Chief Executive Officer

This organization is a professional services and technology company operating two distinct but complementary business units: a regional managed IT services practice serving small and mid-market businesses across the Pacific Northwest and Desert Southwest, and a nationally focused healthcare IT practice serving physician groups, outpatient specialty clinics, and community hospitals.

The managed services business delivers cybersecurity, cloud solutions, helpdesk, and infrastructure management through a 24x7x365 operations model. The healthcare IT practice provides hosted clinical software, workflow automation, image management, and integration services to healthcare providers across the country. Combined, the company generates approximately $20 million in annual revenue and is positioned to grow significantly through organic expansion and disciplined acquisition.

The Opportunity

The company is seeking a proven CEO to lead its next phase of growth. The target is to scale from $20 million to $50 million in revenue over the next three to five years. The incoming leader will inherit a strong service reputation, an experienced team, geographic footholds in two regions, and a parent organization with capital and strategic appetite for the right opportunities.

This is a hands-on operating role. The right candidate will be equally comfortable setting the strategy and managing a P&L, closing enterprise relationships, and developing the leadership team needed to scale.

Key Responsibilities

Strategy and Growth

• Own the company's three to five year growth strategy, including organic revenue targets, market expansion priorities, and acquisition criteria for both business units.
• Identify, evaluate, and execute bolt-on acquisitions that extend geographic reach, add technical capability, or accelerate revenue scale.
• Build and manage executive and enterprise client relationships that support retention and new business development.
• Drive pricing, packaging, and go-to-market strategy across managed services and healthcare IT verticals.
• Represent the company externally with clients, partners, industry associations, and prospective acquisition targets.

Financial Performance

• Own full P&L responsibility across both business units, with direct accountability to the Board.
• Develop and manage annual operating plans, capital allocation, and financial forecasts.
• Establish and track KPIs for revenue growth, EBITDA margin, client retention, and service delivery quality.
• Partner with the CFO and parent company leadership on financial reporting, treasury, and capital planning.

Operations and Service Delivery

• Build the operational infrastructure, processes, and technology systems required to scale from a regional MSP to a multi-market platform.
• Ensure consistent, high-quality service delivery across managed IT and healthcare IT lines, including 24x7 support operations and SLA compliance.
• Drive continuous improvement in delivery efficiency, margin, and client satisfaction.
• Maintain and strengthen the company's cybersecurity posture and compliance posture across client environments.

Team Leadership

• Lead, develop, and hold accountable a senior leadership team across sales, operations, engineering, and client success.
• Build organizational capacity ahead of growth, including talent acquisition, succession planning, and cultural cohesion across offices.
• Integrate acquired teams and companies without disrupting service continuity or client relationships.
• Foster a culture of accountability, client focus, and continuous learning.

Parent Company and Board Alignment

• Report directly to the Board of Directors and maintain regular, transparent communication on performance, strategy, and risk.
• Collaborate effectively with parent company leadership on shared services, capital deployment, and strategic alignment.
• Operate with the autonomy of a standalone CEO while working within a holding company structure.

Qualifications

Required

• Prior CEO or President experience with full P&L ownership, preferably in a managed services, professional services, or healthcare technology company.
• Demonstrated track record of scaling a services business, ideally from $10 million to $50 million or greater in annual revenue.
• Deep fluency in MSP economics, including recurring revenue models, service delivery margin, client retention, and operational leverage.
• Experience leading or integrating acquisitions, including post-close operational integration.
• Strong financial acumen with ability to build, read, and manage to a P&L.
• Proven ability to build and develop senior leadership teams.
• Experience operating within a multi-entity holding company or private equity-backed environment preferred.

Preferred

• Background in healthcare IT, clinical software, or health system technology services.
• Familiarity with HIPAA compliance requirements, clinical workflow, and healthcare data integration standards.
• Experience growing a business with multiple geographic service locations.
• History of successful enterprise and health system client relationships.

Leadership Characteristics

• Operates with urgency and decisiveness without sacrificing quality or team trust.
• Equally strong in strategy development and operational execution.
• Builds credibility quickly with technical teams, clinical clients, and financial stakeholders.
• Direct communicator who creates clarity and alignment across the organization.
• Comfortable holding people accountable while maintaining a culture people want to work in.

Benefits:

• 401(k)
• Dental insurance
• Retirement plan