Alex Kramer headshot
Fractional CTO & Product Executive

Transforming healthcare technology from ideation to commercialization

Start-up executive and builder with demonstrable experience taking products from concept to market-ready solutions. Specializing in digital healthcare, lab diagnostics, and HIPAA-compliant platforms that solve real-world problems at scale.

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What I Offer

Strategic Leadership for Healthcare Startups

Providing CTO and VP-level advisory services to healthcare startups and regulated companies

01

Product & Technology Strategy

End-to-end product lifecycle management from ideation through commercialization, with deep expertise in digital healthcare and lab diagnostics.

02

Team Building & Leadership

Assembling and growing high-performing teams across hybrid, remote, and near-shore configurations that deliver results.

03

Compliance & Security

HIPAA-compliant architecture, SOC-2 Type 2 certification, FDA regulatory affairs, and enterprise security best practices.

04

Business Operations

Cross-functional coordination across operations, business development, strategic partnerships, regulatory, finance, and legal.

Professional Journey

Leadership Experience

Proven track record building and scaling healthcare technology platforms

Fractional CTO

Self-employed
Sep 2023 - Present

Providing technical and product advisory services to healthcare startups and similarly regulated companies (life insurance, fintech). Focus on HIPAA compliance, regulatory strategy, and scalable platform architecture.

Consulting CTO

imaware
Sep 2023 - Present

Hands-on leader overseeing all facets of the business including product, technology, security, sales, regulatory, and logistics. Successfully repositioned the company from DTC to B2B model.

  • Consolidated two platforms into one, realizing 75% savings in cloud spend
  • Led business repositioning from DTC to B2B including new MSAs and pricing strategies
  • Managed all technology, security, regulatory, and operational initiatives

Co-founder & CTO

BalancedWork
Nov 2023 - May 2024

Built an application that ingested calendar, organizational, and related data to generate insights and recommendations for improving team relationships and hybrid work effectiveness.

VP, Digital Product & Technology

binx health (acquired by imaware)
Apr 2019 - Aug 2023

Co-founded and architected the proprietary binx everywhere digital platform which enabled diagnostics-as-a-service at population-level scale. Built HIPAA-compliant and SOC-2 Type 2 certified platform serving state health departments, universities, and healthcare entities.

  • Built multiple high-performing teams combining in-person, remote, hybrid, and near-shore resources
  • Created and executed business plan for population health COVID-19 screening programs and UK market expansion
  • Led design and execution of usability study and FDA filing for one of the first EUAs for self-collected nasal swabs
  • Managed binx io instrument software team through 510(k) filing and Windows 10 IoT migration
  • Set strategic product roadmap for digital platform and instrument software
  • Prepared digital business unit for Series A spinout, pitched investors, and supported successful M&A to imaware

Engineering Manager → Lead Software Engineer

Good Start Genetics (acquired by Invitae)
Mar 2015 - May 2018

Hands-on technical lead and manager for the development organization. Responsible for overall code quality, resource allocation, software design, enterprise architecture, and personnel management.

  • Devised new hiring program resulting in 7+ developers in 6 months plus 5 additional departmental hires
  • Led development and architecture of company's first consumer-initiated carrier screening product (VeriYou)
  • Launched patient-first experience with insurance transparency improving cash flows
  • Spearheaded agile transformation increasing velocity and institutional value, contributing to successful company sale
  • Orchestrated migration from on-premise to cloud infrastructure (AWS)
Core Competencies

Executive Expertise

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Strategic Leadership

Product Strategy Technology Roadmap Team Building Cross-functional Leadership Business Operations M&A Support
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Compliance & Regulatory

HIPAA SOC-2 Type 2 FDA 510(k) FDA EUA IT Security Privacy & PHI
☁️

Enterprise Architecture

Cloud Infrastructure GCP / AWS Kubernetes Microservices Platform Design Cost Optimization
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Healthcare Technology

Lab Diagnostics Digital Health Medical Devices LIS/LIMS Patient Portals Population Health
Insights & Thoughts

Recent Writing

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Ready to accelerate your healthcare technology?

I work with healthcare startups and regulated companies as a Fractional CTO or VP-level advisor. Whether you need strategic product leadership, HIPAA-compliant architecture, regulatory guidance, or hands-on technical execution, let's discuss how I can help drive your business forward.