Susan Anspaugh
Fractional CTO at Medexplain Health
Based in Detroit, United States
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Seniority
C-Team
Department
Information Technology
Location
Detroit
Industry
Hospitals and Health Care
Company size
3
Contact information
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s•••••••@medexplain.org
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Background
About Susan Anspaugh
I help Series A-C companies scale their engineering organizations through fractional CTO services - providing strategic technical leadership without the full-time executive cost. WHAT I BRING 20+ years leading engineering at enterprise scale Deep expertise in Azure, M365, React, Node.js, and AI integration Proven results: 70% velocity improvements, 30% cost reductions, user deployments MBA + technical depth = strategic decisions that drive business outcomes CURRENT WORK Fractional CTO for MedExplain, where I architected a multilingual health education platform with AI-powered translation. Database-driven localization scales to unlimited languages with zero code changes. One-click publishing from English to Spanish with clinical review workflows. Soft-launched platform serving initial users; scaling to daily users. Previously led digital transformation at Ilitch Holdings ($4B organization)- migrating 8 companies including Detroit Tigers, Red Wings, and Little Caesars from IBM Notes to Office 365. Multi-year initiative covering users. Received IT Impact Award at Fox Theater ceremony for leading the transformation. Only Manager-level executive presenting quarterly to the CEO. WHAT I DO FOR FRACTIONAL CLIENTS Strategic technical leadership (15-20 hours/month) Architecture decisions and technical roadmap AI integration strategy (LLMs, agents, workflow automation) Cloud optimization (Azure cost reduction is a specialty - I've delivered 30% savings consistently) Hiring guidance and team development Board-level technical communication WHO I WORK WITH Series A/B startups (15-75 employees) needing strategic CTO guidance Bootstrapped SaaS companies ($1-5M revenue) scaling engineering Mid-market companies (100-500 employees) modernizing on Azure/M365 I work with 2-3 companies simultaneously. Currently taking on 1-2 new clients. BEYOND THE CODE I bring a unique perspective to technical challenges - my neurodivergence (Asperger's) is often an asset in pattern recognition, systems thinking, and architecting robust solutions. I'm passionate about building diverse, high-performing teams and have spoken at conferences about technical innovation, Agile transformation, and diversity in tech. Specializations: Healthcare tech, enterprise SaaS, Azure/M365 modernization, AI integration Let's talk if you're scaling engineering → sanspaugh@zumosoft.com
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