From Clinical Insight to AI-Driven Execution: Building the World’s Most Advanced Healthcare GCC on the Salesforce Ecosystem
By Dr. Paramjit “Romi” Chopra, MD
Founder & CEO, CIMSS Innovative Solutions | Tenured Associate Professor of Radiology, Rush University Medical Center | Academic Medicine, Harvard
Building the Future of Healthcare at the Intersection of Clinical Excellence and Global Innovation
Healthcare transformation demands more than technology. It requires a deep understanding of medicine, human behavior, data, and systems, coupled with the ability to execute with precision at global scale. Today, I am proud to share a milestone that reflects years of deliberate architecture, clinical insight, and strategic vision: the establishment of RCG Digital Health E-Systems Pvt. Ltd., India’s first healthcare transformation Global Capability Center (GCC) built entirely on the Salesforce ecosystem.
This announcement represents far more than geographic expansion. It signals our commitment to transforming global healthcare through the convergence of clinical excellence, enterprise-scale engineering, and intelligent, patient-centered care delivery.
The Architecture of Global Healthcare Transformation
Throughout my career, from Harvard to academic medicine at Rush University to founding MIMIT Health and establishing CIMSS Innovative Solutions, I have maintained one core belief: healthcare innovation must bridge the gap between intellectual rigor and real-world implementation. The fragmentation plaguing today’s healthcare systems resembles buying a car and then shopping separately for its engine, wheels, and seats. This approach produces neither efficiency nor compassion.
RCG Digital Health E-Systems represents our response to this challenge. Operating at the intersection of healthcare, cloud engineering, and enterprise digital transformation, RCG serves as the innovation and delivery engine powering our integrated model across the United States, India, and the UAE. Our teams work exclusively within the CIMSS ecosystem, including MIMIT Health, Budhimon Business Solutions, and emerging partnerships spanning three continents.

A Category-Creating Global Capability Center
In India’s rapidly emerging GCC landscape, RCG stands distinctly apart as one of the first centers dedicated entirely to end-to-end healthcare transformation. What makes this model transformative is its integration of capabilities rarely found under one roof:
Healthcare-First Architecture: We combine clinical, operational, and technical expertise, enabling us to operate as a true healthcare transformation engine rather than simply a technology provider. Every solution is built to empower providers and elevate patient care. Technology augments the relationship between clinician and patient; it never replaces it.
Salesforce-Native Excellence: Our deep expertise spans Health Cloud, Data Cloud, Marketing Cloud, MuleSoft, OmniStudio, and Einstein AI, enabling platform-driven care at enterprise scale. This infrastructure operates much like the human body, where data flows like nerve signals, the cloud acts as the spinal cord, and analytics become the brain’s processor.
AI and Predictive Intelligence: We build clinical risk engines, predictive cancellation models, and enterprise intelligence using Snowflake and Data Cloud, making healthcare systems more proactive and cost-efficient. Our clients have achieved up to 459% ROI in 90 days, backed by real patient impact, reduced cancellations, and rapid operational improvements.
24×7 Global Operations Engine: RCG supports clinical workflows, revenue cycle operations, digital engagement, authorization, eligibility, and patient journey orchestration around the clock. This capability enables what we call “omnichannel healthcare delivery,” allowing patients to connect with their providers through email, text, or Slack, instantly and seamlessly.
Intellectual Property Development: We develop reusable accelerators, FHIR integration templates, chronic care protocols, blueprint libraries, and operating models deployed across multiple geographies. This IP-driven approach accelerates implementation while ensuring clinical validity and operational excellence.
The Strategic Imperative of the GCC Model
The GCC model represents one of India’s most transformative economic success stories, enabling global enterprises to access world-class engineering talent, data science capability, and operational excellence. For CIMSS and our affiliated entities, RCG provides the structural foundation for several strategic imperatives:
Rapid Global Scale-Up: Healthcare transformation programs can now be deployed with the velocity and rigor that modern health systems demand.
Cost-Efficient Digital Acceleration: By integrating clinical expertise from the United States, engineering depth from India, and regional expansion capabilities from the UAE, we operate as a unified global organization optimized for efficiency and impact.
Continuous Innovation: Our teams deliver ongoing advances across clinical, operational, and technical domains, ensuring our partners stay at the forefront of healthcare transformation.
Proprietary Healthcare IP: The development of specialized intellectual property creates sustainable competitive advantage within the global Salesforce ecosystem.
Competitive Differentiation: Our ability to define problems first, then apply purpose-driven Salesforce solutions, distinguishes us in a crowded marketplace.

