Rushal Maksane

About

Engineering leadership grounded in craft

For nearly two decades, I've sat at the intersection of deep technical ownership and people leadership — running distributed teams across time zones, shaping architecture decisions that last years, and translating complex healthcare standards into shipping software.

My strongest gear is the PM / Lead role: accountable for scope, delivery, team health, and stakeholder confidence all at once. I've operated in this mode at NextGen Healthcare for 13+ years across the most compliance-heavy, interoperability-critical systems in U.S. healthcare.

I don't manage from a distance. I review PRs, call out architectural drift early, run post-mortems with rigour, and keep engineers motivated through complex deliveries. I'm an A-CSM certified Scrum Master who has run squads of 10+ through full Agile cycles from backlog grooming to retrospective.

Location

India · Open to Remote / Relocation

Domain

U.S. Healthcare IT · EHR · Interoperability

Methodology

Agile Scrum · A-CSM · CI/CD · TDD/BDD

Key Skills & Highlights

19+ years in software engineering, including 12+ years in U.S. healthcare IT
Go-to contact when production breaks — structured post-mortems, root-cause obsessed
Led 10+ member distributed team across USA & India
Improved CCDA generation performance by 80%
Expert in U.S. healthcare interoperability standards
Eliminated vendor licensing costs — Symphonia → NHapi migration
Multiple new feature proposals adopted into product
Primary contact for client calls & critical incidents
Drove architectural improvement initiatives
Star Award · Pat on Back · Multiple Spot Awards
Hackathon idea appreciated by CEO & CTO

                19+
                Years in software engineering
              
                12+
                Years in U.S. healthcare IT
              
                10+
                Engineers led across India and the USA

Interoperability depth across HL7, FHIR, CCDA, ECR, XDS/XDR/XDM, and SMART on FHIR
Strong Microsoft stack across C#, .NET, ASP.NET MVC, Web API, SQL Server, WPF, and CI/CD
Delivery ownership spanning architecture, Agile execution, stakeholder communication, and production support
Measured impact including 80% faster CCDA generation and cost reduction through Symphonia to NHapi migration
Recognition through Star Award, Pat on Back, Spot Awards, and CEO/CTO hackathon appreciation

AI Tools

Claude Windsurf Cursor Copilot ChatGPT OpenAI

Capabilities

What I bring to the table

Leadership & Delivery

Engineering Management Project Delivery Agile / Scrum A-CSM Certified Distributed Teams Stakeholder Management Onshore-Offshore Sync Hiring & Mentoring Problem Management

Healthcare Interoperability

HL7 v2 / v3 FHIR CCDA ECR XDS / XDR / XDM SMART on FHIR Mirth Connect EHR Integration

Core Engineering Stack

.NET Core / Framework C# ASP.NET MVC Web API WPF SQL Server Entity Framework Microservices HTML5 / CSS3 / JS

Cloud & DevOps

Docker Kubernetes AWS Jenkins CI/CD TDD / BDD NUnit Git

AI & Productivity Tools

Claude Windsurf Cursor GitHub Copilot ChatGPT OpenAI

Measured Impact

Results, not responsibilities

80%

CCDA performance improvement through architecture-level redesign and query optimisation

12+

Years of sustained delivery at a single high-complexity healthcare product company

10+

Engineers led concurrently across distributed USA-India onshore-offshore teams

0→1

Full HL7 stack migrated from paid vendor to open-source, eliminating licensing dependency

More+

Click here or contact me to view additional detailed achievements, awards, and recognitions.

Key Skills & Highlights

Led 10+ member distributed team across USA & India — onshore-offshore synchronisation and end-to-end programme accountability.

80% CCDA generation performance gain via targeted architectural redesign and database query optimisation.

Expert in U.S. healthcare interoperability — HL7, FHIR, CCDA, ECR, XDS/XDR/XDM, SMART on FHIR; Mirth Connect Certified.

Migrated Symphonia (paid) → NHapi (open-source) — full HL7 parsing integrity maintained, licensing costs eliminated.

Multiple new feature proposals and architectural improvements adopted into product across releases.

