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Scott Roth

Scott Roth

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Healthcare Technology Executive | CTO, VP of Technology | Clinical Lab, PGx, and Platform Modernization

Cincinnati, OH Available immediately Open to remote

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About

I lead technology and security for companies whose work directly improves people's lives. As VP of Technology and Security Officer at Mira Precision Health, a CLIA, COLA, and CAP accredited clinical laboratory, I led the technology shift from COVID and flu testing to pharmacogenomics, including ToxNav, an oncology PGx test developed at the University of Oxford. We cut PGx result turnaround from several days to under 48 hours, and I am now leading a new platform architecture built for higher volume, lab efficiency, and faster test upgrades.


Before Mira, I joined Assurex Health as its first technology leader, developed the early platform, and then built the organization to scale it to more than 80 people as VP of Product Development, continuing through the Myriad Genetics acquisition. I was also Founding CTO of Hive Networks and VP of Technology at ActivePrime, and led platform and team evolution at PublicSchoolWORKS through its acquisition by Raptor Technologies.


I have personally led SOC2 Type II audits, managed breach investigations from forensics through resolution, and work fluently across HIPAA, HITECH, GDPR, CLIA, and CAP. I am technology agnostic, data driven, and currently putting AI to work in engineering and operations. I am open to technology leadership roles at every level in healthcare and mission driven companies, remote or hybrid in Cincinnati.

Looking for

Role
VP of Engineering
Experience
15+ years
Time zone
Eastern Time (US & Canada)

Skills

Advanced

Coaching and Mentorship Cybersecurity in regulated environments Enterprise Architecture HIPAA HITECH LIMS/EMR integrations Platform Architecture SOC 2 System integrations and migrations

Beginner

.NET ASP AWS C C# C++ Cloud modernization ColdFusion Dynamics AX HTML J2EE Java Point-to-Point Protocol SQL Salesforce TCP/IP WebLogic WebSphere Xifin

Experience

  • Vice President, Technology and Security Officer

    Mira Precision Health

    02/2025 – Present

    • Lead global Engineering, QA, and DevOps organizations across onshore and offshore teams, with accountability for platform reliability, cloud modernization, and security posture (HIPAA, HITECH, SOC 2)
    • Lead scaling of mission-critical platforms, including the Provider Portal and LIMS
    • Execute company-wide pivot toward Pharmacogenomics (PGx) expansion, aligning platform capabilities with new clinical workflows, data requirements, and product strategy
    • Partner with executive leadership to deliver EMR integrations and interoperability initiatives, enabling health system connectivity and future scalability

  • Vice President, Technology

    Raptor Technologies/PublicSchoolWORKS

    01/2023 – 02/2025

    • Led Engineering, QA, IT, and DevOps across distributed onshore and offshore teams as a member of the executive leadership team
    • Drove platform and organizational maturity initiatives to improve scalability, operational discipline, and reliability
    • Served as technology leader post-acquisition, ensuring platform continuity, integration, and operational stability

  • VP of Engineering

    ActivePrime, Inc.

    02/2022 – 12/2022

    • Led Engineering, QA, IT Helpdesk, DevOps, and Customer Support across onshore and offshore teams
    • Directed modernization of existing product suite and development of next-generation CRM data quality platform
    • Partnered with executive leadership to improve platform reliability, delivery velocity, and customer outcomes

  • Chief Technology Officer

    Hive Networks, Inc.

    04/2019 – 10/2021

    • Built and led the end-to-end technology organization spanning product, engineering, data, security, infrastructure, and operations
    • Defined and executed the technology vision, delivering a platform focused on improving care quality, patient engagement, and clinical outcomes
    • Developed a collaborative healthcare platform enabling engagement across patients, families, clinicians, and researchers
    • Aligned platform architecture with Health Learning Network standards pioneered at Cincinnati Children's Hospital to support evidence-based care models

  • Vice President, Product Development

    Myriad Genetics/Assurex Health

    12/2008 – 04/2019

    • Scaled technology organization from 1 developer to a multi-disciplinary team spanning Product Management, Engineering, Enterprise Data Management, IT, QA, DevOps, and UX
    • Designed and led development of the secure MyGeneSight clinician platform and associated backend applications supporting nationwide provider adoption and rapid test volume growth
    • Built enterprise infrastructure supporting exponential order expansion while maintaining HIPAA-compliant security and high platform reliability
    • Architected integrations with Salesforce, ERP (Dynamics AX), laboratory systems (LIMS), billing platforms (Xifin), and analytics tools to enable operational scale
    • Developed enterprise data and analytics capabilities delivering forecasting, executive reporting, and operational visibility across commercial, clinical, and laboratory functions
    • Led cloud and infrastructure expansion to support high-growth clinical operations and multi-state scaling
    • Partnered with executive leadership to align platform strategy with commercial growth, clinical innovation, and regulatory requirements
    • Played key role in technology maturity during period of significant expansion and acquisition integration

  • Development Manager

    Domin-8 Enterprise Solutions

    01/2005 – 12/2008

    • Led a team of software engineers supporting the company's largest property management web application while architecting and delivering the next-generation platform.
    • Owned team performance, hiring, and technical delivery, including performance management, recruiting, and mentoring developers.
    • Partnered cross-functionally with Product, Project Management, QA, Professional Services, and Customer Support to prioritize roadmap, manage delivery schedules, and triage customer-impacting issues.

  • Senior Software Engineer

    Domin-8 Enterprise Solutions

    01/2005 – 12/2008

    • Led design and development of an internal issue-tracking and notification platform used by engineering, QA, management, and customer support teams.
    • Served as development lead for document designer functionality, role-based permissions redesign, and invoicing modules, improving system usability and performance.
    • Coordinated with offshore development teams to deliver features on schedule and improve overall development velocity.

  • Senior Software Engineer

    ProfitLogic/Spotlight Solutions

    10/2002 – 01/2005

    • Led research, evaluation, and implementation of enterprise portal technology to support the ProfitLogic Corporate Portal initiative.
    • Designed and developed portal proof-of-concept, core portal infrastructure, UI rendering, internal messaging, and modular portlets (including HTML links and RSS feeds).
    • Built and deployed enterprise Java solutions using J2EE technologies across WebSphere and WebLogic environments.

  • Software Engineer

    ProfitLogic/Spotlight Solutions

    10/2002 – 01/2005

    • Designed and developed components of a retail price optimization platform, focusing on efficient ingestion and retrieval of large volumes of promotion data.
    • Improved data loading pipelines between application and database layers to enhance performance and reliability.
    • Built the Analytic Workbench, a prototype reporting and analysis tool used by retail customers to evaluate pricing and promotion strategies.

  • Software Engineer II

    Attachmate Corporation

    01/1995 – 09/2002

    • Designed and developed core components of Attachmate's Management & Control Services (MCS) platform, including the component/plug-in installer and remote agent communication layer, improving installation efficiency, reliability, and extensibility.
    • Contributed across the full software development lifecycle for enterprise and customer-facing web applications, including e-commerce and online banking platforms for enterprise clients such as Rexel USA and Harbor Bank.
    • Built and supported distributed systems and web applications across heterogeneous enterprise environments and operating systems.
    • Developed and debugged networking software for the Remote LAN Node (RLN) product using C and C++, supporting Point-to-Point Protocol (PPP) and TCP/IP networking stacks.
    • Gained early experience building and troubleshooting systems across diverse enterprise environments and networking technologies.

Education

  • University of Cincinnati

    Other · Computer Engineering

Volunteering & Affiliations

  • PreventionFirst!

    Board Member

    2019–2022

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