Wayne Gaines

Built and scaled the enterprise PMO into a centralized execution system supporting complex, multi-domain initiatives across clinical, operational, and technology teams.

• Established the PMO from the ground up, defining governance, operating cadence, intake models, and execution standards across a multi-million-dollar portfolio.
• Designed and implemented an enterprise operating model aligning priorities, capacity, and delivery across cross-functional teams including applications, infrastructure, and business operations.
• Led multi-workstream program orchestration, managing dependencies, sequencing, and risk across concurrent strategic initiatives.
• Built and enforced execution governance frameworks, enabling proactive risk identification, tradeoff decisions, and faster escalation to executive leadership.
• Partnered with senior leadership to translate ambiguous strategic goals into structured roadmaps, milestones, and measurable outcomes.
• Developed standardized playbooks, reporting frameworks, and dashboards, improving visibility and shifting leadership conversations from status updates to decision-making.
• Introduced automation and data-driven reporting approaches to streamline status collection, improve signal-to-noise ratio, and reduce manual reporting overhead.
• Facilitated executive steering committees and decision forums, driving alignment across stakeholders with competing priorities.

Led continuous improvement of PMO processes, balancing execution rigor with flexibility to support evolving program needs.

Directed enterprise application delivery and operational performance across a complex, distributed healthcare environment.

• Led a 24-person cross-functional team, supporting a broad portfolio of enterprise applications and regulatory initiatives.
• Managed $20M+ operational and capital budgets, aligning investments with organizational priorities and delivery capacity.
• Partnered with executive stakeholders to define strategic roadmap, prioritization, and program scope across multiple domains.
• Developed and implemented operational KPIs, dashboards, and performance tracking systems, improving execution transparency and accountability.
• Drove workflow optimization and system improvements, increasing efficiency and adoption across clinical and operational teams.

Established process frameworks and standard operating procedures, improving consistency and scalability of delivery.

Delivered complex, multi-domain programs across healthcare organizations, coordinating technical and operational teams.

• Led cross-functional teams (12+) spanning clinical systems, data, and integration domains.
• Managed end-to-end program delivery, including planning, execution, dependency management, and stakeholder alignment.
• Directed initiatives requiring coordination across multiple systems, stakeholders, and regulatory requirements.
• Developed integration and data exchange solutions, enabling improved interoperability and information flow.

Improved delivery outcomes through process standardization and workflow redesign.

• Led NextGen ambulatory EHR implementation across multiple specialties.
• Implemented CPOE and Medication Reconciliation within Cerner Soarian.
• Served as primary liaison to medical staff, driving adoption and aligning clinical needs with IT delivery.

Developed integration and access strategies, improving clinician access to patient data and system usability.

• Technical Support Analyst - Archbold Medical Center
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