Establish the baseline
Understand cycle time, throughput, quality, rework, and current delivery constraints.
The practice
I work with healthcare and PE-backed organizations that need stronger technology leadership, a practical path to AI adoption, or experienced people to move delivery forward.
The engagement can be advisory, embedded, or delivery-led. I can serve as Fractional CTO, lead a modernization or AI initiative, strengthen an existing team, or assume leadership of a defined technology function. Responsibilities, decision authority, and delivery expectations are agreed at the outset.
A platform decision rarely stands alone. It affects the operating model, the team, the budget, and the organization’s ability to serve clients.
I assess the technology and the way work moves through the organization: where decisions stall, where teams depend on one another, which systems constrain growth, and which capabilities are missing. From there, I establish priorities and lead the changes required to execute them.
That work can include:
At Zelis Healthcare, a healthcare payments and technology company, my mandate combined modernization of a legacy claims-pricing platform with AI transformation and additional delivery resources. Earlier, as Fractional CTO through Emerging Technologies, I helped IPG modernize its platforms and improve its delivery operating model.
Individual AI tools can accelerate isolated tasks without improving the flow of work across product, analysis, engineering, and QA.
I embed AI into the team’s existing delivery process: planning, refinement, implementation, testing, review, and retrospectives. The aim is to improve delivery while preserving accountability, quality, and the domain knowledge the work depends on.
Security review and intellectual-property concerns are part of AI adoption, not a final approval gate. I work with technology and security leaders to define approved models and hosting, data and code boundaries, retention expectations, identity and least-privilege access, audit needs, and human approval points before expanding automation.
Where MCP is appropriate, it can provide a governed interface between agents and approved tools or systems. MCP is not a security control by itself: authorization, scoped permissions, validation, logging, and ownership still need to be designed for each connection.
The team should not have to maintain a second documentation program to train AI. Context should emerge from useful work already happening—and return value through less repeated explanation, fewer recurring mistakes, and faster onboarding.
At Zelis, this approach demonstrated 4× engineering throughput, with 10× improvements on specific delivery tasks. Those are observed results from that engagement, not a blanket forecast for another organization.
Team AI context
Team context stays close to the code and the people doing the work. It captures implementation patterns, local domain rules, architectural decisions, tests, and validated lessons from review.
It helps people and agents understand how to make a correct change in this environment—not simply produce plausible code.
Enterprise KMS and ontology
An enterprise knowledge management system connects information across platforms and functions. Its ontology maps relationships among systems, business capabilities, APIs, data, policies, client requirements, and dependencies.
It helps leaders and cross-functional teams answer questions such as:
I start with the decisions the organization needs to make, identify authoritative sources, map the relevant relationships, and validate them with subject-matter experts. Access controls, ownership, review, and maintenance are part of the design.
Delivery agents need business context that source code cannot explain. Leadership needs an accurate view of systems and delivery constraints. Team context and enterprise knowledge inform one another without becoming one undifferentiated repository.
I have long-standing relationships with technology professionals in the United States and Eastern Europe, including specialists with production experience in U.S. healthcare claims pricing, payer data integration, Medicare and Medicaid reference data, application development, and quality assurance.
I can bring selected specialists into an existing organization or assemble a senior-led team around a defined scope. I have used this model in client engagements, including bringing developers and QA professionals into Zelis to support modernization.
Technical and domain fit are assessed for the actual assignment. Where AI adoption is part of the mandate, I establish the working practices and context the team needs rather than assume that access to AI tools makes a team AI-native.
Selected specialists fill defined capability gaps within the client’s operating model.
A team takes on an agreed scope with technical leadership, onboarding, quality expectations, and escalation paths.
Technology leadership and additional resources come together under a broader modernization or organizational mandate.
Team location and composition follow the work and the client’s requirements. Data access, PHI restrictions, vendor approval, equipment, and onboarding are resolved before the delivery arrangement is finalized.
You do not need to buy a transformation package before addressing a specific problem.
Where the direction is unclear, a 3–4 week AI Strategy Diagnostic can establish readiness, priorities, build / buy / wait decisions, and a practical 90-day sequence. No rate card—scope follows the mandate.
Bring the technology, AI, or delivery challenge. I’ll help define the right engagement.
Discuss your mandate