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Roma S.
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Roma S.

Fractional CTO | Digital Health & Healthcare AI | HIPAA, AWS & SaMD

𝐈 𝐡𝐞𝐥𝐩 𝐡𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞, 𝐌𝐞𝐝𝐓𝐞𝐜𝐡, 𝐚𝐧𝐝 𝐀𝐈 𝐬𝐭𝐚𝐫𝐭𝐮𝐩𝐬 𝐧𝐚𝐯𝐢𝐠𝐚𝐭𝐞 𝐭𝐡𝐞 𝐭𝐞𝐜𝐡𝐧𝐢𝐜𝐚𝐥 𝐦𝐢𝐥𝐞𝐬𝐭𝐨𝐧𝐞𝐬 𝐰𝐡𝐞𝐫𝐞 𝐫𝐞𝐠𝐮𝐥𝐚𝐭𝐞𝐝 𝐩𝐫𝐨𝐝𝐮𝐜𝐭𝐬 𝐨𝐟𝐭𝐞𝐧 𝐬𝐭𝐚𝐥𝐥: 𝐚𝐫𝐜𝐡𝐢𝐭𝐞𝐜𝐭𝐮𝐫𝐞, 𝐇𝐈𝐏𝐀𝐀, 𝐜𝐲𝐛𝐞𝐫𝐬𝐞𝐜𝐮𝐫𝐢𝐭𝐲, 𝐅𝐃𝐀/𝐒𝐚𝐌𝐃 𝐝𝐞𝐯𝐞𝐥𝐨𝐩𝐦𝐞𝐧𝐭, 𝐀𝐈 𝐩𝐫𝐨𝐝𝐮𝐜𝐭𝐢𝐨𝐧𝐢𝐳𝐚𝐭𝐢𝐨𝐧, 𝐚𝐧𝐝 𝐞𝐧𝐠𝐢𝐧𝐞𝐞𝐫𝐢𝐧𝐠 𝐞𝐱𝐞𝐜𝐮𝐭𝐢𝐨𝐧. I’m a hands-on fractional CTO and Ph.D. technologist with 20+ years across healthcare R&D, software, AI/ML, and regulated product development. 𝐒𝐞𝐥𝐞𝐜𝐭𝐞𝐝 𝐫𝐞𝐬𝐮𝐥𝐭𝐬: • Designed and validated a healthcare LLM/RAG system using an actor–critic architecture and expert clinical evaluation; published in npj Digital Medicine. • Guided healthcare startups through 𝐇𝐈𝐏𝐀𝐀 𝐫𝐞𝐚𝐝𝐢𝐧𝐞𝐬𝐬, including AWS architecture, security controls, logging, access management, and operational processes. • Led development of 𝐭𝐰𝐨 𝐅𝐃𝐀 𝟓𝟏𝟎(𝐤)-𝐜𝐥𝐞𝐚𝐫𝐞𝐝 𝐒𝐚𝐌𝐃 𝐩𝐫𝐨𝐝𝐮𝐜𝐭𝐬, including ML-based sleep staging. • Led Class II medical-device development across five product programs and a 25-person engineering, QA, and manufacturing organization. • Built medical-device 𝐜𝐲𝐛𝐞𝐫𝐬𝐞𝐜𝐮𝐫𝐢𝐭𝐲 𝐩𝐫𝐨𝐠𝐫𝐚𝐦𝐬 𝐚𝐧𝐝 𝐅𝐃𝐀 𝐜𝐲𝐛𝐞𝐫𝐬𝐞𝐜𝐮𝐫𝐢𝐭𝐲 𝐝𝐨𝐜𝐮𝐦𝐞𝐧𝐭𝐚𝐭𝐢𝐨𝐧, including threat modeling, risk management, controls mapping, and verification evidence • Led TytoNyx through AWS Foundational Technical Review (FTR), AWS Partner qualification, and Marketplace commercialization. 𝐖𝐡𝐞𝐫𝐞 𝐈 𝐚𝐝𝐝 𝐭𝐡𝐞 𝐦𝐨𝐬𝐭 𝐯𝐚𝐥𝐮𝐞 𝐅𝐫𝐚𝐜𝐭𝐢𝐨𝐧𝐚𝐥 𝐂𝐓𝐎 / 𝐓𝐞𝐜𝐡𝐧𝐢𝐜𝐚𝐥 𝐋𝐞𝐚𝐝𝐞𝐫𝐬𝐡𝐢𝐩 — architecture, roadmap, engineering leadership, technical due diligence, team building, delivery recovery and product strategy. 𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐀𝐈 — production LLM/RAG/agent systems, PHI-safe architectures, AI evaluation, workflow automation and secure cloud deployment. 𝐃𝐢𝐠𝐢𝐭𝐚𝐥 𝐇𝐞𝐚𝐥𝐭𝐡 𝐀𝐫𝐜𝐡𝐢𝐭𝐞𝐜𝐭𝐮𝐫𝐞, 𝐇𝐈𝐏𝐀𝐀 & 𝐀𝐖𝐒 — PHI boundaries, healthcare architecture, IAM, encryption, audit logging, monitoring, CI/CD, vulnerability management, integrations, and operational evidence. 𝐒𝐚𝐌𝐃 / 𝐑𝐞𝐠𝐮𝐥𝐚𝐭𝐞𝐝 𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 — FDA 510(k), De Novo development, IEC 62304, ISO 13485/14971, cybersecurity, verification and submission-readiness. I am most useful when a company needs someone who can operate at the 𝐂𝐓𝐎 𝐥𝐞𝐯𝐞𝐥 𝐛𝐮𝐭 𝐬𝐭𝐢𝐥𝐥 𝐠𝐨 𝐝𝐞𝐞𝐩 𝐢𝐧𝐭𝐨 𝐚𝐫𝐜𝐡𝐢𝐭𝐞𝐜𝐭𝐮𝐫𝐞, 𝐬𝐞𝐜𝐮𝐫𝐢𝐭𝐲, 𝐀𝐈 𝐢𝐦𝐩𝐥𝐞𝐦𝐞𝐧𝐭𝐚𝐭𝐢𝐨𝐧 𝐚𝐧𝐝 𝐫𝐞𝐠𝐮𝐥𝐚𝐭𝐞𝐝 𝐝𝐞𝐯𝐞𝐥𝐨𝐩𝐦𝐞𝐧𝐭. If you have a digital-health or healthcare-AI product approaching an important technical, clinical, security, enterprise, regulatory, or commercialization milestone, send me the current state, the milestone, and what is blocking you. I can usually determine quickly where the real risk is and what should happen next.

