This position is based on-site in the Greater Seattle Area.

A career at Sono Bello means being part of a dynamic, high-energy work environment where every team member can make a difference. We love what we do, and it shows. As the national leader in providing cutting-edge, personalized body transformations, we believe everyone deserves their best body today and the opportunity to pursue their best life now. With over 125locations, Sono Bello is the largest and fastest-growing cosmetic surgery practice in the nation.

Sono Bello is seeking an IT Manager to oversee operational IT services across clinic and corporate locations in a cloud-first healthcare environment. This role ensures technology systems are reliable, secure, and aligned with business and regulatory requirements. The IT Manager drives service delivery performance, operational accountability, analytics, and continuous improvement across infrastructure, networking, identity, and endpoint platforms. 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Responsible for overall IT operations across service desk, infrastructure, networking, and endpoint management 

• Accountable for service performance, including SLA/KPI tracking, operational trend analysis, and ongoing reporting on system, endpoint, and network health 

• Responsible for escalation oversight and resolution of business-critical incidents 

• Ensures consistent onboarding, offboarding, provisioning, and documentation practices across all locations 

• Oversees Azure infrastructure to maintain availability, stability, and cost control 

• Maintains secure and compliant Microsoft 365 services aligned with enterprise standards 

• Responsible for identity lifecycle management within Entra ID, including access governance and conditional access 

• Oversees Intune and Windows Autopilot to ensure standardized and compliant device deployment 

• Ensures enforcement of Zero Trust and endpoint security controls 

• Responsible for network reliability and coordinates vendor support as needed 

• Ensures operational compliance with HIPAA, SOC, and related regulatory requirements 

• Oversees vulnerability management, patch compliance, and audit readiness 

• Drives process improvements and operational efficiency through automation and standardization 

• Provides leadership, mentorship, and performance management for IT staff 

• Manages vendor relationships and supports budgeting and cost oversight 
• Supports operational planning and stabilization of enterprise technology initiatives 

REQUIRED SKILLS AND ABILITIES:

EDUCATION AND EXPERIENCE REQUIRED:

• 7+ years of progressive IT experience with operational leadership responsibilities 

• Experience managing IT operations in a multi-site environment 

• Strong knowledge of Microsoft Azure, Microsoft 365, Entra ID, and Intune 

• Working knowledge of Meraki networking solutions 

• Experience building performance metrics and executive-level reporting 

• Strong analytical, organizational, and communication skills 

• Healthcare or regulated industry experience preferred 
• ITIL, Azure, or Cisco certifications preferred 

WORK ENVIRONMENT:
Work onsite at the Corporate Office in Bellevue, WA for a minimum of 3 days a week. May work in remote office locations on Wednesdays and Fridays.

COMPENSATION:

At Sono Bello, we believe that our team members are the keys to our success. The compensation range for this role is $125,000- $150,000, depending on experience.

BENEFITS:

• Medical
• Dental
• Vision
• Life Insurance
• 401K
• EAP
• PTO & Paid Holidays

This position is open to remote candidates located within the United States (Must be authorized to work in the US).

A career at Sono Bello means being part of a dynamic, high-energy work environment where every team member can make a difference. We love what we do, and it shows. As the national leader in providing cutting-edge, personalized body transformations, we believe everyone deserves their best body today and the opportunity to pursue their best life now. With over 100 locations, Sono Bello is the largest and fastest-growing cosmetic surgery practice in the nation.

Serve as a senior individual contributor responsible for maintaining, enhancing, and improving an existing OutSystems 11 application that supports critical business operations. Partner closely with project management and business stakeholders to translate priorities into practical technical solutions, improve application maintainability and architecture, reduce architectural and operational overhead, and help shape the roadmap for future features. This role is hands on, with senior level expectations for solution design, code quality, mentoring, and application ownership.

ESSENTIAL DUTIES AND RESPONSIBILTIES:

• Design, build, test, and deliver enhancements and maintenance changes for an existing OutSystems 11 application, ensuring solutions are reliable, supportable, and aligned with business priorities.
• Own technical design decisions for the application, including module structure, data flows, integration patterns, and maintainability improvements that reduce technical debt and improve long term application health.
• Support production needs for the application, including troubleshooting defects, diagnosing root causes, and developing hotfixes when necessary to restore or protect business operations.
• Identify and execute opportunities to improve performance, reliability, observability, and overall operational efficiency of the platform, including reduction of architectural and operational overhead where appropriate.
• Optimize application and database performance through strong engineering practices, including SQL Server query tuning, efficient data access patterns, regression prevention, and disciplined release quality.
• Provide senior level technical leadership through code reviews, design reviews, mentoring, and practical guidance that helps other developers improve quality, consistency, and delivery confidence.
• Partner with project management and business stakeholders to clarify requirements, evaluate tradeoffs, sequence work, and create pragmatic implementation plans for future features and platform improvements.
• Design and support integrations with internal and external systems using REST APIs and sound integration patterns, with event driven design experience considered a strong plus.
• Contribute to engineering standards for OutSystems development, including documentation, code organization, release discipline, and support readiness for a business-critical enterprise application.
• Communicate progress, blockers, and technical risks clearly, and maintain useful technical documentation that supports ongoing ownership of the application.
• Help establish a sustainable path for future development by balancing short term business needs with long term maintainability, scalability, and platform evolution.
• Technical writing, stakeholder management, solution ownership, performance troubleshooting, practical system design, and thoughtful code and design review.

REQUIRED SKILLS AND ABILITIES:

• Demonstrated senior level experience delivering and supporting business critical applications, with direct professional experience developing in OutSystems 11 required. Practical depth and track record matter more than a fixed number of years.
• Strong experience enhancing and maintaining existing enterprise applications, including solution design, debugging across application and data layers, and making sound tradeoffs in a fast-moving delivery environment.
• Hands on expertise with OutSystems 11 development, including building and modifying modules, working within platform guardrails, troubleshooting issues, and improving maintainability and performance of existing applications.
• Strong experience with REST API integrations. Experience with event driven design is a significant plus.
• Strong SQL Server skills, including query optimization and performance tuning in support of application responsiveness and stability.
• Practical experience partnering directly with business stakeholders and project managers to turn needs into clear technical solutions.
• Strong written and verbal communication, sound judgment, and the ability to lead through influence, design clarity, and execution.
• Healthcare experience is a plus, especially work involving electronic medical records or adjacent regulated workflows.

WORK ENVIRONMENT: 
Work fully remote

COMPENSATION:

At Sono Bello, we believe that our team members are the keys to our success. The compensation range for this role is $109,000 - $136,000 depending on experience.

BENEFITS:

• Medical
• Dental
• Vision
• Life Insurance
• 401K
• EAP
• PTO & Paid Holidays

#LI-VB1 #Remote