VP of Information Technology & Services

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Exempt Full-Time Executive/C-level DHWC- 4212

E. Southcross, San Antonio, TX 78222, San Antonio, TX, US

Provides executive leadership for technology strategy, governance, and enterprise capabilities aligned to organizational priorities. Accountable for setting enterprise direction, priorities, and governance for technology operations, digital capabilities, health informatics, enterprise applications, infrastructure, information security governance, business continuity, interoperability, and artificial intelligence governance. Ensures these functions are aligned to organizational strategy, patient outcomes, operational reliability, regulatory obligations, and long‑term growth.

This role leads through Directors and Managers and is responsible for enterprise vision, performance expectations, investment planning, risk oversight, and cross‑functional alignment. The Vice President is not expected to directly supervise technical staff or perform day‑to‑day operational tasks.

• Provides enterprise‑wide leadership for technology and related enterprise capabilities across clinical, business, and administrative service lines.
• Oversees multiple Directors, Managers, and program leads responsible for infrastructure, end‑user support, applications, health informatics, continuity planning, and related governance functions.
• Shapes organizational direction for technology services, continuity readiness, digital capabilities, interoperability, and data‑enabled operations.
• Influences enterprise planning, resource allocation, vendor strategy, operational readiness, and risk posture in support of patient care and organizational sustainability.
• Accountable for service performance, technology governance, continuity readiness, and achievement of the strategic road map through aligned execution across IT&S leadership.

• Establishes enterprise technology direction, strategic priorities, and performance expectations across the organization’s technology and continuity portfolio.
• Approves operational and governance standards, service frameworks, escalation models, and accountability structures.
• Recommends strategic investments, staffing models, sourcing approaches, and multi‑year road maps for leadership approval.
• Oversees enterprise technology risk, continuity readiness, and policy adherence through Directors and Managers.
• Reviews and approves major operational, continuity, interoperability, and digital initiatives for alignment with organizational goals.
• Provides executive oversight of vendor strategy, service expectations, and risk considerations in partnership with Procurement, Finance, and service‑line leadership.
• Provides executive oversight and accountability for major incidents and continuity events.

• Internal:
  Chief Financial Officer, executive leadership team, clinical leadership, compliance/privacy, finance, human resources, facilities, communications, health informatics, program/project leadership, and service‑line leaders.
• External:
  Key vendors, strategic partners, health information exchanges, consultants, auditors, assessors, and other third parties.

Works across the organization to ensure technology planning, continuity readiness, operational priorities, and business needs are aligned and sequenced appropriately.

• Set enterprise direction for technology services and enterprise capabilities:
  Establish strategic priorities, operating principles, governance expectations, and performance standards for all major technology and continuity functions.
• Lead through Directors and Managers:
  Provide executive oversight, coaching, accountability, and decision support to leaders responsible for infrastructure, applications, end‑user services, health informatics, continuity, and related functions.
• Align technology strategy with organizational priorities:
  Ensure technology, digital capabilities, continuity readiness,…