Fractional CTO for Companies That Can't Afford to Get Technology Wrong
20+ years building and scaling engineering organizations in regulated industries. AI/ML, cloud-native SaaS, healthcare. I partner with business and leadership teams to make the right technology bets — and execute them.
Currently advising NuvemRx · Former VP Engineering, Omnicell · 145+ engineers led
What a Fractional CTO Actually Delivers
Technology Strategy You Can Bet On
I translate business objectives into engineering roadmaps that executives, boards, and investors can understand and fund. No technology theater — just clear decisions with clear tradeoffs.
Leaders Who Build Leaders
Having scaled engineering teams from 10 to 145+, I know how to hire, structure, and motivate the people who write your future. Culture and process are as important as architecture.
Deep Healthcare Technology Experience
From pharmacy automation to patient flow optimization to AI-powered analytics, I understand the compliance, integration, and trust requirements that healthcare technology demands.
Practical AI That Ships
Certified in GenAI/ML at MIT. I've built production ML analytics platforms that drove $100M contracts — not demos. I'll help you identify where AI creates real leverage in your business.
Results That Move the Needle
"Enabled the organization's first $100M multi-product contract by launching the Inventory Optimization Service — demonstrating how software and analytics can turn hardware products into high-margin recurring revenue."
— Omnicell, Sr. Director Software EngineeringWhat Fractional CTO Partnership Looks Like
I work as a senior leadership team member — not a consultant who delivers a slide deck and disappears. Engagements are structured around your most urgent technology challenges.
Technology Strategy & Roadmap
New product direction, technical debt decisions, build vs. buy, platform selection, board-level technology narratives
Quarterly technology roadmap, architecture decision records, investor-ready tech strategy narrative
Engineering Leadership & Team Building
No current CTO, under-performing engineering team, rapid scaling, M&A integration, culture challenges
Org design, hiring playbook, engineering culture assessment, manager coaching, execution model improvement
AI/ML & Data Platform
Evaluating AI opportunities, building data capabilities, selecting GenAI tools, establishing data governance
AI opportunity assessment, data platform architecture, vendor evaluation, POC leadership, governance framework
Pittsburgh, PA (available remote or hybrid) · Contact for availability and rates
Executive Leadership History
Advising NuvemRx and select clients on technology strategy, AI/ML capabilities, and engineering organizational design. NuvemRx is a tech-enabled pharmacy administration solutions company serving community health providers — supporting initiatives in 340B program performance, referral management, patient access, and cloud-based healthcare business intelligence.
Pioneered the Global Data, Analytics, and AI organization — building cloud-based AI and analytics products that turned Omnicell's operational data into real-time insights, predictions, and automation for hospital and pharmacy customers. Established company-wide Data Governance Framework. Introduced Databricks Genie Spaces, cutting engineering escalations 28%.
Cross-functional leader accountable for the IV program's full stack engineering (hardware and software), leading 145+ engineers across the US, India, and Italy. $20M yearly budget aligned to $6B+ US TAM. Led turnaround of struggling IV portfolio — reorganized teams from functional silos into cross-functional squads, reducing integration issues 38% and restoring commercial momentum.
Launched the Inventory Optimization Service from inception — a data- and ML-powered platform enabling the organization's first $100M multi-product contract. Scaled team from 10 to 60+. Led platform engineering for 350 engineers, improving developer productivity 32%, reducing P1s 28%, improving MTTR 24%. Guided Agile/DevOps transformation: 45% cycle time reduction, $1.2M infra savings, 47% cost reduction.
Strategy, design, and architecture for a highly scalable SaaS platform on Azure and AWS using service-oriented microservices architecture. Set up the Technology Center of Excellence (Tech COE). Delivered the world's first real-time event-driven (RTLS) patient workflow solution; co-inventor on hospital bed event notification patent.
Earlier: Product Architect / Engineering Manager at TeleTracking (2010–2014) · Technical Architect at Ciber · Consultant at Fourth Technologies
What I Bring to the Table
AI & Data
Cloud & Architecture
Leadership & Org
Domain & Practices
Fractional CTO — What You Need to Know
What does a fractional CTO do?
