Episode Information
Angie Cosca’s career journey challenges every assumption about traditional tech career paths. Starting with no formal computer science education, she taught herself HTML using Notepad, worked her way up through help desk support, and eventually became CIO of a major healthcare organization – all while staying with the same company for 23 years.
Her story demonstrates the power of curiosity, relationship-building, and continuous learning in creating a successful technology career.
Formal education isn’t required for tech success, but continuous learning is non-negotiableTaking on responsibilities beyond your job description opens unexpected opportunitiesBuilding relationships across the organization matters as much as technical skillsUnderstanding business workflows and pain points enables better technology solutionsCollaborative hiring processes involving other departments improve team dynamicsSecond opinions and diverse perspectives strengthen decision-makingTechnology professionals in healthcare indirectly save lives by ensuring reliable systemsVendor relationships should be partnerships, not just transactionsAI implementation requires careful change management to avoid employee fearAngie Cosca serves as Chief Information Officer at Steinberg Diagnostic Medical Imaging (SDMI), where she oversees IT infrastructure, compliance, and security for 12 locations serving 550+ employees. The organization processes approximately 500,000 diagnostic studies annually, including MRIs, CTs, X-rays, and ultrasounds.
Beyond her corporate role, Angie is President of ISSA Las Vegas and dedicates extensive time to mentoring through IT Works, a 16-week intensive program helping disadvantaged students transition into technology careers.
IT Works: 16-week intensive IT program for disadvantaged studentsISSA Las Vegas: Information Systems Security Association chapterPACS: Picture Archival Communication System for medical imagingUNLV Negotiation Course: Referenced for professional developmentThe Power of Curiosity: How asking “why” and observing workflows leads to better solutionsVendor Partnership Strategy: Building relationships beyond transactional interactionsMentorship Impact: The long-term relationships formed through programs like IT WorksHealthcare Technology: Understanding the life-saving implications of reliable IT systemsLinkedIn: https://www.linkedin.com/in/angeline-cosca/ISSA Las Vegas: https://www.lvissa.org/ TranscriptionManuel Martinez: Welcome everyone. My name is Manuel Martinez, and this is another episode of Career Downloads. Where each episode, I basically hit the refresh button and bring on a different guest to learn more about their background and their experiences, to really help uncover any actionable advice that you can use as you’re managing your own career. I’m excited for today’s episode because I have with me Angie Cosca, and she is a CIO here in, for the medical industry within Las Vegas. So again, I’m very excited to kind of understand her journey, where she kind of started and eventually how she ended up in her role. So with that, I’ll introduce Angie. Hi Angie.
Angie Cosca: Hi, thank you for having me, Manuel.
Manuel Martinez: I appreciate you coming on and being open to kind of sharing your experiences.
Angie Cosca: I’m excited.
Manuel Martinez: So if you don’t mind, can you just kind of tell us what your current role is and just some of the roles and responsibilities that you fulfill on a daily basis for the most part?
Angie Cosca: Sure. So I am currently the Chief Information Officer for Steinberg Diagnostic Medical Imaging. For some of the audiences that know what this is, it’s a radiology center. We have 12 locations here, and we handle about half a million studies a year. And the studies are your MRIs, your CTs, your X-rays, ultrasounds, a whole gamut of diagnostic images itself. So, and we also have over 550 employees as well. We have here with 12 locations. My main responsibilities really is the IT infrastructure, compliance and security. So as you can tell, I fight every day because you have operations and security, but I do manage the servers, the networks, computers, even the applications, we support all of that. At the same time, we also make sure that we are complying with PCI, HIPAA, and then security as well. I am also in charge of the physical security of the organization as well. Yeah, so a lot.
Manuel Martinez: Yes, it sounds like it keeps you busy.
Angie Cosca: It does, it does, yeah.
Manuel Martinez: So if you don’t mind now, kind of tell me a little bit about kind of where you grew up and then eventually what got you kind of interested or involved in technology.
Angie Cosca: Yeah, so I was born in the Philippines, but I grew up in Guam. So I’m not sure if you know where Guam is. It’s a little island of nowhere, pretty much, yeah. But for the most part, that’s where I grew up, all the way up through my early adulthood there. But I didn’t get into computers until college, which is the early 90s. I am completely aging myself now.
Manuel Martinez: We’re around the same age, so don’t worry about it.
Angie Cosca: Okay, so in the early 90s, I went into college during the freshman year. I wasn’t really touching computers until I was required to do it for word processing and stuff like that. But I wasn’t really interested in computers until the internet boomed at that time in Guam. The fact that you can go to the library and search the national libraries in the United States instead of just what’s in Guam, that was amazing because there’s so much information now that you can get. And then I think the IRC also boomed at that time. So just being in the middle of nowhere and being able to talk to people in the US or internationally, I was talking to people from the Netherlands and Spain. That was just very intriguing to me at that time. And I knew at that time when the internet boomed, it was like computers, the way to go. So I learned everything about computers then. I started building my own BBBs, playing Doom. Those are like my favorite past times is playing Doom with my friends. And instead of being on the phone for hours, I’m on the computer for hours, either it’s IRC or playing Doom and stuff like that. So that’s how my career started or at least how it piqued my interest in IT. I don’t remember how I met my previous boss then, but I was offered a job to do a website for Guam. It was a really huge website. We’ve never really had websites and because the internet just started. So it was a website for a huge telecommunications company. It’s similar to what AT&T is here to Guam. So it’s what everybody uses them for cell phones, telephones and all those services and stuff like that. So I was part of that team that actually built this website. So I learned how to code. I had to look at HTML coding, just looking at all the websites. Then they’re all basic websites that I’m researching, but I learned how to do everything through Notepad. Not fun.
Angie Cosca: But I knew I wanted to do some kind of web design work. So I went ahead and accepted the job. So I did my research, looked at every websites and just figured it out myself. Okay, how do you do websites? Okay, you need to do the heading here, blah, blah, blah. You need to have to do images here. And then I also decided, okay, I need to do graphic design too. If we’re gonna do a website, we’re gonna have to have good graphics. So I learned graphics myself too. All of these are self-taught. They didn’t really have really good books or online books at that time. So I taught myself that. I started sitting down with graphic students at the college at that time, the university in Guam. I sat down with them and I said, show me how to do some things. How do you blur this? How do you make this better, bigger? So I did all that and learned it all myself with Photoshop. Photoshop was easier then.
Manuel Martinez: It wasn’t so complicated back then.
Angie Cosca: No, not like now. Yeah, but so yeah, it’s really self-taught because there’s not much resources then. But I loved it and I knew it was for me after I realized that I spent three days, no sleep, and I just wanted to get things done. And I was so happy to see the fruits of my labor after that. So that’s what got me into computers for sure, yeah.
Manuel Martinez: And when you were in college, what did you think you were gonna study at the time?
Angie Cosca: Oh, I was one of the students that had no idea what we were gonna do.
Angie Cosca: Yeah, as a Filipina, my mom always thinks I’m gonna be a doctor or a nurse.
Angie Cosca: I hated biology.
Manuel Martinez: You’re like this is not for me.
Angie Cosca: It wasn’t for me, but that was like the standard for Filipinos there. You have to be either, but I knew it wasn’t what my future would be. So I just like, okay, I’m...