JOHN BUTLER

Healthcare Technology Executive | Cloud & AI Enablement | Healthcare Interoperability | Founder & Operator

Milton, Florida  |  (850) 304-9021  |  jlbutl@gmail.com  |  linkedin.com/in/johnlbutler

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Executive Summary

Three decades building the technology healthcare runs on, from helping build and lead a national health-IT company as one of its Managing Members to leading enterprise cloud and data platforms for one of the nation's largest radiology organizations. Today I lead Cloud Infrastructure Engineering and Cloud Operations for Mosaic Clinical Technologies, and I enable and support AI in production clinical workflows using AWS Bedrock and Azure AI Foundry. My background spans healthcare interoperability, enterprise data governance, and cloud platform leadership, backed by a track record of building, running, and transforming technology organizations end to end.

Core Competencies

Executive & Founder Leadership  •  Cloud & Data Platform Strategy  •  Cloud Infrastructure Leadership (Azure/AWS)

HL7/FHIR/PHINMS Interoperability  •  Payer EDI (X12 270, 271, 276, 277, 278, 835, 837)  •  Public-Health Data Systems

Enterprise Data Governance & MDM  •  Business Development  •  Org Design & Workforce Planning

Architecture Trade-off Analysis  •  Implementation Engineering  •  P&L / Business Ownership

Stakeholder Engagement  •  Production AI Enablement (AWS Bedrock, Azure AI Foundry)

Professional Experience

Mosaic Clinical Technologies / Radiology Partners  (2018 to Present)

• Currently leading a 3-team organization of approximately 24 resources spanning Cloud Infrastructure Engineering and Cloud Operations for a multi-regional AWS implementation supporting production healthcare environments.
• Enable and support AI deployed in production radiology workflows, with hands-on experience across AWS Bedrock and Azure AI Foundry.
• Direct cloud infrastructure strategy, automation, capacity planning, and platform resilience.

• Built and led a ~36-person, multi-tier implementation engineering organization of FTEs and contractors (two direct-report managers plus engineering, delivery, and integration leads), responsible for every client integration onto the radiology platform.
• Served as executive escalation point for strategic implementation programs, providing technical onboarding and healthcare technology delivery leadership across the organization.

• Broadened scope from HL7 integration into a multidisciplinary technology organization of 8 teams (30 employees plus 68 contractors) spanning QA, architecture, cloud, DevOps, and release management, with 117 interfaces in active development at peak.
• Rationalized that organization to 45 positions within nine months while preserving full delivery coverage across every function.

• Spearheaded architecture and migration planning for the enterprise data platform's move to Azure Cloud; contributed to Cloud Enterprise architecture and evaluated Azure Synapse, Databricks, and Snowflake.
• Built the organization's enterprise canonical data model and led Master Data Management and data-lineage efforts, working directly with the Revenue Cycle Management team as a downstream consumer of HL7 data to align clinical data with billing interfaces.

• Directed healthcare integration architecture, HL7 strategy, and enterprise interoperability planning, leading architects, engineers, and delivery partners.

• Joined Radiology Partners to lead enterprise healthcare data integration; re-architected the HL7 platform and message-routing approach supporting clinical and revenue-cycle systems; directed incident response and migration programs.
• Introduced SDLC practices into the environment, including source control and true development, test, and production environments.

• Co-led a national healthcare IT company (one of four Managing Members) providing data integration, cloud, project management, and cybersecurity services to public and private healthcare clients across five time zones.
• Co-created the APHL AIMS Platform, an early AWS cloud-based healthcare data exchange, and directly negotiated/procured the STEVE 2.0 vital-events exchange contract.
• Delivered PHLIP-compliant H1N1 surge lab reporting for the Texas Department of State Health Services; established production PhinMS Route-not-Read environments for the Florida Department of Health; built a Cloverleaf interface reporting EMS data to the National EMS Information System (NEMSIS).
• Served as the State of Florida's preferred vendor for enterprise data integration across all 67 counties.

Earlier Career (details available on request)

• Finalized a statewide integration project across North Carolina health facilities and labs using Cloverleaf; built a subscription-based data store for standardized public-health code sets.

• Built a core component of an Identity Verification tool deployed to hundreds of facilities nationwide, including payer eligibility and claims transactions (X12 270/271, 276/277, 278, 835, 837); developed a custom VistA interface for VA hospitals and pioneered an NCPDP pharmacy-billing interface; supported sales engineering that closed Cloverleaf, Initiate, and BPMS deals.

• Designed and delivered legacy-to-modern application interfaces, including a legacy-to-SAP integration for Marriott Vacation Club; helped architect a new legacy-application-rejuvenation product line.

• Founded and operated an IT consulting, hardware/software sales, and networking services business serving 300+ customers.

Technology & Platform Experience

Cloud & Data Platforms: Microsoft Fabric, Azure Data Factory, Power BI Premium, Azure Synapse Analytics, Azure Databricks, Azure Data Lake Storage, AWS native cloud resources, Kubernetes

Healthcare Interoperability: HL7 v2.x, FHIR, PHINMS, DICOM, RIS/PACS/EMR integration, EDI/X12 payer transactions (270/271, 276/277, 278, 834, 835, 837), HIPAA transaction sets, Mirth Connect, Corepoint, Rhapsody, Cloverleaf, Epic Bridges

Data Governance & Architecture: Master Data Management, data lineage, canonical enterprise data modeling, data quality and stewardship programs

AI & Machine Learning: Enable and support AI deployed in production radiology workflows (AWS Bedrock, Azure AI Foundry); independent hands-on work with agent architectures and local LLM inference

Operations & Reliability: Reliability Engineering, observability, incident and availability management, capacity management, DevOps and release management

Education & Certifications

Pensacola Junior College: studied Computer Science and Electrical Engineering

Certified in Epic Bridges · Mirth Connect · Orion Rhapsody Integration Engine · Cloverleaf Level 1 & 2 · CDC Rhapsody Integration Engine & NEDSS Brokering Tool · Microsoft Certified Professional