Gary A. Liuzzo

As a Fractional Adaptive IT Leader, I provide strategic, operational, and hands-on technology leadership at any level—whether stepping in as a Fractional CIO/CTO, leading IT strategy and transformation, or rolling up my sleeves to develop and deploy solutions. I specialize in aligning technology with business objectives, ensuring organizations achieve scalability, efficiency, and innovation through strategic planning, infrastructure optimization, project management, and digital transformation.

With a strong background in IT project management, I oversee technology implementations, system integrations, and process improvements, ensuring projects are delivered on time, within budget, and aligned with business goals. My expertise extends across enterprise architecture, system integration, and intelligent automation, enabling healthcare organizations to optimize workflows and enhance patient care.

Beyond leadership and execution, I have developed AI-driven care management solutions and digital health applications, including Remote Patient Monitoring (RPM), predictive analytics, and real-time health monitoring platforms. From defining IT roadmaps to writing code and deploying enterprise solutions, I bring both vision and execution, ensuring technology drives growth, streamlines operations, and transforms IT.

As a Strategic IT Consultant, I worked closely with executive leadership and key stakeholders across clinical, research, administrative, and academic departments to evaluate the organization’s IT landscape and develop a strategic roadmap that aligns technology investments with long-term business objectives and operational priorities. My role focused on assessing existing systems, identifying gaps, and providing recommendations to enhance IT performance, security, and scalability.

Through in-depth workshops, executive interviews, and cross-functional collaboration, I gathered insights into operational challenges, technology inefficiencies, and data accessibility limitations. I conducted a comprehensive evaluation of IT infrastructure, data management systems, research tool integrations, and workflow automation, ensuring a holistic understanding of the organization’s technical and functional requirements.

Taking a client-centric approach, I analyzed stakeholder pain points and translated them into targeted service investment recommendations that directly addressed scalability, security, and workflow efficiency. My findings highlighted opportunities to enhance IT governance, cybersecurity frameworks, data interoperability, and cloud strategies, ensuring that the organization’s technology investments aligned with its growth trajectory and regulatory landscape.

A key focus of my evaluation was future-proofing the organization, assessing the potential impact of emerging technologies such as AI, automation, machine learning, and predictive analytics in optimizing IT performance and operational workflows. I explored how cloud-based solutions and digital transformation initiatives could streamline processes and improve data-driven decision-making across departments.

Additionally, I facilitated strategic consensus-building, ensuring that IT priorities were aligned with executive leadership’s vision while addressing the unique needs of research, clinical, and administrative teams. By securing cross-functional engagement and stakeholder buy-in, I contributed to the foundation of a structured IT strategy that balances innovation, security, and operational efficiency.

The result of my assessment was a comprehensive strategic IT plan, outlining key recommendations for optimizing IT resources, enhancing infrastructure resilience, and integrating emerging technologies—positioning the organization for long-term digital transformation and sustained operational success.

As a technology executive, I directed enterprise-wide IT governance, ensuring that all computing resources, personnel, hardware, and software were strategically aligned with organizational objectives and future scalability. I spearheaded the architectural vision for IT platforms, overseeing the design, development, and implementation of customer-facing SaaS cloud solutions in Azure for Chronic and Transitional Care Management (CCM/TCM), Remote Patient Monitoring (RPM), Health Risk Assessments (HRA), and Telehealth.

By leveraging AI-driven analytics, I introduced intelligent automation and clinical decision-support tools that enhanced patient care and operational efficiency. I also led agile development and DevOps transformations, implementing Scrum methodologies, CI/CD pipelines, and full-stack engineering best practices to improve productivity, optimize workflows, and accelerate time-to-market.

My leadership extended across cross-functional teams, working closely with sales, marketing, clinical, operations, finance, and executive stakeholders to align multi-year IT roadmaps with business growth strategies, competitive analysis, and go-to-market execution. I executed a Strategic Digital Transformation Plan that streamlined operations, reduced costs, and enhanced overall organizational performance.

In addition, I developed a robust data strategy that improved data integrity, warehousing, and analytics, defining KPIs and executive dashboards using MS PowerBI and Cognos to drive data-driven decision-making. My expertise in bi-directional healthcare interfaces (HL7, API, ETL, FHIR, Direct Secure Messaging, and Robotic Process Automation – UIPath) ensured seamless integrations between EHRs, physician practices, and enterprise healthcare systems.

I also played a key role in M&A due diligence, integration, and divestiture initiatives, managing IT transitions and ensuring smooth technology alignment post-acquisition. My work in legacy system replacement modernized HR, Payroll, ATS, and Financial platforms, ensuring successful organizational transitions.

With a strong focus on security and compliance, I implemented HIPAA, PCI, and HITECH governance frameworks, conducted quarterly risk analyses, and established data privacy policies to safeguard sensitive information. Additionally, I led enterprise-wide technology integration projects, driving adoption of Microsoft Office 365 (E3, E5) and Salesforce, which optimized collaboration, enhanced communication, and reduced infrastructure costs.

