT playbook that will guide every future location we open

Team & Vendor Management

• Manage relationships with managed service providers, clinical software vendors, and compliance consultants to deliver high-quality work on time and within budget
• Develop clear performance goals and hold internal and external resources accountable to them
• Build and lead…