Healthcare AI · Fractional CTO · LLM & agent systems

Healthcare AI, shipped to production.

Twenty years building HIPAA-grade software. Now I build LLM and agent systems that replace your rules engines, automate clinical operations, and survive a SOC 2 audit. Quietly. With evaluations. With governance.

20 years building healthcare software, end to end

  • AltitudeHead of Engineering
  • aptihealthCTO
  • Brightside HealthSr. Director, Eng
  • New Ocean HealthCTO
  • Walgreens / Take CareSr. Engineer

The gap

Most teams are stuck between “AI exists” and “AI is doing the work.”

The healthcare companies that need AI most are the ones that can least afford a wrong move. HIPAA. SOC 2. HITRUST. Auditors who read your prompts. Clinicians who lose trust on the second bad output. Boards that wanted a launch last quarter.

The cheap version of an AI consultant ships a Zapier graph and a ChatGPT screenshot. That isn't a system. It's a demo that will fail an audit and a clinical review on the same day.

I do the senior version of the work. Skill files. MCP servers. Agent orchestration. Evaluation harnesses. Governance. The same practice I just used to pivot a clinical-decision-support company from a rules engine to an LLM-driven pipeline — done for yours.

Services

Two ways to work together.

Pick the one that fits the shape of your problem. Both publish their pricing because that's what senior work does.

Productized engagement

AI Automation Build

$15K–$30Kfixed scope · 4–6 weeks

I design, build, and deploy a production-grade AI workflow inside your business. You keep the source.

  • Discovery and process mapping with the team that lives the workflow
  • Skill files, context files, and evaluation harness designed for your domain
  • MCP servers and EHR / SaaS integrations wired in, scoped to your data policy
  • Hand-off with documentation, runbooks, and a 30-day support window
See engagement scope

Recurring engagement

Fractional AI / CTO

$5K–$15Kper month · 3-month minimum

An experienced healthcare CTO embedded in your leadership team for a fraction of full-time cost.

  • Embedded in leadership: weekly exec sync, monthly board prep, async on demand
  • AI and engineering strategy, roadmap, and governance owned end to end
  • Hands-on architecture review, code review, and design partnership with your team
  • Hiring help: scorecards, interviews, calibration, and reference checks
See retainer scope

Built for regulated environments

HIPAA, SOC 2, and HITRUST aren't add-ons. They're the starting position. Every system is designed to be audited.

Real production, not pilots

Athena Marketplace approval. Clinical decision support in front of real clinicians. Workflows that have to clear a release gate.

Senior, embedded, owner-grade

Not a prompt-engineer-for-hire. A 20-year CTO who has built and led engineering at four healthcare companies.

Next step

Tell me about the workflow that's eating your team alive.

Thirty minutes. No deck. No pitch. We'll look at one workflow together and decide whether it's a fit. If it isn't, you'll leave with a clearer picture of what is.