🇺🇸Austin, United States$120/hr100% JSS5.00 (17)Since Jun 2018
GlobeUpwork

Earnings and projects

MRR
$585

Last 6 months ÷ 6

World#71,374 / 412k
🇺🇸Country#10,799 / 62.1k
Revenue, last 30 days
$0

Last 6 months: $3.5k

Total earnings
$39k

Billed in all: $40k

World#91,653 / 412k
🇺🇸Country#16,191 / 62.1k
Per project
$1.5k

$702 in the last 6 months

World#94,479 / 412k
🇺🇸Country#16,017 / 62.1k
Projects, last 6 months
5
60% fixed40% hourly
World#41,746 / 412k
🇺🇸Country#5,872 / 62.1k
Projects in all
26

Across 28 contracts

61% fixed39% hourly
World#109,599 / 412k
🇺🇸Country#16,136 / 62.1k

Earnings, last 30 days

$40.3kNothing earned in the last 30 daysBilled in all, before Upwork's fee · drag across the chart to see what was earned in any stretch
$39.5k$40.0k$40.5k$41.0kOct 8Oct 23Nov 7

Skill rankings: Top 17% in Cloud Architecture

Ranked by MRR among everyone on Upwork with the skill.

  1. #45Quality Management System182 freelancers · 🇺🇸 #3Top 25%
  2. #79Medical Device345 freelancers · 🇺🇸 #24Top 23%
  3. #100Product Strategy494 freelancers · 🇺🇸 #39Top 20%
  4. #125Healthcare Software394 freelancers · 🇺🇸 #18Top 32%
  5. #137Cybersecurity Management728 freelancers · 🇺🇸 #32Top 19%
  6. #169Cloud Architecture966 freelancers · 🇺🇸 #39Top 17%
  7. #184Regulatory Compliance759 freelancers · 🇺🇸 #55Top 24%
  8. #301Software Architecture & Design1,465 freelancers · 🇺🇸 #45Top 21%