Responsibilities: Own the end-to-end IT strategy, architecture, and operations for the full practice technology portfolio - including the medical oncology EMR, practice management, radiation oncology systems (Varian, Elekta), diagnostic imaging (PACS/VNA and the modality fleet spanning PET/CT, CT, MRI, ultrasound, and cystoscopy), laboratory systems, pharmacy systems, and the revenue cycle management stack supporting clinic billing. Proven experience leading large-scale migrations of clinical, imaging, and revenue cycle workloads from on-premises practice infrastructure to cloud-hosted (Azure, AWS, or GCP), vendor-hosted, and SaaS platforms - including target-state architecture, image archive strategy, and practice cutover sequencing across many sites.