Director Of Technical OperationsTown 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 OfficerOwn the full technical operations footprint: identity, devices, EHR, vendor relationships, and clinic technology readinessCreate the repeatable clinic IT playbook we'll use for every future location we openGrow into a team leadership role as the organization scales across marketsWork at the intersection of healthcare, technology, and operational execution in a high-visibility, high-trust roleWhat You'll DoYou'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 ProgramBuild and run our HIPAA compliance program, including policies and procedures, workforce training, security risk assessments, and incident response planningServe as our named HIPAA Security OfficerOwn the vendor risk program: BAA tracking, security review of vendors, and a maintained risk inventory covering our EHR marketplace tools and technology partnersEstablish security baselines across access control, audit logging, encryption standards, and workforce device securityCorporate IT & IdentityStand up identity and access management; work with our MSP on MDM and device provisioning for a growing distributed teamAdminister Google Workspace and our SaaS stack; own onboarding and offboarding workflowsSet policies and tooling for a clinical workforce, including shared workstations, clinical devices, and role-based accessEHR & Vendor OperationsServe as system administrator for our EHR (Athena): user provisioning, configuration, workflow setup, and vendor support coordinationManage EHR marketplace vendors (ambient documentation, AI tooling) and other clinical software vendors across contracts, performance, and risk postureMSP & Clinic Technology OperationsPartner with our MSP on helpdesk, clinic networking, telephony, and on-site supportOwn clinic technology readiness: network, devices, phones, printing, and exam room technology, delivered through MSP partners under your directionBuild the repeatable clinic IT playbook that will guide every future location we openTeam & Vendor ManagementManage relationships with managed service providers, clinical software vendors, and compliance consultants to deliver high-quality work on time and within budgetDevelop clear performance goals and hold internal and external resources accountable to themBuild and lead the technical operations team over time as the organization scalesWho You AreYou're a builder. You're energized by being the first person in your function — by the challenge of creating structure where none exists and owning outcomes end to end. You're equally comfortable writing a HIPAA policy, configuring an MDM tool, and holding a vendor accountable to an SOW.
You don't wait for perfect information; you make pragmatic decisions, document them, and move.You understand that in a pre-launch environment, the best solution is often the right-sized one — and you have the judgment to know the difference between a shortcut and a smart tradeoff.Most importantly, you believe healthcare can be better — and you want to be part of the team proving it.Qualifications8+ years of progressive experience in IT operations, security, or healthcare technology operations, with time in a HIPAA-regulated provider or payer environmentProven success building a HIPAA compliance program from scratch, including risk assessments, policy development, workforce training, and incident responseDeep understanding of identity and endpoint fundamentals: SSO, MDM, and least-privilege accessTrack record managing MSPs and vendors to outcomes, including writing SOWs, holding vendors accountable, and knowing when to insourceBuilder's temperament: comfortable being the first and only person in your function, equally willing to set strategy and do the hands-on workRochester-based or willing to relocateExcellent leadership, collaboration, and communication abilitiesMission-driven, collaborative mindset and a passion for improving access to high-quality primary careStrong PlusesExperience administering an ambulatory EHR, Athena especially, or a comparable clinical systemExperience standing up technology for de novo clinic sitesA security certification (CISSP, HCISPP, or similar)SOC 2 program experience (on our roadmap, not a launch requirement)What We OfferStarting salary range of $150-170k, commensurate with experienceComprehensive benefits package (medical, dental, vision, 401K)Flexibility to work from our Rochester, NY location with in-person presence at our clinicsOpportunity to build something from the ground upDirect impact on how care is delivered to older adultsHigh visibility and influence in a growing organizationCollaborative, mission-driven teamEqual Opportunity EmployerTown Square Health is proud to be an equal opportunity employer. We believe that diverse perspectives and backgrounds make our team stronger and our mission more powerful. We welcome and encourage applications from all qualified individuals regardless of race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected characteristic. At Town Square Health, everyone belongs.