Ross Amico
Founder · Ironframe Advisory · New YorkTwenty years of enterprise IT operations. Not advising from the outside — running them. I've led a 39-person global support organization delivering 24/7 coverage for 30,000+ users across 10 lines of business in healthcare. I've sat at the center of a major M&A integration — retaining 5 business units, dissolving 3, and migrating 13,000+ employees across 30+ countries into a unified IT ecosystem. I built a global MSP service desk from scratch — scaling from 2 people and 1 client to 85+ staff and 25+ enterprise accounts, adding $3M+ in net new revenue.
I've led 45+ P1 war rooms in a single year — including Epic EMR outages where provider access to patient records was on the line. I've piloted Amazon Connect migrations from legacy Avaya and Genesys platforms with zero service disruption. I've personally owned SOC 2 Type II audit execution. I've been the person who bridges CIOs, clinical operations, and technical infrastructure when everything is on fire and nobody knows who's in charge.
I've merged companies, dissolved business units, migrated entire user populations across identity platforms, and built IT organizations from the ground up in environments where the previous answer was "the office manager handles IT." I've driven 90% improvement in first-contact resolution and 95% reduction in incident resolution time across global operations.
I built Ironframe Advisory to do one thing: bring everything I've done at enterprise scale directly to growth-stage companies that need it most. Your IT operations get my full attention, my full experience, and the same standard of execution I've delivered at the largest organizations in the country. That's the commitment.
Who I Work Best With
- Growth-stage companies outgrowing reactive IT
- Mid-market firms needing senior IT leadership without a full-time executive hire
- PE-backed organizations navigating acquisition, integration, or scale
- Teams that need structure, accountability, and operational follow-through
The Track
Record
Every engagement Ironframe delivers is backed by two decades of hands-on IT operations leadership across healthcare, financial services, MSP, pharmaceutical, and enterprise environments.
What We
Work With
Enterprise platforms, modern development tools, and AI-augmented workflows. The full stack — from the boardroom to the command line.
ITSM & Service Management
Contact Center & Voice
Security & Identity
Analytics & Reporting
Infrastructure & Cloud
AI & Modern Development
Dev & Deployment
Strength
in Service
Most organizations don't think about their IT framework until something breaks. By then, the cost is already real — in downtime, in lost productivity, in employee frustration, and in the credibility gap that opens up when leadership can't explain why systems keep failing.
Our job is to build the frame before it fails — and fix it fast when it does. Every engagement is direct, measurable, and built to outlast our involvement. We don't create dependency. We build capability. We don't hand you a deck with 47 recommendations and walk away. We execute.
When you engage Ironframe, you get a dedicated operator — not a rotating cast of junior consultants, not a shared resource stretched across a dozen accounts. You get 20 years of enterprise leadership focused on your environment, your outcomes, and your success. Best-in-class service isn't a marketing phrase. It's the only standard we operate at.
This isn't a firm built on theory. It's built on two decades of being the person who picks up the phone at 2 AM, who sits in the board meeting and defends the IT investment, who walks into a broken environment and leaves it running. That's the standard. That's Ironframe.