JAMES TAHVILI
Las Vegas,NV
Summary
Healthcare technology executive with 15+ years of experience leading enterprise clinical IT transformation across Medicare Advantage and population health organizations. Known for delivering large-scale EMR migrations, interoperability platforms, and AI-enabled solutions that improve clinical workflows, patient engagement, and care coordination.
Overview
14
14
years of professional experience
Work History
Director, Clinical Systems & Interoperability
Mosaic Health (formerly CareMore)
06.2012 - Current
- Implement interoperability strategies leveraging FHIR, HL7, ADT, and HIE frameworks to enable timely data exchange
- Established interoperability framework connecting clinical and payer systems for improved care coordination
- Lead enterprise clinical IT transformation across care management, interoperability, and patient engagement platforms supporting large Medicare Advantage populations
- Drive modernization to scalable, cloud-ready architectures across clinical ecosystems and enterprise systems
- Directed the migration from NextGen to Athena EMR, managing data conversion and redesigning dataflows.
- Led migration from Mirth to Qvera integration engine and built enterprise ADT infrastructure supporting real-time clinical workflows
- Led migration of legacy case management platform to Lightbeam supporting HRA, transitions of care, medication reconciliation, and patient communication workflows
- Developed clinical document retrieval application for real-time visualization and search of historical records at point of care
- Implemented AI models for emergency department utilization prediction, readmission risk stratification, and care gap closure
- Leading implementation of autonomous AI outreach agents to support HRA completion and patient engagement for difficult-to-reach populations
- Implemented Qualtrics post-visit survey platform enhancing patient feedback capture and quality measurement capabilities
IT Project Manager, Clinical Informatics
UnitedHealth Group
- Delivered enterprise BI, ETL, and reporting solutions that enhanced clinical and population health analytics capabilities
- Developed data marts and reporting platforms that provided actionable clinical and operational insights
- Led project teams to implement IT solutions across healthcare services.
- Managed project timelines and resources to ensure on-time delivery.
- Collaborated with stakeholders to gather requirements and define project scope.
Application Manager, Clinical Applications
Kaiser Permanente
- Managed enterprise clinical applications, including radiology and screening systems, to support clinical workflows
- Maintained operational performance in 24/7 healthcare environments to ensure uninterrupted patient care
- Facilitated improvements in operational efficiency for organizations through targeted process enhancements
IT Manager, Business Intelligence
Sonoran Systems
- Led development of BI platform and implemented enterprise reporting solutions to enhance data accessibility across business functions
- Delivered comprehensive analytics and reporting applications, supporting informed decision-making across the organization
- Led data analysis to identify business trends and opportunities.
- Developed interactive dashboards using BI tools for stakeholder reporting.
- Collaborated with cross-functional teams to define key performance indicators.
Sr. Data Analyst / BI Developer
State of Nevada
- Developed data warehouse solutions and enterprise reporting to integrate clinical and claims datasets for enhanced data accessibility
- Designed ETL processes and reporting standards to streamline data flow and ensure consistency for statewide programs
- Analyzed data trends to support state policy development and decision-making processes.
- Collaborated with cross-functional teams to enhance data reporting and visualization methods.
- Designed and maintained dashboards using analytical tools for real-time data insights.
Systems Engineer
Lockheed Martin
- Facilitated enterprise application deployment and optimized infrastructure systems
- Engineered automation and deployment workflows for large-scale environments
- Designed system architectures for advanced technology projects at a leading aerospace company.
- Collaborated with cross-functional teams to improve system integration processes.
- Conducted system testing to ensure functionality and compliance with specifications.
Education
Master of Information Systems -
University of Phoenix
Bachelor of Science - Management Information Systems
Portland State University
Skills
- FHIR
- HL7
- ADT
- HIE/QHIN
- Athena EMR
- NextGen
- Facets
- Qvera
- Mirth
- Lightbeam
- AI/ML
- Azure
- AWS
- SQL
- Qualtrics
Timeline
Director, Clinical Systems & Interoperability
Mosaic Health (formerly CareMore)
06.2012 - Current
IT Project Manager, Clinical Informatics
UnitedHealth Group
Application Manager, Clinical Applications
Kaiser Permanente
IT Manager, Business Intelligence
Sonoran Systems
Sr. Data Analyst / BI Developer
State of Nevada
Systems Engineer
Lockheed Martin
Master of Information Systems -
University of Phoenix
Bachelor of Science - Management Information Systems
Portland State University