Technical Program Director - Healthcare

The Technical Program Director - Healthcare is accountable for end-to-end delivery leadership for a strategic enterprise healthcare customer, ensuring the successful execution of complex, high-risk technical programs aligned to business outcomes, contractual commitments, and organizational strategy. The Technical Program Director - Healthcare serves as the single point of accountability for overall program performance, overseeing governance, financial outcomes, and executive stakeholder engagement while driving consistent, high-quality delivery across all workstreams. The Technical Program Director - Healthcare provides program-level technical oversight across private cloud, infrastructure, and migration initiatives, ensuring solutions meet architecture, security, and regulatory standards. Operating within a highly regulated healthcare environment, this leader ensures programs deliver measurable business value while adapting to evolving customer priorities. The Technical Program Director - Healthcare also carries full accountability for aligning program delivery with U.S. healthcare regulations such as HIPAA and HITECH, as well as patient safety and clinical operational requirements, including proactive risk management in patient-critical environments. Additionally, the Director ensures the resilience and continuity of patient-critical systems through high availability design, downtime risk mitigation, and robust operational recovery planning. Work Location Remote in the United States of America Hybrid for candidates located in the San Antonio, TX area, working two days a week at the Rackspace HQ Travel up to 25% Key Responsibilities Program Leadership Own and define the overall program vision, strategy, and delivery approach across multiple interdependent projects, including complex infrastructure and migration initiatives Ensure full lifecycle ownership from initiation through delivery, migration execution, operational transition, and closure Direct the development and approval of integrated program and project plans, incorporating technical delivery, dependencies, and sequencing across private cloud environments Maintain alignment between program outcomes and strategic objectives, ensuring delivery across private cloud infrastructure, networking, security, and platform services Ensure the program environment supports successful delivery across all workstreams, including technical assurance, SDDC integration, and management of technical risks and escalations Ensure program plans explicitly account for patient safety, clinical workflows, system resilience, and regulatory compliance, not just technology outcomes Governance & Control Establish and operate within a standardized enterprise governance framework, ensuring consistency and predictability of delivery Define and maintain program governance structures including Program Board, SteerCo, and escalation paths Ensure adherence to PMO standards including RAID management, stage gates, reporting cadence, and financial control Continuously assess and improve governance processes, contributing to enterprise best practices Ensure all program activities comply with internal standards and delivery frameworks Embed governance controls covering patient safety risk, clinical impact assessments, cybersecurity posture, data protection, and interoperability compliance Stakeholder & Customer Management Act as the senior accountable interface for executive customer stakeholders (CIO, CTO, Program Sponsors) Lead complex stakeholder engagement across clinical, operational, and technology domains Deliver clear, integrated, and outcome-focused communications to senior stakeholders Manage stakeholder expectations and resolve conflicts across multiple parties Ensure alignment across customer, delivery teams, vendors, and internal leadership Build strong engagement with clinical stakeholders to ensure program decisions support safe, effective care delivery and do not disrupt clinical workflows Financial & Commercial Management Own program financial performance including revenue, margin, forecasting, and cost control Ensure accurate tracking of program financials including revenue recognition, invoicing, and receivables Lead financial integration across multiple projects within the program Support commercial activities including bids, RFP responses, and vendor selection Ensure the program achieves agreed commercial and contractual outcomes Ensure financial planning accounts for regulatory compliance, cybersecurity, data protection, resilience requirements, and clinical risk mitigation investments Risk, Issue & Escalation Management Own the identification, assessment, and mitigation of program-level risks and issues Ensure appropriate escalation of risks and issues within governance structures Develop and implement corrective actions to address complex delivery challenges Maintain proactive risk management ensuring program outcomes are protected