AjileSoft— Rob Williams, MBA • Fractional CTORob Williams, MBA
Fractional CTOSenior Software ArchitectHealthcare imaging • REST APIs • Cloud-native SaaS • High-throughput systems
I help healthcare and software organizations ship reliable products faster— without losing control of quality, security, or cost. I’ve co-founded and scaled platforms in radiology and ophthalmic imaging, led teams to #1 KLAS rankings, and modernized complex stacks in regulated environments.
Quick facts
Anchored in real products & outcomes
- Co-founded multiple healthcare imaging companies.
- Created a RIS with integrated FDA-approved viewer and PACS.
- Led a pharmacy platform to #1 in Best in KLAS.
- Built and maintained production REST APIs & desktop clients.
- Hands-on with AWS, Postgres/JSONB, Java/Spring, React/Next.js.
Selected Work
Translational Imaging Innovations
Co-Founder • CTO-level leadership
End-to-end ophthalmic imaging platform.
- Designed REST APIs and JavaFX clients for OCT workflows.
- Implemented S3 archival with lifecycle + multipart uploads.
- Created JSONB metadata search across millions of studies.
AjileSoft Consulting
Founder • Fractional CTO & Architect
Senior architecture + hands-on engineering for SaaS teams.
- Architecture roadmaps, cloud migrations, modernization.
- Production REST APIs and CI/CD pipelines.
- Guided upgrades: Java/Spring, DB schema, observability.
Radiology & Pharmacy Platforms
Product & Engineering Leadership
Enterprise RIS/PACS and pharmacy platforms.
- Built RIS with FDA-approved imaging viewer.
- Led team to #1 Best in KLAS.
- Clinical workflow alignment with SMEs.
Career Snapshot
Fractional CTO
AjileSoft LLC • Remote
Partner with CEOs and founders on architecture and delivery.
- REST APIs and full-stack development.
- Modernization & technical due diligence.
- Team mentoring and leadership.
Imaging Platform Co-Founder
Ophthalmic & radiology systems
Architecture for imaging, reporting, and data platforms.
- End-to-end product ownership.
- Close collaboration with clinicians.
- SOC2-aligned processes.
Earlier Leadership
Enterprise healthcare software
Led RIS, PACS, and pharmacy engineering teams.
- Scaled adoption & revenue.
- Introduced agile practices.
- MBA-backed product strategy.
How I can help
Fractional CTO & Architecture
REST API & Product Development
Cloud & DevOps (AWS)
Data, Imaging & Integrations
Quality, Security & Compliance
Performance & Reliability
Technical Stack
Backend & APIs
JVM + systems languages
Frontend
Modern & accessible
Cloud & DevOps
Secure + cost-aware
Imaging & Data Pipelines
Pixels, performance, workflows
About Rob & AjileSoft
I’m Rob Williams, MBA — founder of AjileSoft and a long-time engineering leader specializing in healthcare imaging and large-scale data workflows. I bring deep experience across clinical, research, and SaaS environments.
Principles
How I operate
- Pragmatic architecture. Design only what you need—evolve as you grow.
- Security & quality by default. SOC2-ready thinking, HIPAA-aware flows.
- Measurable delivery. Ship weekly, track outcomes, reduce waste.
- Clear communication. READMEs, ADRs, runbooks—no mystery systems.
- Partnership mindset. Clients stay for years, not weeks.
Availability
Let’s talk
I’m available for fractional CTO engagements, architecture consulting, and senior-level development. Briefly describe your project and goals.
Project inquiry
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