# Scott Booher | Fractional CTO for Healthcare Technology Companies
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### What I Do
Healthcare technology companies face a unique set of challenges: demanding regulatory environments, complex stakeholder ecosystems, and constant pressure to build and scale platforms that providers, payers, and patients will trust. When you're navigating those pressures without a seasoned CTO in the seat — or between permanent leaders — the cost of a misstep is high.
I partner with digital health companies to provide the strategic technology leadership that moves organizations forward. Whether you need someone to stabilize a struggling engineering organization, prepare for a capital raise, lead a [[Technical Due Diligence|technical due diligence]] effort, or lay the architectural foundation for a new product — I bring the experience of someone who has done it, in healthcare, many times over.
### Why It Works
The fractional model isn't a compromise — it's a deliberate choice. For [[Growth Stage|growth-stage firms]] and private equity-backed healthcare companies, it offers senior leadership with deep healthcare context, at a pace and cost that matches where the organization actually is.
I've served as CTO, COO, and CIO across a career spanning enterprise payers, clinical SaaS platforms, telehealth, patient logistics, home health, and life sciences. I know what "good" looks like in healthcare technology — and I know how to get there efficiently.
### Selected Experience
**Principal**
**HIT Reboot**
*2013 – Present*
Fractional and interim CTO engagements for digital health companies, with a focus on: [[Growth Stage|growth-stage leadership]], [[Startup Architecture Planning|startup architecture & planning]], [[Scaling Tech Operations|scaling tech & operations]], [[Technical Due Diligence|technical due diligence]], new entrant research, and [[Strategic Partnerships|strategic partnerships]].
| What I've Done | Clients I've Served |
| :------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | :------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Interim & Fractional CTO; Cloud strategy & migration; Engineering team scale and process maturation; Software quality improvement; Compliance/HITRUST/HIPAA readiness; Board-directed company wind-down; [[Technical Due Diligence\|Technical due diligence]]; Enterprise strategic planning; Partner engagement and program oversight; Newco product launches; New entrant research. | HC Payers · HC Providers · Cloud Compliance SaaS · Patient Logistics SaaS · Telehealth SaaS · Home Health · Clinical Trials Platform · Mail-Order Pharmacy · Life Science Compliance · Pharmaceutical Distribution & Commercialization |
**Interim Head of Engineering**
**McKesson** *(Pharmaceutical Sales & Service Division)*
*2025*
Engaged to stand up a new innovation software delivery team within McKesson's Pharmaceutical Sales & Service division, focused on commercializing new McKesson products. Established team structure, delivery processes, and the architectural and planning foundations necessary to bring new commercial software offerings to market.
**CTO & SVP | Consulting Executive**
**THREAD Research** *(PE-backed clinical research SaaS)*
*2022 – 2024*
Sponsored a full redesign of the firm's SDLC to double release cadence and improve software quality. Led requirements, vendor selection, and program planning for a complete rebuild of the firm's mobile apps — the primary data collection interface for clinical trial participants.
**Global BD Lead – Healthcare Payers | Principal Healthcare Industry Advisor**
**AWS**
*2021 – 2022*
Served as a trusted advisor to some of the industry's most innovative health plans at an executive level, supporting AWS go-to-market strategy and deepening relationships with key accounts including UnitedHealth Group and Centene.
**Consultant | COO**
**ABOUT Healthcare, fka Central Logic** *(VC-backed patient logistics SaaS)*
*2018 – 2019*
Delivered new core product releases after a 2-year release hiatus driven by delivery failures and quality missteps. Led the vision and execution of a new analytics-driven 'command center' product to address emerging market demand.
**COO**
**Zipnosis** *(telehealth SaaS, now part of Fabric)*
*2015 – 2016*
Built the PMO, client implementation playbook, formal customer support model, and product release framework for this rapidly growing telehealth platform. Doubled the team while supporting 40% revenue growth and a successful Series A.
**Consultant | SVP Clinical Holdings | CIO SmartHealth**
**Ascension Health**
*2012 – 2013*
Provided technology leadership for an internal startup venture within one of the nation's largest non-profit health systems — including IT strategy, platform architecture, vendor evaluation, and M&A assessment.
**CIO & SVP | CTO | Consultant**
**Medica Health Plans**
*2001 – 2007*
Built a new IT department and complete technology infrastructure from the ground up to support a $2B payer spin-out — including leadership staff, data center, data warehouse, network infrastructure, business systems, portals, information security, and disaster recovery. Grew the team from ~25 to 200+ staff with an annual budget of $150M.
### What Others Say
> "Scott was exceptionally successful tackling a wide variety of complex business and technical problems strategically, while leading the organization collectively towards successful deliveries of new products and new customer implementations."
>
> — *Derek Rockwell, CTO, Fabric*
> "His partnership and leadership allowed me and the other teams to communicate effectively, solve problems, and push our strategic initiatives across the line. Scott has earned my respect and highest recommendation."
>
> — *Julie Mikkelson, Sr. Physician Engagement Manager, Boston Scientific*
> "He has a fact-based, even-keel style that enables him to work through difficult issues with people who have very different points of view."
>
> — *Rob Bohenkamp, CIO Corporate Segment, UnitedHealth Group*
> "Scott is an outstanding leader and IT/business executive. He handles himself with great integrity in challenging and politically-charged situations, and knows how to build strong, trusting relationships with business partners and staff."
>
> — *Chris Grillo, Sr. Director, Information Security, Jostens*
> "Scott has a deep understanding of technology and how it can be leveraged to produce business results. He is a very successful, self-motivated leader who influences and motivates others around him — a great listener who takes into account different perspectives and approaches in his decision-making process."
>
> — *Tim Thull, CIO & SVP, HealthPartners*
> "We were extremely fortunate to have Scott as our first COO — and specifically, I was fortunate to have him as a mentor in my own growth at Zipnosis. His approach immediately gained my trust. Scott listened, assessed, and understood what processes and tools we had in place before collaborating on any changes that might have been disruptive. With that knowledge, he was able to identify exactly what we needed to take our next steps in growth. I'm now in a better place to lead, with Scott's leadership and mentorship as a template to follow."
>
> — *Ethan Otterlei, SVP of Technology Operations, UCP Merchant Medicine*
### Explore Further
[[Services]]
[[Benefits of the Fractional CTO Model]]
[[Working with Scott]]
[[Master Service Agreements for Fractional CTOs]]
[[Statements of Work for Fractional CTOs]]