Recognizing 100 CEOs & C-level Executives

Jay Nakashima

Executive Director

eHealth Exchange

Location: Vienna, Virginia

Founded: 2006

Industry: Non-Profit

Innovation in healthcare technology requires both vision and execution—qualities that define Jay Nakashima’s leadership at eHealth Exchange. As executive director, he has led the nonprofit health information network to new heights, ensuring seamless data exchange between organizations nationwide. Over the past three years, eHealth Exchange has expanded its partnerships, improving accessibility and security in medical records sharing. His efforts have led to one of the largest health information networks in the U.S., facilitating the exchange of millions of health records and empowering providers with real-time, secure access to patient data. His leadership has played a pivotal role in shaping national policies around health information interoperability, ensuring that digital health systems continue to evolve to meet modern healthcare demands.


Nakashima’s career began in the tech sector before transitioning into healthcare IT, where he recognized the pressing need for interoperability in an industry historically plagued by fragmented data systems. Without a connected infrastructure, patient care can be delayed, redundant tests can be ordered and critical health information can be inaccessible when needed most. His leadership has transformed eHealth Exchange into a model for secure, real-time data transmission, with a strong emphasis on expanding interoperability and ensuring compliance with national healthcare standards. Under his direction, the organization has developed solutions that integrate seamlessly with electronic health records, streamlining data exchange across government agencies, hospitals and private healthcare systems. These advancements have led to significant cost savings for healthcare providers while improving the overall quality and efficiency of patient care.


Named a First-Year Titan 100 Honoree, Nakashima has championed the expansion of eHealth Exchange’s federal partnerships, working closely with organizations such as the Department of Veterans Affairs and the Department of Defense to ensure that active-duty military personnel, veterans and their families have uninterrupted access to their medical records regardless of where they receive care. His ability to collaborate across public and private healthcare sectors has led to stronger nationwide health data policies and greater interoperability between networks. Additionally, his commitment to cybersecurity has driven advancements in data protection measures, reinforcing trust in digital health solutions. With his leadership, eHealth Exchange continues to pave the way for the future of healthcare IT, ensuring that technology remains a powerful tool in advancing patient care and operational efficiency.


Under Nakashima’s guidance, eHealth Exchange continues to set the standard for connectivity in healthcare, proving that technology can bridge critical gaps in patient care and operational efficiency. His vision is to see nationwide health data interoperability become the norm, eliminating redundant paperwork and administrative burdens so that healthcare providers can focus more on patient outcomes. By continuously advocating for innovation, scalability and security in health data exchange, he is leading a revolution in how medical information is accessed and utilized across the country.


His leadership ensures that eHealth Exchange remains at the forefront of healthcare IT, empowering a future where seamless, secure data sharing is an essential pillar of better patient care. Nakashima’s work has not only modernized healthcare data systems but has also positioned eHealth Exchange as an indispensable force in the evolution of digital health interoperability.

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Advocating for innovation, scalability and security in health data exchange, he is leading a revolution in how medical information is accessed and utilized across the country.

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