Our Unified Global Footprint
The strength of our model lies in the intentional integration of complementary capabilities across geographies:
CIMSS Innovative Solutions (United States) provides strategic leadership, clinical IP development, executive oversight, and primary architecture.
RCG Digital Health E-Systems Pvt. Ltd. (India) delivers engineering excellence, advanced analytics, global delivery operations, and IP development.
Budhimon Business Solutions FZE (UAE) drives regional expansion, partnership development, and market acceleration across the GCC region.
MIMIT Health (United States) serves as our living clinical laboratory where innovation is tested, validated, and scaled in real-world care environments.
This architecture enables us to maintain academic excellence while driving practical healthcare improvement at global scale.
Comprehensive Capabilities Driving Healthcare Forward
RCG’s mandate reflects the purpose of the world’s most advanced GCCs: build scalable digital platforms, develop specialized IP and implementation blueprints, operate clinical and business processes with rigor and integrity, serve as the engineering and analytics core of a multinational healthcare enterprise, and deliver continuous innovation across cloud, data, and AI technologies.
Our core capabilities span the full healthcare transformation spectrum:
Salesforce Engineering and Architecture including full lifecycle implementation across Health Cloud, Data Cloud, Marketing Cloud Growth Edition, Experience Cloud, and OmniStudio.
Interoperability and Integration through MuleSoft, FHIR/HL7 standards, payer and hospital data integration, lab interfaces, claims ingestion, and care plan synchronization.
Clinical Operations and Medical Business Process Management providing a complete engine supporting revenue cycle, authorization, eligibility, and clinical documentation.
AI, Data Science, and Predictive Modeling delivering advanced segmentation, dashboards, predictive models, risk scoring, medical pathway analytics, cohort engines, and enterprise data pipelines.
Digital Health Experience Design creating patient engagement journeys, omnichannel communication, content personalization, and self-service healthcare portals that remove friction at every touchpoint.
Enterprise Program Delivery utilizing TaskRay-driven delivery systems, PSQuotes for SOW automation, and global governance frameworks across pre-sales, implementation, and outcomes.
Balancing Purpose and Performance
As I shared recently during my keynote at Dreamforce, “We combine purpose and profitability. When you focus on helping people live their best lives, success follows naturally.” This philosophy guides every decision we make at CIMSS and RCG.
Healthcare transformation will not emerge from isolated academic research or technology-focused entrepreneurship alone. The future belongs to leaders and organizations that can integrate intellectual rigor with operational execution, combining the best aspects of academic medicine with the scalability and agility of modern healthcare innovation.
RCG Digital Health E-Systems represents our belief that the future of healthcare will be built at the intersection of clinical excellence and technological innovation. Through our GCC in India, we are building that future responsibly, deliberately, and with purpose.
The Path Forward
Contemporary healthcare transformation demands leaders and organizations that can synthesize multiple competencies: intelligence with execution, ethical standards with economic viability, vision with measurable velocity. It requires physician leadership in healthcare technology development, ensuring that innovation serves clinical needs rather than technological capabilities.
The establishment of RCG Digital Health E-Systems positions CIMSS to deliver on this promise at unprecedented scale. We are not simply deploying technology; we are architecting the future of intelligent, compassionate, data-driven healthcare delivery.
To our partners, investors, and future collaborators: this is an invitation to join us in transforming healthcare with intelligence, compassion, and precision. Together, we will accelerate the global healthcare ecosystem’s shift toward intelligent, patient-centered, digitally enabled care that puts the “care” back in healthcare.


About Dr. Paramjit “Romi” Chopra
Dr. Chopra is a world-renowned interventional radiologist, healthcare futurist, and Tenured Associate Professor of Radiology at Rush University Medical Center with over 30 years of experience in interventional radiology and endovascular therapy. As Founder and CEO of MIMIT Health and CIMSS Innovative Solutions, he has pioneered the integration of clinical excellence with enterprise-scale digital transformation, creating scalable models that empower physicians and improve patient engagement while maintaining the compassion that defines true care. Dr. Chopra blends his Eastern roots with extensive Western medical experience, creating a holistic philosophy that treats patients’ mind, body, and spirit.
For Partnership, Collaboration, or Media Inquiries
Contact: info@cimss.com
Website: www.cimss.com
Locations: Chicago, USA | Noida, India | Dubai, UAE