Designs, implements, and operates secure, scalable, highly available Azure infrastructure across regions. Develops Terraform-based Infrastructure as Code, manages Azure DevOps and GitHub Actions CI/CD pipelines, and delivers monitoring, observability, incident response, cost optimization, disaster recovery, and compliance for HIPAA- and SOC 2-regulated healthcare applications. Collaborates with security, application, product, compliance, and engineering teams while documenting systems and mentoring junior engineers.