Joshua Fahey

About Joshua Fahey

I’m a systems thinker who gravitates toward technically complex, human-critical infrastructure - and I’ve spent the last decade building functional order in places where none existed.My path has been unconventional by design. I started in the USAF as a crew chief, where operational precision and high-stakes accountability were baseline expectations, not aspirations. I transitioned into software support in 2016, joined an early-stage startup as employee #12, and built two departments from scratch: a customer support organization and an SDR function, eventually leading the SDR team. At VaxCare - a vaccine management and healthcare SaaS platform - I operate as a Technical Project Manager owning a scope that most organizations would split across three or four roles: strategic initiative ownership, enterprise escalation management, IC-level EHR implementation, and cross-functional operations leadership.In practice, that means managing 9 concurrent integration projects, resolving 16+ partner escalations per month across a 1,100+ partner network, and personally standing up approximately one-third of VaxCare’s total partner base over four years. I’ve led enterprise HyperCare cycles for health systems including Grand Island, Norman Regional, Baptist Health, and Windrose - with C-suite-level visibility and formal partner references as outcomes. On the technical side, I implement and troubleshoot integrations across platforms including Athena, eClinicalWorks, Allscripts, AdvancedMD, Touchworks, and six others.I also built the operational infrastructure that didn’t exist when I got here: integration project SOPs, SLA frameworks, stage documentation, a partner vetting process, and a three-tier JIRA escalation framework with supporting runbooks and visual process assets.If you’re solving infrastructure problems in health tech, interoperability, support operations, or platform scaling - I’m interested in that conversation.

Experience

1. Technical Project Manager

   VaxCare

   Jan 2026 — Present · Orlando, FL, US

   Own a cross-functional scope spanning strategic project delivery, enterprise partner escalation, IC-level EHR implementation, and operational infrastructure design across a 1,100+ partner healthcare network. Serve as the primary technical operations point of contact for partner-facing incidents, cross-departmental escalations, and integration lifecycle management — reporting directly into VP Interoperability and CTO-level stakeholders.∙Manage 16+ partner escalations per month across a network of health systems, PSM reps, IT teams, and integration vendors — owning full lifecycle from triage through deescalation and resolution confirmation∙Led a 4-month enterprise support cycle for Grand Island Medical Center requiring on-site resolution in Nebraska; outcome received direct C-suite attribution and was formally credited as a key client retention win ∙ Delivered Enterprise HyperCare cycles for Norman Regional, Windrose, Baptist Health, Wayzata, and additional health system partners — multiple accounts converted into formal partner references post-resolution ∙ Managing 9 concurrent strategic initiatives including Rhapsody migration (full integration engine transition from Iguana), JSM architecture and implementation, FlatFile vetting and deployment, and enterprise HyperCare framework buildout ∙ Upgraded eClinicalWorks integration from unidirectional to bidirectional with auto-reconciliation — expanding interoperability capability and strengthening enterprise product positioning ∙Built VaxCare’s integration project infrastructure from scratch: authored full SOPs, SLA timelines, stage documentation, status triggers, and a partner vetting/rejection framework now used as the operational standard∙Designed and implemented a three-tier JIRA escalation framework with supporting runbooks, swimlane documentation, and visual process assets — reducing escalation ambiguity and establishing formal SLA accountability across T1/T2/T3 support tiers

Education

• Community College of the Air Force

  Bachelor of Applied Science - BASc, Airframe Mechanics and Aircraft Maintenance Technology/Technician

  2009 — 2012