Through strategic planning, innovation, and hands-on execution, I transformed IT into a business accelerator, delivering scalable, secure, and future-ready technology solutions.

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As a technology leader contracted through Carolina Health Systems, I managed enterprise-wide IT operations, overseeing Technical, Network, Systems, IT Operations, Applications, Telecommunications, Information Services, Help Desk/User Support, and Clinical teams. My leadership ensured the seamless implementation and support of McKesson Paragon and various local and cloud-based systems, optimizing data processing and operational efficiency.

I spearheaded large-scale IT infrastructure projects, securing board approval for a $500,000 budget to modernize the organization’s data center through server virtualization. This initiative significantly improved server provisioning, reduced the data center footprint, and enhanced system performance, all while coming in under budget by nearly $150,000 due to strategic negotiations with Microsoft and VMware. I also accelerated an MS Exchange migration, completing the entire project in under 30 days to ensure minimal disruption to healthcare operations.

Committed to process improvement and operational excellence, I leveraged LEAN and Six Sigma methodologies to identify inefficiencies, reduce patient coding errors, and minimize billing denials—improving overall revenue cycle management and service delivery. I also established enterprise-wide risk management strategies, developing Disaster Recovery plans, HIPAA Security compliance frameworks, and PCI risk assessments to safeguard sensitive healthcare data and ensure regulatory alignment.

My role required extensive cross-functional collaboration with clinical, financial, operational, and IT leadership, driving gap analysis, workflow optimization, and EHR adoption to enhance efficiency across the organization. I integrated emerging technologies, incorporating Cerner Powerwork interfaces into ambulatory physician practices and various clinical systems to improve data accessibility and interoperability.

As a key strategic advisor, I implemented and led the Information Technology Steering Committee, shaping the organization’s current and future IT roadmap to align with business growth, patient care improvements, and emerging industry trends. By combining technical expertise, strategic vision, and hands-on execution, I delivered transformative IT solutions that enhanced system performance, reduced costs, and strengthened healthcare operations.

As a Fractional CIO/CTO, I provided executive IT leadership and strategic guidance to organizations navigating mergers, acquisitions, and digital transformation initiatives. I played a critical role in M&A leadership, identifying acquisition targets, conducting comprehensive due diligence, and leading post-merger IT integrations to maximize synergies, operational efficiencies, and business value.

Leveraging my deep expertise in technology strategy, I developed and executed custom IT roadmaps that enhanced competitive advantage and positioned organizations for sustained growth. I worked closely with cross-functional teams, aligning business objectives with cutting-edge technology solutions to drive innovation and operational excellence.

In the realm of digital transformation, I served as Solution Manager for high-impact projects, guiding clients through technology upgrades, cloud migrations, and process automation. I successfully transitioned organizations from legacy systems to modern digital platforms, improving efficiency, scalability, and service delivery.

Beyond transformation initiatives, I managed end-to-end IT operations, including service delivery, operational support, business analysis, and financial oversight. My strategic planning efforts resulted in consistent 20% annual cost savings by optimizing resource allocation, vendor negotiations, and infrastructure investments.

A strong client and vendor relationship manager, I negotiated favorable contracts, strengthened service level agreements (SLAs), and built long-term strategic partnerships that improved service quality and IT performance. Additionally, I developed IT policies and procedures to ensure compliance with industry regulations, security best practices, and governance frameworks, while effectively communicating IT strategies across all levels of the organization.

By combining high-level strategic leadership with hands-on IT execution, I helped businesses streamline operations, enhance cybersecurity, modernize IT infrastructure, and achieve sustainable growth in highly competitive environments.

As Vice President of Information Technology, I led a high-performing team of 85 professionals across application development, quality assurance, database architecture, business analysis, system and network engineering, customer support, and project management. Under my leadership, we delivered enterprise-grade SaaS solutions supporting over 6,000 customers, ensuring timely development, seamless implementation, and 24/7 operational support for mission-critical healthcare applications.

I played a pivotal role in product and project management, overseeing the entire lifecycle of revenue-generating SaaS applications, including Revenue Cycle Management, Physician Practice Management, EHR, Release of Information, and Healthcare Claims Processing Clearinghouse solutions. My team successfully executed over 300 projects annually, leveraging agile methodologies, structured project management frameworks, and critical thinking to ensure that all initiatives were delivered on time, within budget, and exceeded client expectations.

I was deeply involved in M&A due diligence and post-merger integrations, assessing technical capabilities and operational synergies to drive seamless company acquisitions. The successful integration of multiple acquired companies—including those specializing in release of information and practice management systems—resulted in a 25% expansion of our customer base. I also led divestiture strategies, ensuring that IT transitions were smooth, cost-effective, and aligned with long-term business goals.

A core focus of my role was technology strategy and innovation, working with HealthPort’s Product Management Group to enhance Healthcare IT offerings and maintain a competitive edge in the market. I developed multi-year IT roadmaps that helped clients modernize their systems while improving scalability, security, and compliance. I pioneered HL7 integration initiatives, enabling bi-directional interoperability between EHRs, hospital systems, and physician practice management solutions using Mirth Connect Interface Engine. My work contributed to the first-ever certified CMS interface to the National Health Information Network (NHIN) for secure healthcare data exchange, now widely recognized as the Consolidated CDA.

