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Job description
Location: Palo Alto, CA (Hybrid - 2 days/week in office)
Reports to: CTO
Who we are:
Midi Health is the leading virtual care clinic focused exclusively on women in midlife navigating perimenopause, menopause, and other common hormone-related health challenges.
Our platform combines expert clinician care with technology-enabled access, offering insurance-covered telehealth visits, ongoing messaging support, and personalized treatment plans designed specifically for women in this stage of life.
We’re one of the fastest-growing companies in digital health, scaling rapidly to support hundreds of thousands of patients nationwide. At Midi, we are building the future of women’s healthcare one that is more accessible, evidence-based, and deeply patient-centered.
Where we’re based:
Midi is a hybrid organization with headquarters in Palo Alto, California. This role is expected to work onsite two days per week.
The opportunity:
Midi is seeking a Vice President of IT & Clinical Systems to lead the reliability, scalability, and operational performance of the systems that power our clinical and corporate operations.
This is a highly strategic and operational leadership role for a builder-operator who thrives at the intersection of technology, systems reliability, clinical enablement, and organizational scale.
You will oversee the infrastructure, workflows, and operational playbooks that support 10,000+ daily telemedicine visits and more than 1,000 employees across the organization. This leader will own both Corporate IT and Clinical IT, ensuring our systems are reliable, secure, scalable, and intuitive for clinicians and employees alike.
You’ll partner cross-functionally with Clinical Operations, Product, Engineering, Security, Compliance, and Business Operations to ensure our technology ecosystem supports exceptional patient care while enabling rapid company growth.
This role is ideal for a leader who has operated in complex, high-scale environments where uptime, resilience, and operational excellence are mission-critical.
What you’ll do:
Operational Reliability & Incident Management
Own reliability and uptime across all clinician-facing systems, including EHR, telehealth, scheduling, communications, and internal operational tools
Build and operationalize Midi’s incident command framework, including escalation paths, response playbooks, and outage management procedures
Establish clear communication workflows during incidents across Slack, email, dashboards, and clinician-facing channels
Drive proactive monitoring, alerting, and detection capabilities to minimize downtime and operational disruption
Continuously improve MTTA (Mean Time to Acknowledge) and MTTR (Mean Time to Resolution)
Partner closely with key vendors, including AthenaHealth and other critical platform providers, to improve responsiveness and issue resolution
Build trusted relationships with Clinical Operations leadership as a primary stakeholder group
Systems Integration & Interoperability
Ensure seamless integrations across clinical, operational, and business systems
Improve workflow efficiency between scheduling, billing, telehealth, marketing, communications, and clinical platforms
Translate operational pain points into scalable systems configurations and architecture improvements
Partner closely with Product, Engineering, and Data teams to align systems with broader patient and business goals
IT Service Management & Operational Excellence
Build and scale a modern IT Service Management (ITSM) function
Establish service catalogs, change management processes, tiered support models, and configuration management practices
Define clear L1–L3 support structures and escalation workflows
Balance operational rigor with agility, enabling rapid iteration without compromising reliability or security
Create transparent prioritization and communication processes across IT initiatives and operational workstreams
Training, Readiness & Change Enablement
Partner with Clinical Learning & Development teams to ensure clinicians and employees are trained on downtime and recovery procedures
Maintain clear SOPs, recovery documentation, and operational playbooks
Lead tabletop exercises and readiness drills to validate operational preparedness
Support the successful rollout and adoption of new systems and technologies through thoughtful change management practices
Security, Compliance & Risk Management
Partner with Security and Compliance teams to maintain HIPAA, SOC2, and enterprise IT compliance standards
Oversee identity and access management, endpoint protection, and vendor onboarding processes
Develop and maintain business continuity and disaster recovery plans
Conduct post-incident reviews and drive continuous operational improvement
Vendor Management & Technology Operations
Oversee relationships with clinician-facing and corporate technology vendors
Define and monitor vendor SLAs related to uptime, support responsiveness, integration quality, and reliability
Conduct regular vendor performance and cost reviews in partnership with Finance and Business Operations
Ensure technology vendors contribute to operational resilience and scalability
Leadership & Cross-Functional Partnership
Lead and mentor teams across Corporate IT, Clinical IT, Informatics, and Internal Systems Support
Serve as a key cross-functional partner to Clinical Operations, Product, Engineering, and Business Operations
Advocate for clinician and employee experience within technology discussions and decision-making
Communicate clearly and calmly during high-pressure operational situations
Foster a culture of operational excellence, accountability, empathy, and trust
What you bring:
10+ years of leadership experience in IT, Technical Operations, Infrastructure, or Systems Operations within fast-scaling healthcare or digital health organizations
Proven success operating mission-critical systems supporting large-scale, real-time operations
Experience managing environments supporting 10,000+ daily transactions, visits, or operational workflows
Strong expertise in incident response, systems reliability, and vendor management
Technical fluency with modern cloud infrastructure and enterprise collaboration platforms
Experience with AWS, Zoom, Slack, Google Workspace, Zendesk, Twilio, and enterprise IT systems
Deep understanding of identity management, integrations, HIPAA, SOC2, and enterprise security controls
Strong operational judgment and ability to partner effectively with clinicians, operators, and engineers
Exceptional communication and stakeholder management skills
Builder mindset with the ability to create scalable systems and operational frameworks
Why join Midi?
Opportunity to help build one of the fastest-growing companies in women’s health
Mission-driven work improving healthcare access and outcomes for women nationwide
Collaborative, high-caliber team operating at meaningful scale
Competitive compensation, equity, and benefits
Hybrid flexibility with strong executive visibility and impact
Interview Process:
Recruiter Screen- 30-45 mins
Hiring Manager Screen- 45 mins
Interview Loop- 3-4 hours
Working Session- In person- 1 hour
At this time, Midi is unable to provide visa sponsorship. Candidates must be authorized to work in the U.S. without current or future sponsorship needs.
The Salary range for this role is $280,000-325,000.
For additional information, please see this video:
Please find our CCPA Privacy Notice for California Candidates here.
Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant’s salary history.
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Worksite address
palo alto, CA, 94306, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.