Technical Account Manager / Account CTO

Location: San Antonio, TX (Preferred) / Remote (Texas based with travel as needed)
Department: Enterprise Client Success & Strategy
Reports To: Executive Leadership
Employment Type: Full-Time

Position Summary:

We are seeking a client-focused and technically astute Technical Account Manager (TAM) / Account CTO to serve as the strategic technology partner for a major healthcare client undergoing a transition to centralized IT Service Management. This role blends solution architecture, client advocacy, technical leadership, and relationship management to ensure alignment between IT service delivery and business outcomes.

The TAM/Account CTO will act as the technology voice for the client within the organization and the organization's trusted advisor to the client - translating healthcare business objectives into actionable IT strategies and working cross-functionally with engineering, service delivery, and project teams.

Key Responsibilities:

Strategic Advisory & Leadership

• Serve as the primary technical liaison for executive stakeholders across 70 hospital sites.
• Align IT services and initiatives with client strategy, healthcare operations, and compliance needs.
• Identify opportunities for innovation, cost savings, and service optimization within the IT environment.

Client Success & Oversight

• Represent the client internally and champion service excellence, SLA performance, and continual improvement.
• Participate in monthly/quarterly business reviews and roadmap planning sessions.
• Ensure technical escalations are resolved promptly and effectively through collaboration with delivery teams.

Design & Architecture

• Guide architectural discussions on cloud adoption, security, identity, collaboration, and infrastructure.
• Provide oversight on technical proposals, project plans, and change management activity.
• Contribute to the modernization of legacy systems and design of scalable, secure IT infrastructure.

Governance & Compliance

• Support HIPAA and other healthcare regulatory requirements in system design and operations.
• Ensure adherence to industry best practices in ITSM, cybersecurity, and operational resilience.

Requirements

Required Qualifications:

• 7+ years of experience in enterprise IT roles, with at least 3 years in client-facing or leadership capacity.
• Deep technical knowledge across Microsoft technologies (Azure, O365, Active Directory), Windows infrastructure, and cloud integration.
• Experience in ITSM environments with a strong understanding of service operations and delivery metrics.
• Strong communication and interpersonal skills with the ability to influence C-level stakeholders.
• Experience supporting healthcare IT environments or other regulated industries.

Preferred Qualifications:

• Certifications:
  • Microsoft Certified: Azure Solutions Architect Expert or equivalent
  • ITIL 4 Managing Professional or Strategist
  • TOGAF, CISSP, or PMP (a plus)
• Education:
  • Bachelor's or Master's Degree in Computer Science, Information Systems, Engineering, or related field.
• Additional Experience:
  • Familiarity with EMR/EHR systems, clinical workflows, and health data security standards.
  • Previous experience as a TAM, Solutions Architect, or Enterprise Architect supporting large enterprise clients.

Work Environment:

• Remote-friendly, but preference is given to candidates within reach of San Antonio, TX for onsite meetings.
• Travel to client sites may be required on a scheduled basis (approx. 10-20%).