Fractional CIO

We are seeking a Fractional Chief Information Officer (CIO) to support a healthcare organization operating in a highly operational, regulated, and systems-dependent environment. This role is responsible for owning the organization’s enterprise technology ecosystem, ensuring system stability, enabling operational and financial insight, and leading the implementation of a future-state technology stack following a third-party requirements analysis. 

The CIO will enter mid-stream, assume ownership of implementation, and partner closely with executive leadership, operations, finance, and revenue cycle teams to ensure technology supports both day-to-day execution and long-term scalability. 

This role is advisory and hands-on, requiring strong judgment, execution discipline, and the ability to drive adoption in an operations-first healthcare environment. 

Key Responsibilities 

• Own and oversee the organization’s enterprise technology ecosystem across productivity, operations, clinical systems, revenue cycle, and finance 

• Lead implementation of a recommended software stack following a third-party requirements analysis, ensuring practical execution and organizational buy-in 

• Maintain stability and uptime of current-state systems while advancing future-state architecture 

• Design and manage integrations across systems, including native integrations, API-based solutions, middleware, and manual workflows where appropriate 

• Ensure reliable data flow between operational systems, clinical systems, billing platforms, and accounting systems 

• Partner with finance and revenue cycle leadership to align technology workflows with profitability, cash flow, and financial visibility 

• Design and document standard operating procedures aligned to technology systems and role-based workflows 

• Lead IT-related change management, sequencing adoption to minimize disruption to clinical operations, billing, and service delivery 

• Establish and manage internal IT workflows, including support intake, prioritization, and vendor coordination 

• Ensure system reliability, availability, security, and compliance appropriate to a regulated healthcare environment 

• Serve as a strategic advisor to executive leadership, translating technical considerations into business and operational implications 

Required Experience & Qualifications 

• Healthcare IT experience required, including experience operating in regulated healthcare environments 

• Prior experience as a CIO, fractional CIO, or senior IT leader in complex, operations-heavy organizations 

• Experience managing interconnected enterprise systems across operations, clinical platforms, revenue cycle, and finance 

• Familiarity with EMR/EHR systems and healthcare operational workflows 

• Demonstrated experience leading system implementations, phased rollouts, and controlled transitions 

• Strong understanding of how technology architecture and operational workflows impact financial performance and decision-making 

• Experience designing SOPs aligned to technology systems and driving organizational adoption 

• Proven ability to manage vendors, integrations, and internal/external IT resources 

• Ability to establish credibility and influence without direct authority 

Preferred Experience 

• Experience supporting behavioral health, substance use disorder treatment, or adjacent healthcare services 

• Experience operating in resource-constrained or growth-stage healthcare organizations 

• Experience partnering closely with finance and revenue cycle management teams