Federal health programs run on decisions. I make the hard ones executable.

Michael Sutton presenting at a federal technology event

Selected builds

An open-source FHIR quality-measure platform — solo full-stack build; 600+ integration tests running nightly in CI.
A published MCP server for Google Docs — 19 tools whose mutating operations run a verified-write contract, so an agent cannot silently corrupt a document. 640 tests.
An EHR-integrated Medicare enrollment prototype — SMART on FHIR and OAuth 2.0, built to let clinicians submit PECOS applications from inside the EHR workflow; designed to cut enrollment from hours to minutes.
An internal AI platform that automated a federal proposal process — 38 codified workflows; reported ~20% cycle-time reduction.

About

I've stayed in federal health for 18+ years because the quality of software here directly affects how people access care, coverage, and information.

I focus on the handoff points where programs often break down: policy to technical design, proposal commitments to delivery plans, and architecture decisions to day-to-day operations.

That perspective keeps my work practical and mission-focused — clear decisions, accountable execution, and systems teams can run long after launch.

How I lead

01
ClarityTurn ambiguity into a plan people can execute.
02
ExecutionMake modernization concrete, not just directional.
03
AlignmentKeep stakeholders aligned without slowing delivery.
04
ContinuityBridge proposal promises to delivery reality.
05
CraftShip durable artifacts, not just slides.

By the numbers

Most people in this space do one of these. Here are three that show all of it.

$200M+ in federal wins

99.99% service availability
in CMS production

80% increase in HealthCare.gov
enrollment conversions

Sources: Resume PDF — references available on request.

Work

Four programs across federal health delivery, CMS modernization, and Medicare claims data.

Beneficiary Claims Data API (BCDA)

Award-winning API delivery and first federal Bulk FHIR implementation.

$16M program 25+ FTE

BCDA case details

Problem

Accountable Care Organizations needed population-level Medicare claims data to manage care for their assigned beneficiaries. The available path returned one patient at a time, which does not scale to a population. Delivery had to meet federal security and reliability expectations.

My role

Technical Program Manager leading a 25+ full-time equivalent (FTE) team on a $16M effort.

Outcomes

Delivered an award-winning Beneficiary Claims Data API program.
Established the first federal Bulk FHIR implementation.

CMS modernization solution architecture

$200M+ in wins, with win-rate growth from 20% to 33%.

$200M+ in wins 6 proposals

CMS solution architecture case details

Problem

Capture teams needed technically credible solution plans that could both win and survive the transition into delivery. Plans had to account for federal constraints early.

My role

Solutions Architect leading technical volume development and prototype direction.

Outcomes

Supported $200M+ in wins across six federal proposals.
Improved team win rate from 20% to 33%.

Quality Payment Program delivery

99.99% availability with 91% provider participation in the Quality Payment Program.

$45M program 50+ FTE

Quality Payment Program case details

Problem

A major CMS program required dependable cloud operations and API performance at enterprise scale. Delivery had to stay stable under continuous operational pressure.

My role

Technical Program Manager over a $45M program with 50+ FTEs.

Outcomes

Achieved 99.99% availability for program services.
Reached 91% provider participation in the Quality Payment Program.

HealthCare.gov premium estimator

An ~80% increase in HealthCare.gov enrollment conversions.

~80% enrollment lift Pre-application estimates

HealthCare.gov premium estimator case details

Problem

Shoppers on the federal Health Insurance Marketplace needed a way to estimate premiums and subsidies before starting a full application, so they could compare plans and gauge affordability early in the process.

My role

Built the premium estimation ("window shopping") tool, translating marketplace plan and subsidy data into a real-time, pre-application estimate.

Outcomes

Drove an ~80% increase in enrollment conversions on HealthCare.gov.
Helped more people successfully enroll in coverage by removing friction earlier in the shopping journey.

Topics I speak on.

For federal technology audiences, delivery teams, and partner forums.

Bridging the Policy-to-Code Gap in Federal Health Delivery

Translating policy intent into technical decisions, delivery increments, and measurable outcomes without losing stakeholder alignment.

Implementing Bulk FHIR in Legacy Environments

Practical patterns for introducing modern interoperability while managing integration constraints and operational risk.

Writing GovCon Technical Volumes That Transition to Execution

Structuring proposal artifacts so awarded teams can execute directly instead of rewriting the approach after kickoff.

Using GenAI in Federal Compliance and Delivery Workflows

Applied RAG for turning large policy and program inputs into usable delivery artifacts.

Contact

Share what you're working on and I'll reply directly. Include context and timing so I can respond usefully.

Send me an email LinkedIn

contact@michaelrobertsutton.com

Want a colleague's perspective first? Read recommendations on LinkedIn.

Resume

Full experience, certifications, and role history.

View resume PDF Download