Bridgehead Prepared for Jasen at CardioOne
CardioOne For Jasen

Cardiology Practice Management: A 90-Day CTO Plan

Jasen, here’s your new VP of Technology’s first 90 days. What to fix first, where AI pays off soonest, and what the hire should own.

If the VP of Technology seat can stay open another quarter, ignore this. If it can’t, the next two minutes are worth it.

What we noticed

A physician-led platform with practice partners across several states, the Rhythm® technology platform, an imaging offer and a partner that went from employment to private practice in six months.

Your Vice President of Technology posting went up on October 17, and it asks one person to run every practice implementation, the interfaces, the data migrations, the vendors and a support organization that does not exist yet.

  • Your own platform The Rhythm® Integrated Technology Platform bundles the electronic health record, patient portal and telehealth, diagnostic tools and revenue cycle management for partner practices. Solutions page
  • Your data Your imaging offer promises real-time KPIs and your implementation page starts every partner with a financial and operational analysis from the practice’s own data. Imaging solutions page
  • Your team A Chief Product Officer, a VP of Implementation and a Software Engineer are on the team page, so the product side exists. The posting adds the implementation and support side. About us and team page
  • Your footprint Practice partners in Maryland, New Jersey, Pennsylvania and New Hampshire, with each new practice bringing its own systems to convert. Practice partners page

Seen in your stack: WordPress · Elementor · HubSpot · Google Tag Manager · YouTube · Rhythm platform · EMR · PACS

What your posting asks for

  • “Implementation leadership: Own strategy, planning, execution, and stabilization for technology implementations across multiple practices, markets, and workstreams.”
  • “Scalable delivery model: Build standardized playbooks, templates, readiness assessments, stage gates, quality controls, and post-implementation review processes that improve speed, consistency, and predictability.”
  • “Interfaces and interoperability: Manage multiple concurrent interface projects involving clinical, imaging, revenue cycle, and data platforms; coordinate requirements, testing, validation, cutover, and issue resolution.”
  • “Data migration: Direct data discovery, mapping, cleansing, conversion, reconciliation, validation, retention, and cutover activities while maintaining data integrity, privacy, and operational continuity.”
  • “Support & Optimization Organization: In parallel with new implementations, establish a support and optimization function to sustain existing practices, remediate post-go-live issues, manage vendor escalations, and drive continuous improvement across the installed base.”
  • “Vendor management: Hold technology vendors and implementation partners accountable for contractual deliverables, timelines, quality, documentation, and issue remediation.”

From your Vice President of Technology posting, posted October 17, 2026.

What changes for your new Vice President of Technology

Your new VP of Technology starts with a plan: the implementation steps to standardize first, where AI saves your practices and your RCM team time soonest, and a clear line between what they own and what a fractional lead can carry while they settle in.

Your new Vice President of Technology’s first 90 days

Three phases, each item with the reason it’s there and where that came from.

Days 1 to 30

Learn the practices and the platform

  1. 1
    Visit two live practices and one launching practice

    The posting wants implementation and stabilization. Seeing a go-live and a steady-state practice side by side shows where the process breaks.

    Source: Vice President of Technology posting
  2. 2
    List every system, vendor and interface at each practice

    Interface projects across clinical, imaging and revenue cycle are the riskiest dependency. Nothing can be standardized until they are on one page.

    Source: Vice President of Technology posting
  3. 3
    Write down how the last implementation went, step by step

    The posting asks for repeatable methods. The last real go-live is the draft playbook.

    Source: Vice President of Technology posting
  4. 4
    Collect the open post-go-live issues and who owns each

    Existing practices need support while new ones launch. The open list is the backlog for the support function.

    Source: Vice President of Technology posting

Days 31 to 60

Standardize the implementation

  1. 5
    Publish the implementation playbook with stage gates

    Scope, milestones, decision rights and go-live criteria in one document turn each launch from a project into a routine.

    Source: Vice President of Technology posting
  2. 6
    Set a data migration checklist from discovery to cutover

    Migration is where privacy and continuity are at risk, and the posting lists every step from mapping to retention.

    Source: Vice President of Technology posting
  3. 7
    Stand up a vendor scorecard against contract deliverables

    Vendors and implementation partners are held to contract deliverables, timelines and quality, and a scorecard makes slippage visible early.

    Source: Vice President of Technology posting
  4. 8
    Define a hardware and network standard for each new site

    Device standards and network readiness are part of every launch. One standard avoids a different setup in every practice.

    Source: Vice President of Technology posting

Days 61 to 90

Build the support function and report

  1. 9
    Open a support and optimization desk for existing practices

    The posting asks for this in parallel with implementations, so it doesn’t get starved by the next go-live.

    Source: Vice President of Technology posting
  2. 10
    Report readiness and delivery metrics to executives and practice leaders

    The measures of success include timely, accurate communication. A short recurring report keeps clinicians and executives aligned.

    Source: Vice President of Technology posting
  3. 11
    Write the team plan: who to hire, who to contract

    The posting asks the VP to build and mentor an implementation organization, and the next three launches set the headcount.

    Source: Vice President of Technology posting

Where AI pays off soonest

Workflows from your own business, in the order they save your team time.