A fractional CTO provides senior technology leadership on a part-time or contract basis. This means setting technology strategy, overseeing engineering teams, making architecture decisions, guiding AI and cloud adoption, and advising executives on technology investments — without the cost of a full-time executive hire. The engagement is sized to your actual need, not to fill a calendar.
When should I hire a fractional CTO?
The most common triggers: your CTO departed and you need leadership continuity, you're preparing for a fundraise and need a credible technology narrative, you're scaling fast and engineering is becoming a bottleneck, you're evaluating AI adoption and need someone who has actually shipped production ML systems, or you're navigating technical due diligence for M&A. If technology decisions are being made without senior oversight, that's the signal.
What's the difference between a fractional CTO and a technology consultant?
A consultant delivers a report and moves on. A fractional CTO operates as a member of your leadership team — attending board meetings, managing engineering leads, owning technology decisions, and staying accountable to business outcomes over the life of the engagement. The work is execution, not just advice.
Do I need a fractional CTO or a full-time CTO?
If your engineering team is under 30 people or you're pre-Series B, a fractional CTO is typically the right fit. You get executive-level technology leadership at a fraction of the cost, with the flexibility to scale the engagement as you grow. Once technology decisions are a daily full-time job — usually when you're past Series B with 40+ engineers — a full-time hire makes more sense.
What industries does Think Tech LLC focus on?
Think Tech LLC has deep experience in healthcare technology, pharmacy automation, clinical analytics, and regulated software environments — areas where compliance, integration complexity, and patient trust raise the stakes on every technology decision. We also work with AI/ML-driven SaaS companies and growth-stage businesses that need cloud-native architecture and engineering team scaling. Based in Pittsburgh, PA — available remote or hybrid nationwide.
Engineering Executive.
Strategic Advisor. Practical Builder.
I've spent 20+ years at the intersection of technology and business outcomes. Starting as a software architect and growing into executive roles leading hundreds of engineers, I've learned that the most dangerous CTO is one who optimizes for technical elegance at the expense of business results.
My approach is direct: understand what the business needs to win, identify the right technology bet to get there, build the organizational capability to execute it, and measure everything. I don't believe in big-bang transformations. I believe in compounding progress — teams that ship, learn, and improve every cycle.
Through Think Tech LLC, I partner with companies that need senior technology leadership without the full-time executive overhead. Healthcare companies navigating AI adoption. Growth-stage companies that need engineering rigor. Established businesses facing technology debt that's slowing them down. If the problem is real and the team is committed, I want to talk.
BE Computer Science — SVITS, India
Think Tech LLC
Let's Talk About Your Technology Challenges
I take on a small number of engagements to ensure genuine partnership. If you're evaluating a fractional CTO or need a strategic technology advisor, let's have an honest conversation about whether I'm the right fit.
Currently accepting select engagements. Reach out to discuss fit, availability, and how I can support your technology goals.
What Leaders Say
Recommendations from executives, managers, and cross-functional partners spanning 20+ years of engineering leadership.
Arpan Acharya is an exceptional VP of Engineering with whom I partnered closely on critical IT initiatives. He led global teams across the US, UK, India, and Italy to drive a major cloud-native SaaS transformation, successfully delivering our first big data and microservices-based solution. Arpan's strategic vision effectively bridged the gap between Engineering and IT, aligning roadmaps and securing cost efficiencies under tight deadlines. Beyond his technical expertise, his gracious leadership fosters high-performing teams. I highly recommend him for any executive leadership role.
Arpan Acharya is an exceptional VP of Engineering who reported to me directly during Omnicell's critical IV compounding initiative — I recommend him without hesitation. His ability to unite engineering, product, and customer teams around clear roadmaps and customer focus delivered tangible revenue growth, even under intense pressure.
Arpan is one of the best Cloud Software executives I have ever had the pleasure of working with. During my tenure as the Chief Development Officer at Omnicell, Arpan was spearheading the cloud transformation, strategy and architecture of the company — a crucial, high-stakes initiative as the company was re-inventing itself into delivering a SaaS solution for a very large number of existing customers.