Karan Krishnani
Fractional CTO & Lead Engineer | Custom Software Development for Government, Healthcare & Enterprises
15 yrs experience · New York, NY · <10 hrs/week
About
With over 15 years of experience in building and scaling custom software products, I combine technical strategy with a product mindset, focusing on customer experiences. My background includes working with large enterprises like NYU Langone Health and public sector clients such as the Department of Veterans Affairs, as well as smaller non-profits and startups. My expertise spans web applications, backend platforms, chatbots, and solutions tailored to drive business outcomes. In recent years I have led government and healthcare digital transformation initiatives at ThoughtWorks, delivering scalable platforms and self-service tooling.
Skills
Experience
- Technical Lead / Developer – Government Agency · ThoughtWorks Inc.2022 – 2024
Headed development projects as the technical lead for government software solutions in Washington, DC (Remote). Drove design, implementation, and maintenance of scalable systems; created self-service platforms leveraging advanced chatbot technology; collaborated across departments to optimize architecture and delivery.
- Technical Lead / Developer – Non-Profit (Investigative Journalism) · ThoughtWorks Inc.2020 – 2022
Oversaw the development of a web-based case management system to improve police accountability. Implemented modern engineering practices (TDD, pair programming) to deliver scalable, accessible tooling for public-interest journalism and cross-team collaboration.
- Technical Lead / Developer – Hospital (Radiology Department) · ThoughtWorks Inc.2019 – 2020
Led the development of a patient-facing digital platform to enhance radiology service access, scheduling, and staff efficiency. Coordinated cross-functional teams, integrated hospital management systems, and ensured reliability and regulatory compliance.
- Technical Lead / Developer – Hospital (Patient Digital Experience) · ThoughtWorks Inc.2017 – 2019
Directed development of a patient-centric digital experience across hospital systems, improving user experience and reducing operational burdens. Implemented CI/CD pipelines and tested microservices to ensure reliability and regulatory compliance.
Education
- Stony Brook University
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