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Our Team




Rajib Ghosh is the Practice Lead for Social Health Information Exchange and Community Information Exchange Consulting vertical for Health Roads. He also leads Health Roads’ Human Services IT Consulting vertical.


Rajib is an Office of the National Coordinator of Health IT (ONC) Fellow and has 25 years of technology experience in various industry verticals where he had management roles in Software Engineering, Program Management, Product Management, Business and Strategy Development.  He served as technology consultant for global companies like Caterpillar, Nortel, CSX Transportation, and Marconi Telecom.

Rajib is currently the founder and CEO of Health Roads, an Health IT consulting company and a technology advisor for the Alameda County’s Whole Person Care program where he is crafting the technology vision and roadmap for the social Health Information Exchange for the County. Prior to that Rajib served as the Chief Data and Transformation Officer at CHCN, an Alameda County based primary care Clinic Network and Managed Care organization that managed 140,000 lives. He held executive responsibility to bring efficiency, scale and data driven decision culture within the Managed Care business. His major accomplishments include turning around Utilization Management, IT and Customer Care departments by digitizing business processes and utilizing operational analytics. He also led a large scale multi-organizational Data Governance program and a $20+ million dollar Electronic Health Record initiative.

Prior to that Rajib spent a decade in US healthcare industry in medical device , medical software and telehealth and telemedicine solution companies.  He held senior positions at Hill-Rom, Solta Medical and Bosch Healthcare. Rajib writes a regular column for INFORMS on healthcare analytics.  He also speaks at various healthcare conferences.

Rajib has BE in Electrical Engineering from Jadavpur University, Kolkata, ME in Computer Science from the Indian Institute of Science, Bangalore and MBA from the University of North Carolina, Chapel Hill.  He also holds certification from Anderson School of Business, UCLA on managing safety net organizations. He lives in the beautiful Silicon Valley, California with his wife and one son.

Kumar Vengadabady


Kumar Vengadabady is the Practice Lead for Public Health EHR Consulting vertical for Health Roads.


Kumar is an Office of the National Coordinator of Health IT (ONC) Fellow and an accomplished Health Information Technology (HIT) professional with a strong track-record of enabling healthcare organizations reach better future state. With 20 years of experience in healthcare domains like Medical Informatics, Health Information Systems, Healthcare Quality & Analytics, Healthcare Operations, and Project Management, Kumar has delivered high value results that benefited organizations, communities they serve and their patients.

In his current role as Strategic Project Management Consultant, Kumar is leading optimization initiatives within healthcare organizations that have resulted in:

  • Increased implementation velocity (20%)

  • Staff productivity (15%)

  • Reduced implementation timeline (2 weeks)

  • Development of an implementation resource capacity and utilization model for forecasting and allocation of resources.


He has successfully managed and delivered projects on time and full scope to clients across the country.

Kumar has extensive experience with EHR systems like Epic Systems. He manages design, build, implementation & optimization, upgrades & versioning, and peripheral technology management. He has successfully led and delivered Epic MyChart project across 8 hospitals of the TriHealth System at Cincinnati, OH. There, he also delivered several improvisation projects including clinical documentation tools for Epic Ambulatory, Inpatient, and clinical specialty like Orthopedics. On another mandate at Temple University Cancer Center, Philadelphia PA, he successfully managed Epic Ambulatory Go Live support project. At Rochester Regional Health, Kumar was responsible for Epic and other Information Systems, and led multidisciplinary teams for implementation planning, feasibility study, requirements documentation, scoping, capacity estimation testing requirements and training thru Go Live readiness for Epic modules. He chaired Geriatrics Advisory Committee and Change Control Committee. He was an active member of Epic advisory committees like Adult Primary Care Advisory Group, Post-acute and Long-term Care Advisory Group, Clinical Compliance Committee, and Quality Advisory Group.

Kumar is a medico and holds Master degrees in Hospital Administration and Medical Informatics. He is Epic certified in Epic Physician Builder, Epic Cadence, and Epic Super User in several modules. Kumar holds an active Project Management Professional (PMP) Certification from Project Management Institute.




Teddie serves as the Apricot System Implementation Practice Lead for Health Roads in our Human Services IT Consulting vertical. Teddie is Bonterra Certified System Implementation Consultant who has served as a Homeless Management Information Systems Administrator for Sonoma County, CA from 2011-2016 and HMIS consultant from 2016 to date.  She has provided Homeless Management Information System design, project implementation and capacity enhancement services focused on custom software design, system administration, training, and compliance reporting to clients in California and other states.


Teddie served on the Board of the National Human Services Data Consortium from 2015 to 2022 and provides HMIS subject matter expertise to Training Development Associates, a HUD Technical Assistance Provider.  She contributed to the development of the HUD Vendor Tools including the Vendor Contract Monitoring and HMIS Software Vendor Capacity checklists. 


Since 2016 Teddie worked with five California Continuum’s of Care’ encompassing 11 counties. In addition to her knowledge of the federal HMIS, she has done custom software designs for multiple nonprofit agencies serving persons accessing LGBTQ, Immigration/Refugee, Youth Development and Healthcare services. 


