I lead a team of 6 engineers building generative AI for hospitals at a $200M ARR healthcare operations platform, spending 90% of my time as the principal IC and technical lead.

I architected and own the company-wide LLM gateway — cross-provider routing, response caching, per-team cost attribution, observability, rate limiting, structured-output validation, and prompt versioning. Built from scratch on LangChain.

I designed and shipped a clinical-summary RAG system that generates barriers-to-discharge and case-management summaries from clinical notes and EHR data, using PostgreSQL pgvector for retrieval with multi-tenant isolation across health system customers.

I lead engineering for outbound agentic voice systems deployed in production to hospital customers, and I built autonomous coding agents for internal developer productivity using LangChain with YAML-configured agent definitions, Slack-based human-in-the-loop, and mandatory human PR review before merge.

I established the evaluation infrastructure: clinical-expert-tagged golden datasets, LLM-as-judge for voice agents, and regression suites that gate releases. I work directly with hospital customers on feature design and deployment.

I joined Frontera Health to lead engineering at an AI platform for autism diagnosis and treatment. I departed when LeanTaaS came back with a Staff IC offer better matched to my technical focus.

I led a product consolidation that merged multiple feature-flagged variants into a single maintainable codebase, reducing engineering overhead and bug surface area.

I designed an architecture for chained LLM prompts that improved generative-response quality and efficiency across the platform.

I designed and shipped a clinical reporting system covering generation, formatting, and export that significantly reduced report-generation bugs in production.

I was the lead backend engineer for Cabinet's DTC pharmacy after it pivoted into prescription medication fulfillment. The pharmacy division was wound down in February 2025 as part of a company-wide closure of that business line.

I replaced a team of 7 contractors and rebuilt the entire fulfillment integration with a Fortune 10 partner from scratch in 4 months, enabling Cabinet to scale order volume by 50%+ in three months while migrating thousands of existing customers to the new platform without service interruption.

I owned the entire pharmacy fulfillment system end-to-end — backend services, partner integrations, and internal tooling for pharmacists and pharmacy techs to manage fulfillment and customer service.

I migrated the payment system from Shopify to Stripe, enabling subscriptions, ordering through text messages, and an improved checkout flow.

I refactored the React frontend around components and hooks, reducing the codebase by 10% and lifting conversion-funnel performance while accelerating team shipping velocity.

I built an internal CRM platform for the care team to manage patients and prescriptions, reducing operating cost by improving care-team efficiency.

I was the solo founder of JobVyne, a bootstrapped job-search platform combining automated social distribution with curated job aggregation. It reached 500 users and 100,000+ jobs before I wound it down after 16 months pre-PMF.

I built employer-side referral tooling, integrating with ATS systems (Greenhouse, Lever) and employee social accounts to auto-post openings with unique referral-tracking links for payouts.

I built a custom web scraper that processed 100,000+ jobs per day using Playwright (headless Chrome) and Python asyncio.

I integrated with Slack communities to deliver curated job feeds (e.g., Denver-area PM roles auto-pushed to a Denver PM Slack), and shipped an OpenAI LLM wrapper for job summarization and categorization — a production LLM application running in mid-2022.

I founded and built Uprove based on the difficulties I faced as a hiring manager to find and vet good product managers and software engineers. Uprove was a SaaS platform that provided case interviews as a service. We worked with companies to determine the competencies they wanted in new hires, built case interviews, and conducted first round vetting of candidates.

As the founder of the company, I built the entire platform and worked directly with clients and candidates.

Hospital IQ built operations management software for health systems — patient flow, OR scheduling, capacity planning, and staff resource planning. I joined as a Software Engineer, was promoted to Senior in 2 years and Staff in 1 more, and stayed through the LeanTaaS acquisition in 2023.

I owned scheduling optimization for surgery and infusion end-to-end across dozens of health systems, and owned surgical staff scheduling and hospital-wide staff resource planning as separate 0→1 product builds — taking each from initial customer requirements through production deployment.

I forward-deployed as the implementation engineer for the largest customer in company history at the time — an 11-hospital health system — handling integration, configuration, and on-site customer work.

I built and owned EHR integrations and HL7 message-handling pipelines for ADT, scheduling, and surgical case data, and set engineering standards as a Staff IC by running technical interviews, leading architecture reviews, and mentoring engineers across seniority levels.