Michoel Burger

Staff engineer at R1 RCM, counselor in training at NYU, and intern at Alloy Psychotherapy.

I've been building software for over fifteen years, mostly in healthcare. I was a founding engineer at Hospital IQ, managed engineering teams at Regard, spent a few years at Neuroflow working on behavioral health, and I'm now a staff engineer at R1 RCM. A lot of that work has been EHR integrations, data infrastructure, and figuring out how to get useful clinical tools into the hands of people who actually need them.

Along the way I noticed that the parts of my job I cared about most weren't really about code. They were about sitting across from someone on my team who was going through something hard and being useful in that conversation. I kept gravitating toward the people stuff — mentoring, hiring, helping folks navigate rough patches.

So now I'm also getting my MS in Mental Health Counseling at NYU Steinhardt, and I'm seeing clients as a counseling intern at Alloy Psychotherapy in New York. I don't plan to pick one career over the other.

Clinical Interests

Trauma-Informed Care · Couples & Family Counseling · Men's Mental Health · Anxiety & Depression · Psychedelic-Assisted Therapy · Multicultural Counseling · Substance Use & Addictive Disorders

Technical Strengths

Cloud & Infrastructure (AWS, GCP, Kubernetes) · EHR Integrations (Epic, Cerner, Athena) · AI/ML & LLMs · Health Data Systems (FHIR, HL7) · Security & Compliance (HIPAA, SOC 2, HITRUST, FedRAMP) · Python, TypeScript, PostgreSQL

Clinical & Counseling

Counseling Intern

Alloy Psychotherapy · New York, NY

2026 – Present

  • Individual psychotherapy with adult clients under licensed supervision
  • Intake, assessment, treatment planning, and case documentation

MS, Mental Health Counseling

NYU Steinhardt School of Culture, Education, and Human Development

Expected 2027

  • Coursework in individual counseling theory, cross-cultural counseling, substance-related disorders, abnormal psychology
  • In progress: marriage, couple & family counseling; vocational development

Crisis Text Counselor

Crisis Text Line

2020 – 2021

  • Supported people in crisis — suicidal ideation, self-harm, depression
  • Risk assessments, safety planning, and working with supervisors on high-acuity cases

Course Developer & Mentor

Learning Lions · Turkana, Kenya

2018

Helped bring tech education to rural Kenya through course development and one-on-one mentoring.

Technology & Leadership

Staff Engineer

R1 RCM · Healthcare revenue cycle

2026 – Present

Senior Staff Engineer

Neuroflow · Behavioral health technology

2023 – 2026 (promoted from Director of Engineering)

  • Set architecture direction across multiple engineering teams
  • Built the health data automation engine and EHR integration platform
  • Rolled out AI coding tools across engineering with governance guardrails

Engineering Manager

Regard · Series B healthtech

2021 – 2023

  • Managed a 6-person team across Product and Platform
  • Reduced EHR integration timeline from 12 months to 29 days
  • Owned HIPAA and SOC 2 compliance; cut AWS costs by 25%

Staff Software Engineer

Hospital IQ (acquired by LeanTaaS)

2015 – 2020

Founding engineer. Grew into the architect role as the company scaled, and worked closely with the data science team on getting ML models working well in production.

Lead Software Developer

YouVisit (acquired by EAB)

2013 – 2015

Technical lead for an 8-person team during rapid growth.