Hector Pacheco

Engineering leader with 12+ years of experience in healthcare technology, cloud architecture, and software development. Proven track record delivering enterprise-grade solutions using .NET, C#, SQL Server, Azure, and FHIR standards. Skilled in leading cross-functional teams, defining technical roadmaps, and driving interoperability through SMART on FHIR integrations.
I’ve led projects across clinical research, biospecimen tracking, eConsent platforms, and FHIR infrastructure modernization. My recent work includes:
• Architecting and coordinating the migration of an in-house FHIR server to Azure FHIR Service
• Implementing SMART on FHIR protocols with PINGID and IBM Gateway
• Designing secure app launch flows using SMART on FHIR
• Overseeing data integration pipelines from Databricks to Azure
Experienced in cloud migration, healthcare informatics, and standards-based API development. Passionate about building scalable, secure, and user-centered solutions that improve clinical workflows and data interoperability.
Actively exploring new opportunities in technical leadership, cloud engineering, or healthcare IT architecture.

Senior Software Manager  MSK
•  Led architecture and system design for enterprise healthcare solutions, including biospecimen logistics, IRB workflows, and clinical research platforms.
•  Directed cloud migration initiatives (Azure, AWS) and modernized proprietary systems into microservice APIs and containerized environments.
•  Championed interoperability by implementing HL7, FHIR, and CFR Part 11–compliant workflows, enabling seamless integration across clinical systems.
•  Mentored cross-functional teams, fostering collaboration and technical excellence while aligning solutions with organizational strategy.
•  Drove innovation by designing pipelines to extract ECOG, KPS, and Lamsky scores from Epic notes using GPT‑OSS, integrating results into Databricks and FHIR servers for downstream consumption.

Formal background in Computer Science, complemented by ongoing professional development in cloud computing, healthcare IT standards, and enterprise architecture. Education underpins a career blending technical depth with strategic leadership."