Payer/Provider IT & Cloud Strategy Leader

Payer/Provider IT & Cloud Strategy Leader

• Start Date: ASAP
  
• Duration: Contract-to-Hire (4 month Contract period)
  
• Daily Working Hours: Full-Time
  
• Travel: Up to 25%
  
• Work Authorization: Must be eligible to work in the U.S. without company sponsorship
  
• No Third Parties Please
  

Key Responsibilities

• Lead the application rationalization workstream end to end — discovery, inventory validation, portfolio segmentation, disposition planning, business case development, and implementation roadmap execution.
  
• Integrate Cloud FinOps practices into portfolio decisions, analyzing cloud consumption, unit economics, cost allocation, licensing, and optimization opportunities across IaaS, PaaS, SaaS, and hybrid environments.
  
• Translate enterprise business priorities into actionable IT and digital strategy including capability-based planning, target-state architecture, investment themes, governance, and sequenced transformation roadmaps.
  
• Lead or support EMR/ERP platform selection efforts including requirements definition, RFI/RFP development, vendor demonstrations, fit-gap analysis, TCO modeling, and executive recommendation development.
  
• Develop and maintain a comprehensive application inventory covering business ownership, utilization, cost, risk, integration dependencies, lifecycle status, and operational criticality.
  
• Define and apply rationalization criteria to determine disposition recommendations — retain, retire, consolidate, replace, re-platform, remediate, or modernize.
  
• Build executive-ready decision frameworks, heat maps, scoring models, roadmap views, and value cases to support investment governance and portfolio modernization.
  
• Develop financial models connecting application and cloud decisions to TCO, run-rate savings, technical debt reduction, avoided cost, and benefit realization.
  
• Lead stakeholder interviews, workshops, application surveys, and working sessions to validate insights and align on recommendations.
  
• Coordinate with sourcing, procurement, and finance to identify contract optimization, licensing reduction, and run-rate savings opportunities.
  
• Prepare governance materials, leadership readouts, and executive dashboards to drive transparency and timely decision-making.
  

Qualifications

• 8–10+ years of experience in healthcare technology consulting, IT strategy, application portfolio management, enterprise architecture, or large-scale technology modernization.
  
• Demonstrated experience leading application rationalization, portfolio assessment, cloud migration readiness, EHR/ERP ecosystem optimization, or IT cost reduction initiatives.
  
• Demonstrated Cloud FinOps experience including cost transparency, allocation and showback/chargeback, forecast and budget management, resource optimization, commitment planning, and SaaS/license optimization.
  
• Experience developing enterprise IT and digital strategies linking business capabilities, technology architecture, cybersecurity, data/AI, sourcing, and investment priorities.
  
• Experience leading or supporting EMR and/or ERP system selections with fluency in requirements gathering, vendor evaluation, RFI/RFP processes, TCO analysis, and executive decision support.
  
• Strong understanding of healthcare application landscapes including clinical systems, revenue cycle, analytics platforms, integration engines, and corporate systems.
  
• Excellent executive communication skills — able to translate complex technical findings into clear recommendations, risks, tradeoffs, and value propositions.
  

Preferred Qualifications

• Experience with application rationalization in complex health systems, academic medical centers, payer organizations, or healthcare M&A environments.
  
• Familiarity with major healthcare platforms including Epic, Oracle Health/Cerner, MEDITECH, Workday, ServiceNow, and Microsoft.
  
• Hands-on experience with Cloud FinOps tools such as Azure Cost Management, AWS Cost Explorer, Apptio Cloudability, or Flexera.
  
• Experience building financial models for TCO, run-rate savings, license optimization, and reinvestment planning.
  
• Certifications in PMP, ITIL, TOGAF, Lean Six Sigma, cloud architecture, or FinOps Certified Practitioner/Professional.
  
• Prior consulting experience with executive-level client relationship management, proposal support, and delivery ownership.
  

Ideal Candidate Profile

• Senior operator who can move fluidly between executive strategy conversations and workplan-level execution without losing altitude in either direction.
  
• Cloud-financially fluent — knows how to find real savings and build a credible case for portfolio decisions that stick.
  
• Healthcare platform-savvy across both clinical and corporate systems, with the vendor evaluation experience to run a rigorous selection process.
  
• Skilled facilitator who earns trust quickly across clinical, IT, finance, and C-suite stakeholder groups.
  
• Comfortable in a fast-moving consulting engagement with high travel expectations and executive visibility from day one.