Jason Pagliaro

Senior Healthcare Interoperability Product & Delivery Leader

Senior healthcare interoperability leader focused on EHR interoperability, EMR connectivity, and enterprise delivery across hundreds of ambulatory and acute care systems.

Built credibility across implementation, support, enterprise delivery, and product ownership, with senior-level judgment in EMR connectivity strategy, launch governance, and cross-functional execution for healthcare SaaS platforms.

Open to remote senior healthcare interoperability, EMR connectivity, and healthcare SaaS product or delivery leadership roles.

Credibility Highlights

EMR Connectivity Leadership With Delivery Depth

  • 18+ years across healthcare implementation, support, enterprise delivery, and current product ownership.
  • Career centered on EHR interoperability and EMR connectivity across hundreds of ambulatory and acute care systems.
  • Working depth across HL7 v2, FHIR DSTU2, R4, and R5, SMART on FHIR, CDS Hooks, interface engines, APIs, databases, ODBC, and operational launch control.
  • Leadership scope proven through a 22-person support organization, CTO-partnered operations work, post-acquisition integration, and high-pressure national onboarding programs.

Proof points

Healthcare interoperability, EMR connectivity, and enterprise delivery scope

18+ Years

Healthcare interoperability delivery

Hundreds

Ambulatory + acute care EHR/EMR systems

22-Person Team

Built and led a standalone support org

8-Month Integration

Post-acquisition workflow and roadmap alignment

Selected Outcomes

Impact Snapshot

A quick view of 18+ years of delivery scale, leadership scope, and interoperability outcomes across healthcare SaaS programs.

18+ years across hundreds of ambulatory and acute care EHR/EMR systems

Built career-long interoperability depth across database and ODBC connectivity, interface engines, APIs, FHIR, SMART on FHIR, webhooks, CDS Hooks, and RPA-style automation workflows.

Built and led a 22-person support organization

Created the first standalone support function, formalized escalation paths and SLAs, and gave implementation and engineering teams a cleaner signal on recurring integration issues.

Aligned a post-acquisition integration in 8 months

Unified teams, delivery workflows, and roadmap priorities after acquisition so platform transitions could continue without losing launch momentum.

Led national lab onboarding and HL7 coordination under compressed delivery windows

Led cross-functional release readiness for remote testing workflows, HL7 orders/results processing, and high-visibility operational coordination.

Professional Profile

Where I Create Leverage

This is the high-level view of how I operate. The full role progression, case study detail, and capability inventory live on the Experience, Case Studies, and Skills pages.

Scope I Own

  • EHR interoperability discovery, scope definition, and acceptance criteria across both legacy EMR workflows and modern API-based programs built around hundreds of partner-system variations.
  • Implementation planning across databases, ODBC and SQL connectivity, interface engines, APIs, testing readiness, and launch sequencing.
  • Operational follow-through after go-live, including KPI review, issue triage, and remediation priorities informed by support patterns and interface reliability trends.

How I Operate Cross-Functionally

  • Translate technical and operational requirements into delivery-ready work with clear ownership.
  • Keep engineering, QA, operations, customer, and vendor stakeholders aligned on dependencies and launch risk across ambulatory and acute care workflows.
  • Use structured readiness reviews and escalation paths to protect quality under deadline pressure.

Delivery Environments

  • Healthcare SaaS teams shipping interoperability capabilities in regulated environments.
  • Senior product and delivery leadership roles that need strong EMR connectivity depth.
  • Enterprise interoperability programs where release planning, risk control, and post-live stability matter across hundreds of ambulatory and acute care connections.
Complexity Profile

Where Healthcare Interoperability Gets Operationally Hard

The work is not just connecting systems. It is managing EMR connectivity across hundreds of partner-system variations, mixed technical standards, launch risk, and post-live accountability.

Hundreds of Partner-System Variations

Ambulatory and acute care environments bring different workflows, mapping conventions, data-quality issues, vendor dependencies, and readiness constraints into the same delivery portfolio.

Mixed Legacy and Modern Connectivity

Programs often span HL7 v2, FHIR DSTU2, R4, and R5, SMART on FHIR, CDS Hooks, interface engines, REST APIs, webhooks, databases, and ODBC in the same operating model.

Operational Accountability After Go-Live

Interoperability leadership still owns testing readiness, cutover decisions, hypercare stability, support handoffs, SLA performance, and remediation prioritization after release.

Enterprise Coordination Requirements

The delivery path crosses engineering, QA, support, implementation, security, client teams, vendors, and executives who each own a different part of readiness.

Leadership Scope

What I Lead Beyond the Backlog

This work has included direct people leadership, CTO-level partnership, and operational accountability across interoperability programs where launch quality and post-live stability both matter.

People Leadership

  • Built and led the first standalone Support organization to 22 team members.
  • Defined escalation paths, severity standards, and service expectations that gave teams a clearer operating model.

Cross-Functional Delivery Leadership

  • Aligned engineering, QA, operations, implementation, security, vendors, and client teams around readiness, risk, and go-live decisions.
  • Ran structured reviews that kept dependencies visible across both legacy EMR workflows and modern API or FHIR programs.

Executive Partnership

  • Partnered directly with the CTO on operational gaps, platform risks, and high-priority product issues.
  • Translated technical and operational realities into decision-ready tradeoffs for leadership stakeholders.

Operational Accountability

  • Owned launch governance, hypercare expectations, support handoffs, SLA performance, and remediation priorities.
  • Used production signals, ticket patterns, and interface reliability trends to drive follow-through after release.
Product Strategy

How I Apply Product Thinking to Interoperability Programs

The product work is not abstract roadmap language. It is deciding how interoperability capabilities should be standardized, sequenced, launched, and supported across real EMR connectivity constraints.