In addition to technology innovation, I built and maintained strong vendor and client relationships, negotiating favorable contracts, optimizing service levels, and securing long-term strategic partnerships. By identifying gaps in hosted and deployed applications, I championed early adoption of business-value technology tools, gaining internal buy-in through strategic executive presentations.

My leadership blended enterprise-wide IT strategy, technical execution, and business development, ensuring that technology remained a core driver of operational efficiency, revenue growth, and market expansion.

As Director of IT Technical Services, I established and led a high-performing 150+ member IT department, overseeing enterprise-wide technology operations, corporate systems, and infrastructure. My leadership spanned ERP systems (PeopleSoft, SAP), financials, HR, CRM, data warehousing, logistics (Manugistics, Cendian), AS400, mainframe, client-server architectures, data center operations, and complex networking infrastructure. I ensured seamless IT service delivery in a high-reliability, fast-paced environment where system uptime and operational efficiency were paramount.

A key highlight of my tenure was leading the corporate headquarters relocation from Columbia, SC, to Plano, TX, overseeing the entire IT infrastructure rebuild for a company with 400+ remote locations. This included the complete network and system architecture replacement, ensuring uninterrupted technology operations and executing a strategic data center transition without service disruption.

My platform and operations management expertise drove major system improvements, including the implementation of new applications, IT risk management strategies, and technical services enhancements. I introduced formalized IT processes, such as project management frameworks, vendor technical reviews, change management, and configuration management, standardizing operations and improving efficiency.

I spearheaded cost-saving initiatives, negotiating an international contract with AT&T that reduced telecom expenses by 40%—saving over $1.5 million annually. Additionally, I optimized IT budgets through strategic technology investments, resource allocation, and vendor negotiations, ensuring that the organization received maximum ROI on technology expenditures.

In collaboration with executive leadership (CEO, COO, CFO, and Chief Legal Counsel), I identified, introduced, and implemented cutting-edge business applications and technology solutions that aligned with corporate growth objectives. I also drove support process enhancements, implementing Citrix MetaFrame and user-friendly desktop computing environments, improving IT service delivery and responsiveness.

A core component of my leadership was network infrastructure design, ensuring high-performance connectivity and security across all locations. My expertise in network engineering, telecommunications, and data center operations played a critical role in strengthening IT resiliency, optimizing business continuity, and enhancing system reliability.

Through strategic planning, technology innovation, and hands-on execution, I transformed IT from a cost center into a key business enabler, improving operational performance, reducing costs, and future-proofing the organization’s technology ecosystem.

Retained by Kershaw County Medical Center to serve as Director of Information Technology, recognized for exceptional execution in similar leadership roles. In this capacity, I provided strategic business system support, technology assessments, and application consulting for ITB customers of McKessonHBOC at client sites. Acting as an interim Director, I ensured seamless IT leadership and operational continuity, filling critical gaps for clients.

I led consulting engagements between McKessonHBOC and the Medical Center, fostering strong partnerships and delivering value-driven solutions. By establishing effective relationships with both clients and assigned staff, I ensured collaboration and alignment with business objectives. My role involved developing and delivering high-value solutions, identifying business challenges, and recommending actionable improvements.

Additionally, I maintained a comprehensive understanding of project scopes to ensure alignment with strategic goals. I also researched and implemented innovative strategies to enhance and streamline consulting methodologies, continuously improving efficiency and effectiveness in IT operations.

Responsible for the day-to-day operations of a multi-system facility, ensuring seamless performance across all IT functions. Supervised a team of highly skilled professionals specializing in computer operations, systems programming, help desk support, training, production control, network support, and end-user desk-side support, maintaining efficiency and reliability across all technology services.

Instrumental in major project planning, leading the installation of multiple systems that significantly improved overall processing speed and response time for end-users. Created an in-house IT Help Desk, which reduced costs by consolidating all support functions internally. Managed system support for mainframe, mid-range, and Intel-based systems, overseeing software and hardware upgrades to ensure optimal performance.

Played a critical role in hospital-wide application upgrades, ensuring smooth transitions and enhanced system capabilities. Led the implementation of Computer Associates Unicenter TNG, providing comprehensive network and system monitoring, backups, help desk management, desktop management, software delivery, and workload management, optimizing IT operations across the organization.

Responsible for a military hospital information system under a $1.4 billion contract with the Department of Defense (DoD) to develop an integrated healthcare system for all DoD facilities. Played a key role in the implementation and development of application modules designed to replace outdated healthcare systems. Successfully achieved critical milestones, securing approval for the final phase two rollout across all DoD healthcare facilities..

Played a critical role in hospital-wide application upgrades, ensuring smooth transitions and enhanced system capabilities. Led the implementation of Computer Associates Unicenter TNG, providing comprehensive network and system monitoring, backups, help desk management, desktop management, software delivery, and workload management, optimizing IT operations across the organization.