Josh
Cooper

I build software for people who work in healthcare. Thirteen years of it. Most of that time has gone into the gap between what a system was designed to do and what someone at a nurses' station actually needs it to do at 3 a.m.

I started on a help desk in Mobile, fixing printers. Eight years at Allscripts, most of them onsite at the hospital that was the company's flagship Sunrise site — every module, software for every department — then payments at Rectangle Health and scheduling at Relatient. Thousands of interfaces, three products merged into one platform, features shipped, teams built and rebuilt. I'm not the zero-to-one guy - outside my risk tolerance these days. I'm great at the part after though: a company has something people will pay for, and now it has to survive its own growth. Ten million to a hundred is where most of them stall out, and that's the work I want.

Now I'm CPTO at PayGround. One trip to the hospital can turn into six statements and six portals; we're collapsing that into one place, with terms and options people can actually afford and an experience that doesn't feel like it was built in 2009. Healthcare is a decade late to that.

It's mostly plumbing, kept running by people that often don't get the recognition they deserve. It's also knowing when to say no, or what yes could look like, and making the hard decisions of prioritization (and constant reprioritization). You can't build everything all at once. That's the job.