Regulatory exposure · escalation reliability · incident readiness

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Decision ownership. Escalation paths. Workflow hardening under load.

I help scaling health-tech companies reduce preventable regulatory risk and execution drag.

Kanav Jain

Decision ownership. Escalation paths. Workflow hardening under load.

Helping healthcare and AI teams reduce preventable risk and execution drag before it becomes a regulatory or margin event.

  • Recently helped a growth-stage health-tech company map decision ownership across product, clinical, and compliance — reducing escalation resolution time by 40%.
See how I work with portfolio companies →

See how I work with portfolio companies.

See how I work with portfolio companies Email Kanav →

Where to start

Portrait of Kanav Jain
Clinician-in-the-loop review A clinician and model co-review moment showing human judgment staying in control.
Human oversight Clinician-in-the-loop review
Safety case stack A layered safety case: intent, policy, evals, guardrails, escalation, audit logging, and the learning loop.
Safety case Safety case stack

Quick links

Start here

Where to start

Patient reach

100M+ patient–clinician connections across clinical workflows

Audit-ready

Policy checks, approvals, and overrides remain easy to trace

Incident learning

Postmortems feed new evals and guardrails

Proof points

Results from real-world delivery

Real-world result Doximity Dialer: 100M+ patient–clinician connections with HIPAA-conscious trust design See how it worked in practice →
  • Shipped-at-scale, regulated 100M+ patient–clinician connections with trust controls in production
  • Credential stack Georgia Tech BME · NYU Stern MBA · Epic · Doximity · Transcarent · Founder
  • Healthcare + risk translation Director-level care ops and compliance-aware product leadership

Patient reach

100M+ patient–clinician connections across clinical workflows

Audit-ready

Policy checks, approvals, and overrides remain easy to trace

Incident learning

Postmortems feed new evals and guardrails

Where I'm most useful

Best-fit company conditions

Proof

Selected work

Where I've done this and what changed in production.

Product leadership

Doximity Dialer

Built and scaled Doximity Dialer with safety rails and clinician-led overrides during failure.

  • HIPAA-conscious caller ID workflow that reduced routing friction
  • 100M+ patient–clinician connections with audit-friendly delivery logs
View case study →

Platform strategy

Transcarent

Consumer-directed health experiences with support handoffs that hold during failure moments.

  • Care navigation systems with accountable handoffs
  • Experience design for payers with measurable outcomes
View case study →

Co-founder and CEO

Andwise

Built physician financial wellness products combining personalized guidance, expert support, and operational guardrails.

  • Scaled advisor and clinician inputs into practical decision support
  • Built trust-forward experiences for complex financial decisions
View case study →

Research and advisory

The Crumple Zone

Documenting practical playbooks for healthcare operations, escalation design, and delivery under pressure.

  • Workflow and escalation templates teams can deploy quickly
  • Field-tested playbooks for reducing compliance drag without lowering quality
Explore Ethotechnics →

Services

Execution sprints

Operator-focused services for teams under scale pressure.

Decision ownership audit

2–3 week sprint

Map who decides what, where decisions stall, and which handoffs create compliance drag.

Escalation path stress test

2 week diagnostic

Pressure-test escalation paths against real incident scenarios and remove routing ambiguity.

Human-in-the-loop reliability review

Workflow hardening

Tighten override, appeals, and QA feedback loops so teams can recover fast under load.

Regulatory exposure pre-mortem

Board-ready risk view

Identify preventable risk and margin leakage before diligence, audits, or growth milestones.

Tools

Risk hardening tools

Operational risk controls I deploy inside companies.

Operational risk controls I deploy inside portfolio companies to reduce preventable failures under scale pressure.

  • Week 1: Interview leadership and review frontline workflows
  • Week 2: Map decision ownership, escalation friction, and override points
  • Week 3: Deliver risk map plus specific structural changes
See full deliverable details →
  • Optional: Board-ready memo for investors and executive teams

Use clinical-risk evidence, not checkbox compliance. Every recommendation is tied to an owner, a workflow change, and a measurable risk reduction target.

Clinical risk ladder A severity-by-autonomy matrix that maps control strength to patient harm potential.
Risk tiering Clinical risk ladder
Eval coverage map Failure modes linked to evals and mitigations so safety plans trace cleanly from risk to control.
Failure modes → controls Eval coverage map
Decision rights map A compact map showing which roles can ship, override, halt, and audit the system.
Decision rights Decision rights map
Ethotechnics bridge diagram A minimalist bridge arch connecting two dots, representing steady decision pathways.

Case studies + operating notes

How these engagements run in practice

Review examples →

Writing

Latest writing

Plain-language essays and operator notes from shipping healthcare workflows under load.

Explore writing →

Updated Feb 2026 · 282 total essays

Topics

Latest essays

Contact

Ready to reduce preventable portfolio risk?

Next step

Scope the safest next move.

Email Kanav See how I work