Head of Technology & Business SystemsOptimum Platform | Albuquerque, New Mexico | Full-Time, On-SiteWhy This Role MattersAt Optimum, technology is not a back-office utility. It is how patients reach us, calls route, appointments get scheduled, employees execute, information moves, leaders make decisions and new operating capacity gets created.We need a rare hands-on technology leader who can personally solve difficult problems, create order from fragmentation and build a technology environment that becomes more dependable and less dependent on individual heroics.You will lead technology across Southwest Women's Oncology, Optimum Human, Optimum Infusion and Optimum Clinical Research Group. You will inherit a tactical support technician capable of Level 1 and selected Level 2 work. You will provide the advanced judgment, architecture, technical problem-solving, leadership and operating discipline the function requires.This is not a role for someone who has only managed an MSP, delegated technical work or produced roadmaps others implemented. What You'll OwnTechnology Leadership & Executive PartnershipBuild and execute a practical 12- to 24-month technology roadmap aligned with patient access, operations, growth, financial priorities and risk.Translate technical complexity into clear executive decisions: one issue, three viable options and one recommendation.Communicate risks, incidents, progress and changes before they surprise leadership or users.Run technology through the Optimum Operating System, including measurable objectives, Vital Metrics, disciplined decisions and documented learning.Advanced Technical OperationsServe as the primary internal escalation point for complex issues across Google Workspace, Windows Server, Active Directory, identity, endpoints, networks, switches, wireless, firewalls, VLANs, DNS, DHCP, backup, recovery and cybersecurity.Lead critical incidents and personally diagnose unfamiliar problems when vendors or routine playbooks are insufficient.Establish sustainable coverage without becoming the permanent help desk or sole after-hours responder.Business Systems, Integrations & AutomationOwn the enterprise application portfolio, including system ownership, administrative control, permissions, costs, renewals, integrations, recovery and lifecycle recommendations.Connect applications through APIs, webhooks, SSO, SCIM, native connectors and automation platforms.Reduce duplicate entry, broken handoffs, shadow systems and manual work.Build technology support for Optimum's dashboards, Vital Metrics, FOCUS meetings and operating workflows.Put AI and automation into controlled production only where they deliver measurable value.Telecommunications & Contact CenterOwn the technical architecture of VoIP, UCaaS, SIP, IVR, routing, queues, softphones, SMS, fax, recording and communications continuity.Connect communications technology with CRM, scheduling and reporting systems.People, Specialists & VendorsLead and develop our tactical support technician.Build a narrow bench of strong specialists rather than depending on one generalist MSP.Define clear scopes, outcomes, documentation, knowledge transfer and accountability for every provider.Maintain company-controlled access so no employee or vendor becomes an institutional point of failure. What Success Looks LikeFirst 90 DaysComplete enterprise technology, access, risk and dependency assessment.Secure company-controlled access to every critical platform.Publish system ownership, vendor, application and network documentation.Establish one support queue, escalation model, incident process and prioritized roadmap.Define what stays internal, what Tristan owns and where specialist depth is required.First YearCritical systems are reliable, documented, recoverable and securely controlled.Routine work is handled consistently without senior-leader intervention.Applications, communications, reporting and infrastructure operate as a connected platform.Manual work is measurably reduced through integration and automation.Optimum can continue operating if any one employee or vendor is unavailable. What You BringDemonstrated leadership across broad enterprise technology environments.Strong hands-on command of infrastructure, networking, identity, Google Workspace, Windows systems, telecom, security and incident response.Experience owning business applications and connecting systems through APIs, webhooks, SSO, SCIM or automation tools.Evidence of systems you personally stabilized, built or materially improved.Ability to explain technical decisions in business language.Healthcare or regulated-environment experience preferred. Who Thrives HereYou own outcomes, solve root causes, document your work and bring solutions rather than problem dumps. You are technically credible, commercially sensible and direct without becoming careless with people. You build capability around you instead of protecting your value through dependency.Way Better. Extraordinary by Design.This is a full-time, on-site position in Albuquerque, New Mexico.