Her core expertise include:


  • Project-level discovery and solution design using Human Centered Design principles and customer / user Journey Mapping methodologies

  • Development of technical specifications for digital platform enhancements and new features.

  • Custom report design for key decision-makers

  • Design of HMIS and non-profit program flows and training curriculums

  • Development of HUD Coordinated Entry specifications, associated policies, workflow design, partner engagement and performance framework

  • Implementation planning, design, project management and advance

  • Report design for Bonterra Apricot 360, BitFocus Clarity and WellSky ServicePoint

  • Development of organizational data policies

  • Development of NOFA applications for HUD Continuum of Care and the State of California grants

Teddie Pierce
Jose Reyes



Jose has over 15 years of experience in various aspects of the healthcare industry, from client-level roles in customer care and community health education and outreach to enterprise-level roles in healthcare analytics, operations and project management. 
He has brought his knowledge and expertise of the healthcare industry to senior-level roles in the for-profit, non-profit, and government sectors and is skilled in analyzing business processes and developing, implementing cost-saving solutions to streamline operations.  He has extensive experience working with benefit management and claim payment systems, as well as analytic tools specializing in population health and provider efficiency and effectiveness. 
Along with multiple certifications in Data Science, Six Sigma, and Business Analytics, Jose holds a Bachelor’s of Arts in Psychology from the University of California, Davis and a Master’s of Science in Information Management from Arizona State University.



Karri Smith has over 25 years combined experience in education, social services, technology, and leadership. She has held positions as diverse as High School teacher, Charter School CEO/Founder, IT Administrator, and Database Analyst/Report Writer. As a charter school leader, Karri was instrumental in strategic planning and development of alternative measures of performance and fiscal accountability – skills which have translated directly to helping customers showcase their outcomes in a sound design reflecting qualitative analysis. 

Over the past 10 years, Karri’s work in data analysis has guided clients toward an optimal understanding of their data. She makes data connections that are transparent and useful, partnering with stakeholders to ensure a complete understanding of their goals. The result is software design and data reporting that reflects who the client is and what they really want to convey. She knows from experience that outcomes planning, data collection and reporting can be powerful tools for programs and organizations.

Karri Smith
Nelson Tan



Nelson Tan has over 25 years in the Information Technology Industry.  He has had wide range of experiences, from Developer to Program Management, from small to multi-year projects.  He has worked and consulted in High-Tech, Banking, and Health-Care - Western Digital, Hewlett-Packard, Electronic Data Systems, Wells Fargo, Blackhawk Network, Alameda County Public Works, and Alameda County Care Connect (Health Care Services Agency); and had worked with their Finance, Accounting, Treasury Management, Sales Finance, Sales & Marketing, Channel Sales, Inventory, Distribution, Warehousing, Manufacturing, QA, and Engineering R&D groups.  He has also been an ISO 9000 Internal Auditor.

Nelson has worked for Alameda County Public Works agency as well as for the Health Care Services Agency for the last two years. Prior to that he spent many years in the Financial industry working for Wells Fargo Bank. For the last two years Nelson has worked as a Data Architect for the Alameda County Care Connect program providing technical expertise to the development of the Social Health Information Exchange and Community Health Record (CHR) IT infrastructure.


His technology experiences included:


  • Data Architecture

  • Workflow Analysis

  • Business Process Automation

  • Oracle and SQL Server Development

  • Oracle and SQL Server DBA and Performance Analysis & Tuning

  • Data Warehousing and Data Mart Development

  • Business Intelligence Development

  • SharePoint Development

Cynthia Germono.jpg


Cynthia Germono serves as the Technical Project Manager for Health Roads as well as a Bonterra Certified Apricot Administrator. Her professional IT experience spans 15 years across different industries, including military civilian contracting, educational K-12, healthcare non-profit organizations, and county level healthcare agencies. In the last 5 years, she has excelled as an IT Project Manager, leading a variety of data driven projects for Alameda County. 


She has acquired a vast number of experiences as an IT Administrator, managing everything from end user support, Microsoft Exchange Servers, and large-scale phone systems. As a Technical Project Manager, she has contributed greatly to large data-sharing projects that involved healthcare organizations such as Washington Hospital Healthcare Systems and Telecare. Her Technical Project Managing experience also includes state-level data sharing projects from the California Immunization Registry (CAIR) and the California Reportable Disease Information Exchange (CalREDIE). Additionally, Cynthia has worked as a Data Analyst for Homeless Management Information Systems (HMIS), helping develop SQL queries to produce significant data reports for the unhoused population to support continuity of care efforts.


Cynthia holds a Bachelor of Science Degree in Information Technology from the University of Maryland Global Campus (formerly University of Maryland University College), as well as a Master of Science Degree in Information Management from Arizona State University. Recently, she has received a Certificate of Completion from UC Berkeley Extension for participating in their 4-month Technology Project Management Bootcamp in 2022.

Cynthia Germono
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