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Jon BrydenFractional CTO

Columbus, Ohio

Start with one problem.

Bring me the process that's eating your week, or the technology function nobody fully owns. I fix it, prove the value, and we build from there.

Who it's for
Specialty healthcare, behavioral health, and credentialing organizations
Where you are
Outgrown founder-era technology, not ready for a full-time CTO
First engagement
A $1,500 operating model review or a $5,000 sprint, 2 to 3 weeks
Ongoing work
Leadership scoped to what you need me to own

Where I get called in

Sound familiar?

  • Your team lives in spreadsheets.

    Critical work depends on manual copying, checking, and chasing.

  • Your systems don't talk to each other.

    People move data between tools by hand, and reporting takes days.

  • You pay an MSP, and your team still does the work.

    Onboarding, licensing, and support tickets keep landing back on your staff.

  • Your board asks for a technology plan and nobody can write it.

    The roadmap, the budget, and the security answers live in people's heads, not on paper.

  • Security and compliance questions have no owner.

    A customer or partner asks about SOC 2, HIPAA, or continuity, and nobody has a clear answer.

  • Growth is outrunning your systems.

    New sites, states, or customers mean more manual work, not more capacity.

  • If one of these is yours, that's the conversation.

    Start there

Proof

Four things worth knowing before you call.

Most of my current work is with founder-led healthcare, EMS, and credentialing operations. The same pattern applies across operationally complex SMBs.

Ran the technology function

Owned a $4.5M technology budget, including a 20-person team. Technology leadership for a mission-critical national platform serving 600,000 clinicians. Redesigned the IT support model, cutting cost about 40% and raising satisfaction from about 55% to 95%. Led PCI compliance and operated to NIST and HIPAA requirements.

Brought AI into a regulated national organization

Embedded AI across requirements, prototyping, development, testing, and code review under written governance, compressing feature discovery from weeks to days. Built a Microsoft Copilot knowledge library, led adoption across the organization, and set the governance behind it: a written policy and a review committee.

Run lean by design, as an owner

Co-founded a multi-channel eCommerce business and scaled it past $10M in annual revenue on a team of seven, most of them part-time, by automating everything that did not need a person. I owned the operations, the systems, and the P&L, so I read cost and risk the way an owner does.

Delivering right now, hands-on

Currently embedded with a founder-led specialty healthcare provider. We started by replacing a CEO-run manual process with an automated operating system, and the work is now moving toward a shared knowledge library and the system architecture behind broader automation and AI. I am also starting an operational sprint for a home care provider, connecting its new payroll and HR system to its care management platform so employee records stay in step without anyone re-keying them. Co-founder and fractional CTO of EMS Conferences.

Case study

Replacing a CEO-run spreadsheet process with an automated shipping operating system

A multi-location, founder-led specialty healthcare provider ran a manual kit-shipping operation out of spreadsheets, with the CEO personally holding it together every week. We replaced it with a shipping operating system built to run without them.

4 hrs/wk

CEO time before

Hands on the process

~15 min/wk

CEO time after

Oversight only

We’re not only saving time by automating. We’re now receiving data automatically that would have been too costly to obtain manually. We have a better process that gives us more insight into the operations.

CEO, multi-location specialty healthcare organization

Ready to start with yours?

Send me the process that's costing you time, capacity, or attention. One paragraph is enough.