• Direct and oversee day-to-day rail operations to ensure safe, reliable, and efficient service • Monitor operational performance metrics and implement corrective actions as needed • Develop and maintain operating procedures, schedules, and contingency plans • Coordinate service delivery activities and respond to operational disruptions and emergencies • Ensure compliance with all applicable FRA, FTA, OSHA, and company regulations and standards • Lead preventive, predictive, and corrective maintenance programs for rolling stock, track, signals, facilities, and related infrastructure • Develop maintenance schedules and asset management strategies to maximize system reliability • Monitor equipment performance and implement continuous improvement initiatives • Manage maintenance planning, resources, inventory, and vendor relationships • Ensure timely resolution of maintenance issues affecting operations • Lead, mentor, and develop operations and maintenance personnel • Foster a culture centered on safety, accountability, teamwork, and customer service • Conduct performance evaluations and support employee training and development • Ensure adequate staffing and workforce planning to support operational requirements • Champion a strong safety culture across all departments • Lead investigations of incidents, accidents, and service disruptions • Ensure compliance with regulatory requirements, operating rules, and maintenance standards • Support audits, inspections, and regulatory reviews • Develop and manage departmental budgets • Monitor expenditures and identify opportunities for operational efficiencies • Support capital improvement projects and long-term asset management planning • Provide operational analysis and reporting to senior leadership

• Own the IT operating model for the MSO, defining which services are delivered centrally to managed practices and how they are standardized, supported, and measured. • Lead IT integration of newly acquired and affiliated practices, including discovery, network and connectivity, identity, endpoints, application access, and cutover to Vytalize standards. • Own the end-user experience across corporate, clinical, and practice-based users, including service desk, endpoint management, onboarding/offboarding, and escalation. • Build and mature ITSM processes for incident, request, problem, and change management within Jira Service Management. • Define and report on operational metrics, including resolution times, uptime, CSAT, and first-contact resolution, across both corporate and practice environments. • Oversee core infrastructure, cloud operations, identity and access management, and endpoint security across multiple entities. • Establish and enforce IT standards for practice sites, including hardware, connectivity, access, and support expectations. • Own business continuity and disaster recovery planning and testing for systems clinical teams and practices depend on. • Partner with Enterprise Applications and Data teams on the systems practices rely on day to day, including EHR access and clinical workflow tooling. • Partner with Information Security and Compliance on audit readiness, evidence collection, and remediation. • Ensure IT operations meet HIPAA, HITRUST, and SOC 2 requirements across all entities, building compliance into process rather than bolting it on. • Manage the IT budget, vendor relationships, and third-party support arrangements that underpin service delivery. • Lead and grow the internal IT team, and build the support model that scales as practices are added. • Serve as the senior IT voice to executive leadership and partner cross-functionally with Clinical, Practice Operations, People Operations, and Corporate Development. • Translate business priorities into an IT operating roadmap that scales with headcount, practices, and markets.

• Process lab test orders, ensuring timely and accurate delivery of results • Coordinate with diagnostic labs, customers, and vendors to resolve lab order or resulting issues • Monitor internal dashboards for system delays or outages • Proactively troubleshoot and escalate issues across multiple internal platforms • Provide direct support to customers via Slack, email, and internal ticketing systems • Maintain SLA standards for response and resolution times • Interact with clients primarily through chat, with occasional voice support • Assist the Operations team with routine tasks to ensure smooth workflow • Collaborate cross-functionally to support process improvements and documentation • Use internal tools such as Google Docs, Linear, and Slack for communication and task tracking

• Support the flow of operational, technical, and administrative routines within the IT department. • Assist in preparing reports, monitoring key performance indicators (KPIs), and updating team documentation and records. • Manage and track support tickets, helping to route requests to the appropriate technical teams. • Collaborate with data engineering, AI, and product teams on internal initiatives and daily routines. • Propose straightforward improvements to simplify and organize the team's day-to-day work.