Primary contact for client calls & critical production incidents — resolved high-severity issues under pressure with minimal business disruption.

Drove architectural improvement initiatives — CI/CD pipelines, code review guidelines, production support protocols.

Star Award, Pat on Back & multiple Spot Awards — sustained recognition for delivery excellence over 13 years.

Hackathon idea appreciated by CEO & CTO — engineering innovation aligned directly with business strategy.

19+ years in software engineering with a blend of hands-on architecture, delivery ownership, and stakeholder management.

12+ years in U.S. healthcare IT focused on interoperability-heavy products where compliance, domain accuracy, and stability matter.

Led distributed teams of 10+ engineers across India and the USA with accountability for planning, execution, and delivery quality.

Deep interoperability expertise across HL7 v2/v3, FHIR, CCDA, ECR, XDS/XDR/XDM, SMART on FHIR, and Mirth Connect.

Strong Microsoft engineering stack across C#, .NET, ASP.NET MVC, Web API, SQL Server, WPF, CI/CD, and TDD/BDD practices.

80% improvement in CCDA generation performance achieved through targeted architecture changes and database query optimization.

Reduced vendor dependency and licensing cost by leading the Symphonia to NHapi migration without compromising HL7 parsing integrity.

Trusted during critical production situations as a client-facing technical lead for incident handling, recovery coordination, and escalation management.

Recognized for sustained delivery and innovation through Star Award, Pat on Back, multiple Spot Awards, and CEO/CTO appreciation.

Experience

Where I've done the work

Oct 2012 — Feb 2026 · 13 years Most Recent

Sr. Staff Engineer / Engineering Lead

NextGen Healthcare India Pvt. Ltd. · Bangalore

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Led a geographically distributed team of 10+ members across the USA and India — managing delivery cadence, onshore-offshore synchronisation, and end-to-end programme accountability as both Engineering Lead and Scrum Master.

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Improved CCDA generation performance by 80% through targeted architectural redesign and database query optimisation — one of the highest-impact technical contributions across the entire product line.

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Deep expertise across U.S. healthcare interoperability standards — HL7 v2/v3, FHIR, CCDA, ECR, XDS/XDR/XDM, and SMART on FHIR; Mirth Connect Certified Professional; U.S. Connectathon participant.

▲

Eliminated vendor licensing costs by leading the full migration from paid Symphonia to open-source NHapi, maintaining complete HL7 parsing integrity throughout — reducing operational overhead significantly.

▲

Drove multiple new feature proposals and architectural improvement initiatives — translating client feedback, production learnings, and domain knowledge into concrete product enhancements adopted across releases.

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Primary point of contact for client calls and critical production incidents — consistently resolving high-severity issues under pressure with minimal business disruption and clear stakeholder communication.

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Established engineering standards: CI/CD pipelines (Jenkins), code review guidelines, production support protocols, and quality gates — lifting the overall bar for delivery consistency.

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Recognised across multiple award programmes: Star Award, Pat on Back Award, and multiple Spot Awards — reflecting sustained contributions to quality, delivery excellence, and team culture over 13 years.

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Hackathon idea personally appreciated by the CEO and CTO — demonstrating ability to innovate beyond day-to-day delivery and align engineering thinking directly with business strategy.

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Built internal productivity tooling (G2J Gherkin-to-Jira converter, XML utilities) to automate QA and development workflows, reducing manual effort and improving sprint throughput.

Apr 2008 — Oct 2012 · 4.5 years Previous

Software Engineer (Onsite — Dell Technologies)

UST Global

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Delivered client-facing enterprise software solutions onsite at Dell Technologies, working within large-scale .NET systems and collaborating with international stakeholder teams.

Mar 2006 — Mar 2008 · 2 years Previous

Software Engineer

Satyam Technology (now Tech Mahindra)

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Foundation years in enterprise software delivery — building domain depth across .NET, systems integration, and full-stack development in production-grade environments.

Engineering leadership grounded in craft

What I bring to the table

Results, not responsibilities

Where I've done the work

Credentials that compound