The rare blend most Med VAs can't offer
I'm John (Joshua) Millanes, a Virtual Medical Assistant and systems & automation enthusiast.
I've spent years supporting U.S.-based clinics in neurology and other specialties, helping manage the day-to-day operations that keep practices running smoothly. Along the way, I discovered that I enjoyed building systems just as much as using them.
What started as tinkering with Linux and self-hosting turned into a passion for automation, homelabbing, and software development. Today, I maintain a Proxmox homelab, build WordPress plugins and custom tools, and run a small game-server hosting business.
These days, my work sits at the intersection of healthcare operations and technology. Beyond clinical and administrative support, I create automations, integrations, and internal apps that make processes more efficient and reduce manual work.
Most Medical VAs know how to operate the software. I enjoy understanding how it works, and building better ways to use it.
How I got here
Healthcare & Automation Specialist
The role where my clinical and technical skills meet. On the clinical side I handle scheduling, prior authorizations, and converting GoHighLevel leads into patients, and I led a data migration across multiple EMR systems. On the technical side I build and maintain automation workflows in GoHighLevel, wire up webhook/API integrations with Zapier and n8n, develop cross-platform and web apps, and build the WordPress plugin suites powering both platforms.
Virtual Medical Assistant
Assisted patient navigators, prepared data-analysis reports, managed medical records, served as executive assistant to clinical directors, and handled appointment scheduling and prior authorizations.
Virtual Administrative Medical Assistant & Clinic Team Lead
Led a remote team and oversaw patient scheduling. Coordinated with claims adjusters and nurse case managers on treatment and authorization status, handled medical records and electronic paperwork, managed inbound/outbound calls, and tracked daily work status.
Customer Service Representative
Handled inbound customer concerns for major U.S. clients including Caesar's Entertainment and Target.
B.S. in Information Technology
What I build
Two platforms I build and maintain for a single client.
Cross-platform mobile app
Built with Flutter for Android and iOS, currently in active testing (TestFlight on iOS, beta on Android). It's the front door to a large community platform I also power on the web, a suite of WordPress plugins I built from scratch, with GoHighLevel automation and API integrations wiring the member workflows together.
Clinical staff dashboard
A custom EMR integration with a private staff dashboard for clinic operations. I built a server-side integration against a FHIR API using SMART Backend Services (JWT-bearer auth, US VPN egress for compliance), exposed through a Flask API and a React dashboard that surfaces patient charts, clinical notes, and a multi-provider schedule, fully containerized with Docker. The system is HIPAA-compliant and built to protect PHI end to end: scoped read-only access, secure session handling, and no patient data left exposed.
Built from scratch
The plugin suite powering the hunting club's community platform, built, maintained, and extended by me.
Core Platform Plugin
The foundation tying the whole community system together, the largest in the suite at 245+ files, handling member identity, permissions, and cross-plugin infrastructure.
245+ filesMember Portal & Stats
Member dashboards with player statistics, activity tracking, and personal profiles surfaced through WordPress user accounts.
Rank Manager
Tiered ranking and progression system: administrators assign ranks, members earn promotions, and the community sees the ladder.
Matchmaker
A matchmaking system that pairs members for events, hunts, or competitions, configurable criteria, scheduling, and notifications.
Map Manager
Interactive map with location management: members submit spots, admins curate, and everyone navigates the shared geography.
Submission & Content Credits
Member content submission system with attribution, crediting, and admin review workflows.
Tag-based Content
Custom content-tagging and filtering system that organizes member-submitted content by flexible, dynamic categories.
What I work with
Healthcare / VA
Automation
Development
Infrastructure
Design
Things I build on my own time
Side projects I build for the love of it, where curiosity turns into working software.
Scourge Servers
A game-server hosting business at scourgeservers.org. What started as hosting an Arma 3 Exile server grew into a real service: a data center in Cebu, Philippines, 10–70ms low latency for PH players, and 24/7 uptime. Hosts games like Project Zomboid and communities such as MayhemPH and The Ancient of Days. The whole platform (storefront, game-server management, hosting, and billing) runs on a WordPress plugin suite I built myself.
Scourge-Sim
A text-based survival game engine in Python, focused on systemic simulation depth over graphics. An ongoing experiment in deep game mechanics, emergent behavior, and clean engine architecture.
Plugins & Tools
- Manager: the core management plugin, Dockerized with its own frontend & backend
- Game Servers: game-server provisioning & management
- Hosting: hosting plans, billing, and customer workflows
- Homepage & Addons: the storefront and supporting feature modules
- WordPress MCP tooling: custom MCP integration for AI-assisted site management
Most source is private, but I'm happy to walk through any of it on request.