Work

What I built — and what it would have cost if I hadn't.

2016 — Present

Medstar Holdings

Custom Analytics & Self-Healing Infrastructure

Architected a private Proxmox cloud that consolidated 20+ physical MSSQL servers running on Windows into Linux LXC containers — delivering a 3x performance boost, eliminating Windows Server licensing costs, and reducing the total SQL footprint required to support the business. The kind of migration most organizations talk about for years and never finish.

  • Custom Reporting: Individualized, per-client reporting systems built around the specific KPIs and operational needs of each partner — not generic dashboards they'd ignore.
  • FinTech Integration: A full "click-to-pay" ecosystem: automatic SMS billing statements with collections that write directly back into legacy billing software.
  • Patient Support: SMS-based patient communication with seamless handover to live agents — reducing friction at every step of the billing and support cycle.
  • Infrastructure: Full ownership of the Proxmox and TrueNAS environment, maintaining high-availability storage and compute for the entire enterprise.

All of this while also serving as COO — responsible for the business engine, not just the technical one. The architecture and the operations were the same job.

2014 — 2016

Telefonica Global

Global Cloud Platform & Enterprise Monitoring

Designed and launched a massive-scale private cloud platform in Miami — $10M+ budget, 150 petabytes of storage, 1,280 virtual CPUs. At the time, one of the largest installations of its kind in Latin America. The platform hosted critical infrastructure for global clients including DHL and Mapfre, operating under enterprise SLAs with no margin for error.

Led a team of 100+ engineers across multiple countries. Managed deployment of CA UIM for comprehensive monitoring and user experience analysis across the full stack. The job was not just building the platform — it was making sure 100 people in different time zones could operate it without it falling apart.

2009 — 2016

Medstar / Consulting

Infrastructure Modernization & Strategic Advisory

Full-stack infrastructure work across document management, VOIP, remote file synchronization, and enterprise FTP. Acted as technical advisor and strategic liaison for healthcare clients navigating EMR selection and complex integrations — the kind of decisions that are easy to get wrong and expensive to undo. Achieved 100% client retention over five years by delivering technology that actually improved the way people worked.

2001 — 2009

VipaHealth Solutions

Health Interoperability, SmartEMR & Standards Advocacy

Built the first web-native Electronic Medical Record and billing system serving over 400 physicians. Architected XML-based data interoperability that enabled a vaccine centralization initiative for the Department of Health — built on open standards at a time when proprietary systems were the default, and saving $10k per month as a result.

Served as a Voting Member and Technical Advisor for the ASTM CCR (Continuity of Care Record), helping define the standards that shaped modern health data exchange.

  • E-Prescribing: Led medication centralization within SmartEMR — pioneering the workflows that later became the industry standard through Surescripts.
  • Specialized Imaging: Web-based image editing tools for plastic surgeons, enabling precise digital mock-ups over patient photos in a browser — long before the canvas API existed.
  • Intelligent Workflow: A full document management system integrated with medical billing, using automated routing to deliver EOBs and Superbills to available agents — zero idle time in the queue.
2000 — 2001

Amadeus LLC

Travel Portal Redesign & Platform Migration

Replaced the Broadvision platform with a custom-built solution, saving over $300,000 annually. Led the migration from ASP/MSSQL to Perl/PHP/MySQL, improving flexibility and performance while introducing rule-based personalization for the booking experience. The lesson here, learned early: expensive licensed platforms rarely justify their cost when you understand the problem well enough to build the alternative.

Every project on this page has one thing in common: someone needed to build something that would last. Sometimes they knew that going in. Sometimes they thought they were just solving an immediate problem. In either case the job is the same — don't build for the deadline, build for the decade.