Prioritization Grounded in Delivery Reality

  • Use onboarding friction, recurring support issues, launch risk, and interface reliability trends to shape what should move first.
  • Balance customer-specific urgency against the need for reusable patterns across hundreds of partner-system variations.

Standardization vs. Exception Handling

  • Decide where requirements should become repeatable playbooks, acceptance criteria, and launch gates instead of one-off implementation work.
  • Protect engineering capacity by clarifying when partner-specific variation is necessary and when the platform should enforce a standard approach.

Platform Decisions Across Legacy and Modern Models

  • Frame interoperability choices across HL7 v2, FHIR DSTU2, R4, and R5, SMART on FHIR, CDS Hooks, interface engines, APIs, and database-driven workflows.
  • Keep delivery and support realities visible when evolving from legacy integration patterns toward more modern API and FHIR capabilities.

Execution-Ready Product Ownership

  • Translate strategy into stories, acceptance criteria, dependency plans, and launch evidence that engineering, QA, and operations can actually execute.
  • Use post-live outcomes to refine onboarding models, remediation priorities, and future roadmap decisions.
Career Progression

Experience Snapshot

A short preview of the role progression. The Experience page has the full timeline, scale signals, and role-by-role detail.

Product Owner — Interoperability & Enterprise Delivery

ELLKAY, LLC

January 2024 - Present

  • Hundreds of partner-system variations
  • HL7 v2, FHIR, SMART on FHIR, CDS Hooks

Owns EHR interoperability discovery, scope definition, testing readiness, and go-live coordination for healthcare connectivity programs spanning mixed legacy and modern integration patterns, grounded in 18+ years of implementation and delivery context.

  • Translate customer, technical, and clinical requirements into delivery-ready stories, acceptance criteria, and launch gates for ambulatory and acute care interoperability programs.

Enterprise Project Manager

ELLKAY, LLC

January 2020 - December 2023

  • National onboarding programs
  • Compressed rollout timelines

Led enterprise delivery workstreams for high-volume interoperability programs with compressed onboarding timelines, strict operational coordination needs, and partner-system variation built from hundreds of ambulatory and acute care environments.

  • Managed integration delivery across a wide range of partner environments, building career experience connecting hundreds of ambulatory and acute care EHR/EMR systems.
Leadership Evidence

Selected Case Studies

Two quick previews here. The Case Studies page expands each example into a full context, constraint, decision, execution, and outcome narrative.

Case Study

Health system with inpatient and ambulatory workflows, multiple technical owners, and mixed legacy-to-modern interoperability priorities.

Health System Interface Modernization

Large health system aligning legacy lab and order interfaces with a more modern interoperability roadmap across inpatient and ambulatory workflows.

Decision: Standardized mapping expectations, readiness checkpoints, and launch evidence so teams could make cleaner go or no-go decisions across multiple workstreams.

Why it matters: Shows the ability to turn complex EMR connectivity work into a repeatable operating model that can scale beyond a single project.

Case Study

National program with compressed rollout windows, HL7 orders/results coordination, and high operational visibility.

National Lab Program Onboarding

National lab program supporting institution onboarding under compressed timelines and strict data integrity requirements.

Decision: Introduced phased onboarding governance with explicit dependency owners, test gates, and hypercare expectations before production promotion.

Why it matters: Demonstrates leadership in healthcare programs where scale, timing pressure, and operational control matter as much as the interface build itself.

Skills Snapshot

Selected Areas

Interoperability Standards & Healthcare Domain

Standards, care settings, and implementation constraints used across career-long EHR interoperability work.

  • Care-setting breadth across hundreds of ambulatory and acute care EHR/EMR systems, including Epic, eClinicalWorks, and ModMed environments
  • Standards and auth: HL7 v2, FHIR DSTU2, R4, and R5, SMART on FHIR, CDS Hooks, and OAuth2
  • Workflow alignment across clinical, operational, vendor, and engineering teams in regulated interoperability programs

Product Strategy, Ownership & Delivery Governance

Product strategy and program practices used to keep delivery credible from discovery through launch.

  • Discovery facilitation, scope definition, and requirement traceability
  • Prioritization using implementation risk, support trends, and onboarding friction
  • Story writing, acceptance criteria, launch gates, and dependency tracking
Operating Model

How I Run Delivery

My operating model is built for healthcare programs where EHR interoperability spans mixed connectivity models and where dependency management, launch quality, and post-live stability matter as much as feature delivery.

Discovery & Scope

  • Align stakeholders around implementation goals, partner-system constraints, and realistic sequencing.
  • Define acceptance criteria, launch gates, and dependency owners early enough to prevent avoidable churn.

Build & Test

  • Coordinate data mappings, interface logic, API contract review, and integration test readiness with engineering and QA.
  • Keep defect triage and issue ownership visible so release decisions stay grounded in real readiness signals.

Go-Live Control

  • Run launch readiness and cutover communication with explicit fallback thinking and escalation paths.
  • Lead hypercare windows with clear incident ownership, response expectations, and stakeholder updates.

Post-Live Improvement

  • Use support patterns, SLA performance, and interface reliability trends to guide remediation work.
  • Feed lessons learned back into repeatable onboarding and implementation playbooks.
Role Alignment

Healthcare Interoperability Leadership and Delivery Roles

Aligned to senior interoperability, EMR connectivity, and healthcare SaaS product or delivery leadership roles where deep implementation context still matters.