  1. 1 Practice assessments drafted from the practice’s own data

    Every partner starts with a financial and operational analysis. A first draft from their exports lets your team start the conversation with findings.

    Source: How it works page
  2. 2 Go-live readiness checklists generated per practice

    Stage gates repeat but each practice has different systems. A checklist built from the practice’s system list and the playbook saves your implementers hours.

    Source: Vice President of Technology posting
  3. 3 Prior authorization and scheduling support for imaging centers

    You manage scheduling and prior authorization for imaging. Drafting the authorization packet from the order and chart saves staff time on every study.

    Source: Imaging solutions page
  4. 4 Credentialing and enrollment tracking

    You handle enrollment and credentialing for partner physicians. An assistant that tracks each payer’s status and drafts the follow-up cuts delays that hold up revenue.

    Source: Solutions page
  5. 5 Practice questions answered from your playbooks and vendor docs

    Staff at new practices ask the same how-do-I questions after go-live. An assistant on your training material answers first and opens a ticket when it can’t.

    Source: How it works page

What the hire owns, and what a fractional lead covers

Your Vice President of Technology owns

  • Every practice implementation, from readiness to stabilization
  • Interfaces, data migration and infrastructure readiness
  • The implementation playbook, stage gates and metrics
  • The support and optimization function
  • Vendors and implementation partners

A fractional lead covers

  • Where AI pays off first in assessments, authorizations and credentialing
  • Data, privacy and security choices for any AI that touches patient records
  • Vendor and build-or-buy calls while the hire gets settled
  • This 90-day plan, run alongside the hire until it’s theirs

Your first 90 days of tech leadership, planned

The plan above is yours either way.

Email Kash

We build a handful of these a month, for founders hiring now.

90 days

from the first day to a written roadmap

  • What to fix first, with the reason
  • Where AI pays off soonest
  • What the hire owns and what a fractional lead covers
  • A roadmap your team can run
Kash Badami

Who’s building it

Kash Badami was Chief Architect of a national health information network and closed the CMS deal behind Healthcare.gov’s data infrastructure. He runs his own company on AI today.

Chief Architectof a national health information network for HHS, aligning 23 federal agencies
$27MCMS deal that became core Healthcare.gov data infrastructure
  1. “he was singularly responsible for the company’s single largest customer by revenue - the Center for Medicare & Medicaid within the US Department of Health and Human Services.”

    RLRobert Liebowitz, worked with Kash on MarkLogic’s Public Sector team; now First Ascent VenturesLinkedIn recommendation, April 2026

  2. “Kash and I built ERT Credit together in 2021. He took my MVP and turned it into a SaaS that hit $10M ARR in twelve months.”

    Jordan Anderson, CEO, PayStreetgobridgehead.ai/about

CardioOne sales playbook, in brief

CardioOne is a physician-led cardiology platform that supports independent practices with the Rhythm® platform, practice operations, revenue cycle and imaging.cardioone.com, Solutions page, Imaging solutions page

Its Vice President of Technology posting asks one leader to own implementations, interfaces, data migration, vendors and a new support function.Vice President of Technology posting

The first 90 days: learn the live practices, map every system and interface, publish an implementation playbook, then open the support desk.Vice President of Technology posting

AI pays off soonest in practice assessments, readiness checklists, prior authorizations, credentialing tracking and staff questions after go-live.How it works page, Imaging solutions page, Solutions page, Vice President of Technology posting

Prepared by at Bridgehead · November 9, 2026 · Every source

Questions

Why a fractional lead instead of waiting for the full-time Vice President of Technology?

You don’t have to choose. The hire owns the product and the team; a fractional lead covers the AI and software side and runs this plan until it’s theirs, so nothing waits on the search.

What does it cost?

The first engagement is a fixed price, quoted on a call once we’ve seen what you need. After that there’s an optional monthly retainer, and you can stop at any point.

Will it get in the way of the Vice President of Technology we hire?

No. The line between what they own and what a fractional lead covers is on this page, and the plan is handed to them to run.

Where does our data live, and is it secure?

In your own accounts. Nothing runs on our side, and every tool or vendor we suggest is reviewed with you before anyone connects it.

Is this only about AI?

No. AI is one part. Most of the first 90 days is the work your posting describes, and the AI items are the ones that save your team time soonest.

Your first 90 days of tech leadership, planned

The plan above is yours either way.

Email Kash

We build a handful of these a month, for founders hiring now.

90 days

from the first day to a written roadmap

  • What to fix first, with the reason
  • Where AI pays off soonest
  • What the hire owns and what a fractional lead covers
  • A roadmap your team can run
The research behind this page 9 sources
  1. Vice President of Technology posting, October 17, 2026
  2. cardioone.com
  3. About us and team page
  4. Solutions page
  5. How it works page
  6. Imaging solutions page
  7. Practice start-up page
  8. Practice partners page
  9. Independent practices page
  • Sources: the Vice President of Technology posting on LinkedIn and 8 pages of cardioone.com, saved on November 9, 2026.
  • Site technology seen in the page code: WordPress, Elementor, HubSpot, Google Tag Manager and YouTube.