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Experience

25+ Years of AI & Digital Transformation

A futurist driving transformation across healthcare, finance, supply chain, and eCommerce. From software developer to CTO to CIO to Founder—building the future one industry at a time.

Career Timeline

Founder

Phiniti
Current
Feb 2025 - Present
Kingsport, TN

Building Ambient Scribe, a full-stack AI-powered clinical documentation platform. Harnessing AI and agentic workflows to achieve 100-1000x development velocity compared to traditional approaches. Leading all aspects: architecture, development, product, and go-to-market.

  • Built cross-platform apps (iOS/Android/Web) with on-device AI transcription
  • Implemented real-time voice AI with streaming LLM integration
  • Developed extensive AI-powered tooling for clinical workflow automation
  • Multi-EHR integration supporting major healthcare platforms
  • Cloud-native serverless architecture for scale and reliability
  • Agentic AI workflows enabling rapid development velocity
  • Accepted into Beta Tech Accelerator 2025
React + TypeScript + ServerlessNative iOS + AndroidLLMs + Speech AIReal-time Voice + WebRTCMulti-EHR + FHIR

Ambient Scribe Tech Stack

Frontend
React/Next.js
TypeScript
Modern CSS
Mobile
iOS Native
Android Native
On-Device ML
Backend
AWS Serverless
CloudFront CDN
Real-time Streaming
AI/ML
AWS Bedrock
Speech Recognition
Voice AI Agents
EHR Integration
SSO Integration
FHIR APIs
Token Exchange
DevOps
CI/CD Pipelines
PagerDuty
Clerk

AI-Powered Development: Using agentic AI workflows to build at 100-1000x velocity. Solo-building what traditionally requires a 10+ person team.

Chief Information Officer (CIO)

State of Franklin Healthcare Associates
Mar 2024 - Feb 2025
Johnson City-Kingsport-Bristol Area

Recruited to build IT infrastructure for a pioneering 2,000-physician ESOP medical group during rapid expansion—averaging 1 clinic per month through acquisition or greenfield development.

  • Secured $4M infrastructure modernization approval
  • Managed clinic expansion at 1 clinic/month (acquisition & greenfield)
  • Led onboarding and data conversion for each new practice
  • Developed self-service analytics and value-based care dashboards
  • Collaborated with CCIO and CMIO on VBC data strategy

VP, Clinical Solutions

NextGen Healthcare
Jun 2022 - Feb 2024
Remote

Led AI-first clinical strategy for $1.8B enterprise (acquired by Thoma Bravo). Managed $320M product portfolio spanning EHR, Mobile, and EHR Content.

  • Led NextGen to become first EHR vendor to ship Ambient AI on mobile (Nov 2023)
  • Drove CDS Hooks platform strategy with $182M annual revenue opportunity
  • Designed FHIR-based strangler fig architecture for legacy modernization
  • Negotiated risk-sharing contracts covering millions of Medicare/MA lives
  • Evaluated M&A opportunities to accelerate product velocity

Chief Information Officer (CIO)

Holston Medical Group
Jan 2014 - May 2022
Kingsport, TN

All aspects of technology and information systems reported to me including clinical and financial systems, analytics/BI, interoperability, and cloud infrastructure. Simultaneously served as CIO for both Qualuable and Emergent ACOs, providing unified technology leadership across all value-based care initiatives.

  • Led complete digital transformation of healthcare operations
  • Provided CIO leadership for Qualuable ACO ($20M+ earned savings)
  • Provided CIO leadership for Emergent ACO ($56M+ earned savings)
  • Built OnePartner platform that powered both ACOs' success
See ACO Performance Data

Chief Technology Officer (CTO)

Holston Medical Group
Jan 2012 - Jan 2014
Kingsport, TN

Responsible for the HIE and ACO businesses from a technology standpoint. Evaluated requirements based on company direction and strategy, aligning resources with the right solutions and vendors. This role led directly to founding OnePartner and architecting Qualuable ACO.

  • Architected HIE (Health Information Exchange) platform
  • Led technology strategy for Qualuable ACO formation (2013)
  • Selected dbMotion and Mirth Connect as core technology stack
  • Vendor evaluation and solution selection

President

OnePartner
Jan 2014 - May 2022
Duffield, VA

Population health platform designed to assist companies in the transition to value-based payment systems. Built 100% in-house team that created technology powering two ACOs to $76M+ in earned savings. Negotiated and closed nationwide reseller agreement with Allscripts in Chicago.

  • Powered $76M+ earned savings across Qualuable & Emergent ACOs
  • Closed nationwide reseller partnership with Allscripts
  • Expanded OnePartner to 9 states through Allscripts deal
  • Built in-house team now in leadership at major corporations
  • Healthcare Heroes Innovation Award 2015
View Full Case Study

Chief Information Officer (CIO)

Emergent ACO
2018 - 2022
Multi-State (9 States)

Led technology strategy for Medicare Shared Savings Program (MSSP) ACO. Built on OnePartner platform to deliver 6 consecutive years of positive performance with $56M+ in earned savings.

  • Founding CIO - architected technology strategy from inception
  • $56.2M earned savings over 6 performance years (2019-2024)
  • Averaged 6.95% savings rate with consistent quality scores
  • Scaled from 30,000 to 40,000 beneficiaries
See Emergent Performance

Chief Information Officer (CIO)

Qualuable ACO
2013 - 2017
Tri-Cities, TN/VA

Founding CIO for one of the earliest MSSP Track 1 ACOs. Coalition of 5 physician groups and 500+ providers. The technology and operational playbook from Qualuable became the foundation for Emergent ACO's expansion.

  • Founding CIO - built ACO technology from ground up
  • $20.2M earned savings over 4 performance years (2014-2017)
  • Averaged 5.86% savings rate across all years
  • Technology platform later scaled for Emergent ACO
See Qualuable Performance

Founder & CEO

Lucent Glow, Inc
2004 - 2011
Kingsport, TN

Founded healthcare IT consulting company during the birth of national healthcare interoperability. Participated in NHIN pilots that shaped modern healthcare data exchange.

  • NHIN1/NHIN2 pilot participant under David Brailer (first National Health IT Coordinator)
  • Contributed to National Health Information Network proof-of-concept (2004-2006)
  • Grew from sole proprietor to 10 W2 employees
  • Developed HL7/CCD interfaces—early healthcare interoperability pioneer
  • Successfully exited via company sale in 2011

Education

2019 - 2020

Executive MBA - Healthcare Leadership

Haslam College of Business at the University of Tennessee

Health/Health Care Administration/Management

1997 - 2001

Bachelor of Science (BS) - Computer Science

East Tennessee State University

Foundation in software engineering and systems design

Awards & Recognition

2025

Beta Tech Accelerator 2025

Beta Tech

Selected for elite healthcare technology accelerator program

2019

Healthcare Hero

Tri Cities Business Journal

Recognition for outstanding contributions to healthcare innovation

2015

40 Under 40

TriCities Business Journal

Exceptional leadership and achievement in the region

2015

Cup of Kindness

Tri Cities Business Journal

Community service and compassionate leadership

Skills & Expertise

Healthcare IT

21+ endorsements

HL7/FHIR

47+ endorsements

Population Health

15+ endorsements

Value-Based Care

12+ endorsements

AI/ML

8+ endorsements

Cloud Architecture

18+ endorsements

Software Development

25+ endorsements

Executive Leadership

20+ endorsements

Let's Build Something Together

Looking for a technical co-founder, advisor, or speaker on healthcare technology? I'm always interested in projects that improve patient care.