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About OPOS

Pain care without boundaries. 


OPOS is focused on one single objective. Safely maximizing quality of life!

OPOS was founded by a group of experienced healthcare providers, data scientists, information technology experts and seasoned business professionals. OPOS provides a comprehensive range of products and services to enable physicians and organizations to safely and effectively manage populations receiving chronic opioid therapy.

​We want to ensure that prescribers have the best tools for opioid clinical decision support and have access to pain specialists from within the primary care setting. Whether it is our pain specialists participating in your medical practice, or you prescribing opioids to your patients using our tools, we are your partner in practice growth and risk management.


The word opium is derived from the Greek word op(ós) which means "juice". This is a reference to obtaining opium by making an incision in the unripe seedpod of the poppy and collecting milk, or the juice, from the plant. 

In The News

OPOS In The News

National Science Foundation Logo

An Opioid Taper Clinical Decision Support Tool for Use in a Primary Care Outpatient Setting

American Academy of Pain Medicine & MIT Hacking Finalist

TOP Patient Monitoring Solution Providers

Brose W.G., Datta D., Kromelow J. (2020) Clinical Use of Opioids for Chronic Pain. In: Noe C. (eds) Pain Management for Clinicians. Springer, Cham. 

The OPOS Team

The OPOS Team

Experience matters.

Justin Kromelow

Founder and CEO

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Prior to founding OPOS, Justin served as CEO of Health Education for Living with Pain (HELP). HELP was the largest chronic pain provider network in the US. and a pioneer in the development of telemedicine. During his 10 years at HELP, he transformed direct patient care into a functionally based telemedicine model, enabling rural areas to have access to specialist care. Through this pioneering work in telemedicine, patients received interdisciplinary team treatment support when and where they needed it, rather than within the confines of scheduled medical office visits. Prior to HELP, he founded several companies over two decades providing thought leadership, executive consulting, systems development and integration services spanning Healthcare and Life Sciences. He founded Phyxe, a knowledge analytics firm that developed predictive models of physician behavior and Digital Medical Systems, as Chief Technology Officer, developing an electronic medical record and secure distributed healthcare transaction platforms. A principal interest throughout his career has been the application of technology to transform healthcare.

William G Brose, MD

Chief Science Advisor


Dr. Brose is an Anesthesiologist and Board Certified Pain Specialist with over 25 years of experience in chronic pain treatment, consulting, research, and teaching.  Dr. Brose was recruited to a prominent academic medical center to create a Pain Management Service, which he then directed until 1997. Dr. Brose continued his pain management focus, developing one of the first Interdisciplinary Pain Rehabilitation Programs in California, the HELP program (Health Education for Living with Pain). For over 20 years HELP provided functional restoration programs and medication optimization and detoxification services, with focus on non-medical strategies to treat chronic pain. Currently, in addition to treating patients in the California Bay Area, Dr. Brose provides forensic and compliance consulting on chronic pain and opioid management for providers, payers, and public health systems. He also currently serves as an Adjunct Clinical Professor of Anesthesia Perioperative Medicine and Pain Management at a prominent academic medical center.

Linda Heigel, RN

Chief Operating Officer


As the Chief Operating Officer, Linda brings nearly four decades of healthcare experience to the OPOS team, with 15 years in pain management and clinical leadership. While a staff nurse in pain management, Linda dedicated herself to ensuring continuity of care for patients on chronic opioid therapy while adhering to regulatory compliance and medical board requirements. Linda’s expertise is systems and process optimization designed to improve patient outcomes and increase staff engagement while ensuring the sustainability of the healthcare organization. Linda has served in executive leadership roles at the Cleveland Clinic and Stanford Healthcare. Linda has a Master of Science Degree in Nursing with a focus on executive leadership and is double Board Certified by the ANCC as a Nurse Executive-Advanced and Ambulatory Nurse. Linda is an active member of the American College of Healthcare Executives, the American Organization of Nurse Executives, and the American Academy of Ambulatory Care Nurses.

Tracy Jackson, MD

Chief Medical Officer


Board Certified in Anesthesiology, Pain Medicine, Addiction Medicine, Health-Wellness coaching, certification in yoga, and acupuncture.  Prior decade on faculty at Vanderbilt University and the Osher Center for Integrative Medicine, performing interventional/integrative pain medicine while designing and implementing educational curricula.  Published clinical researcher, speaker, policymaker, expert witness, consultant, providing broad and practical experience for every aspect of complex interdisciplinary pain management involving opioids.

Rao Mikkilineni, Ph D.

Chief Technology Officer


Dr. Rao is a seasoned business executive and technologist who brings business perspectives and technology insights from four decades of professional experiences spanning at global corporations such as AT&T Bell Labs, Bellcore, US West, Network Programs, Fujitsu, and Hitachi Data Systems. He is a well-known speaker and author of several publications along with five granted patents. He published a book "Designing a New Class of Distributed Systems" in 2011 and presented a paper on a new computing model in the Turing centenary conference in 2012. He is a pioneer in the creation of self-managing applications.

Dr. Rao received his PhD from University of California, San Diego in 1972 working under the guidance of prof. Walter Kohn (Nobel Laureate 1998).  He later worked as a research associate at the University of Paris, Orsay, Courant Institute of Mathematical Sciences, New York and Columbia University, New York. He also  lived and worked in Japan as the General Manager of Network Programs and has an MS degree in Japanese Management from Japan American Institute of Management Science and Sophia University.​

Cynthia Glidewell, RN

SVP Clinical Engagements


Cyndi's consulting background experience transects business, clinical, and regulatory compliance.  As a Health Care and Life Sciences consultant for Capgemini and Accenture, she traveled extensively throughout the US and Europe providing creativity, guidance and oversight in the development and implementation of Quality Systems and Regulatory Compliance.  As a Certified Public Health Nurse, she brings that same diligence and expertise to the clinical environment.  Much of her work over the past 15 years has been in the research, development, design and implementation of programs for the management of patients with chronic pain and use of opioid medications.  The combination of business, regulatory, and clinical experience brings a holistic insight to her consulting approach.

Julie Carey Josefsberg

SVP Product Management & Founder


Julie has 15 years of healthcare product and operations experience, with a specific focus on chronic pain management. Prior to OPOS, as VP of Product Operations at HELP Practice Management, Julie worked to build, launch, and manage chronic pain products and services, including opioid management programs, affiliate provider programs, and patient education programs through office, telemedicine, and group appointment delivery models. Julie brings the unique perspective of clinical and regulatory domain expertise combined with real world practicality that enables technology to be transparent to the end user.

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