Medical Director Software — Custom Ops Tools Built in North County San Diego
I'm PJ, in Encinitas. I build custom internal software for medical directors who are tired of duct-taping EHR exports, spreadsheets, and Slack threads to run their practice.
Quick Answer
- What I do: Custom ops dashboards, scheduling logic, credentialing trackers, and reporting tools — built to fit how your practice actually runs.
- Who I am: Solo developer. No agency layers, no account manager, no 6-week discovery phase.
- How fast: Most first builds ship in 2–3 weeks. You talk to me, not a project manager.
- Cost: Fixed scope, fixed price. I'll quote you after one conversation.
Useful advice for Medical Directors
Stop paying per-seat for tools you barely use
If your practice has 15+ staff on a SaaS platform but only 4 use 80% of features, a custom tool pays itself back inside 12 months.
Credentialing is a database problem
Expirations, re-attestations, payer enrollments — it's a tracking system, not a spreadsheet. Build it once, stop missing dates.
Your EHR isn't your ops system
EHRs are built for charting and billing. Operations — staffing, KPIs, referrals, protocols — lives outside of it. That's where custom wins.
Integrate, don't replace
I won't tell you to rip out Athena or eCW. I plug into them via API or export feeds and build the layer that actually helps you run the practice.
HIPAA-aware, not HIPAA-theater
I build on infrastructure that meets BAA requirements (AWS, GCP). No PHI on random SaaS. No cutting corners.
Start small, prove ROI, expand
Pick the one thing that steals your Monday mornings. Build that. See the result. Then expand. I don't do 6-figure master plans.
FAQ
Can you work with my EHR (Athena, eClinicalWorks, Epic, etc.)?
Yes, via API or scheduled export. I've built around most major EHRs. Epic is the most restrictive — I work with what it gives us.
Do you sign a BAA?
Yes. If PHI touches the system I build, I sign a BAA and deploy on HIPAA-eligible infrastructure with audit logging.
How is this different from just buying practice management software?
Off-the-shelf software assumes a generic practice. You don't run a generic practice. Custom fits your workflow instead of forcing you to fit theirs.
What does a typical engagement cost?
Small focused tools run $4K–$12K. Bigger ops dashboards $15K–$40K. Fixed price, no hourly surprises. I quote after one call.
How long until I see something working?
A working prototype in 7–10 days. Production-ready in 2–4 weeks depending on scope. I ship weekly, not quarterly.
Are you local to San Diego?
Yes. Based in Encinitas. I cover Solana Beach, Carlsbad, Del Mar, Rancho Santa Fe, La Jolla — happy to meet in person in North County.
→ See a real healthcare ops build I shipped
Note from PJ
I'm not an agency. I'm one developer who builds things that work. Text me with what's broken in your practice ops — I'll tell you honestly whether I can help or whether you should just buy something off the shelf.
Connect on LinkedInReady to stop duct-taping your ops?
One text. Real answer. No sales funnel.
<a href="sms:+18584618054?body=Hey%20PJ%20—%20I'm%20a%20medical-director%20looking%