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Founder-led institutional architecture for healthcare and AI systems that must remain governable under pressure.

I am a founder-operator and systems architect who builds decision infrastructure for healthcare and AI institutions.

I translate policy, macro volatility, and safety constraints into operational guardrails teams can actually run.

From product to board-level governance, I design who decides, who can intervene, and what evidence proves accountability.

Ethotechnics is my operating framework for turning safety intent into binding decision rights, escalation clocks, and accountability loops.

  • Founding product lead for Doximity Dialer at 100M+ clinician-to-patient calls and 300K+ clinician users
  • Co-founder & CEO experience: company-building, governance design, and cross-functional operating cadence

At a glance: I turn abstract risk into executable institutional architecture: decision rights, escalation clocks, and repair paths.

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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

Evidence

Selected outcomes and delivery evidence

Selected outcome Doximity Dialer: 100M+ clinician-to-patient calls (2018–2023) with HIPAA-conscious trust design See how it worked in practice →
Selected evidence and operating credentials
Scale in regulated environments 100M+ clinician-to-patient calls completed via Doximity Dialer (2018–2023), with audit-friendly trust controls in production
Executive and founder credentials Founder & CEO (Andwise) · Director-level product leadership (Doximity, Transcarent) · operator governance under regulated constraints
Ecosystem authority Built Andwise with a 60-member medical advisory board and mentor founders via the Techstars Northwestern Medicine Healthcare Accelerator

  • Doximity Dialer

    HIPAA-conscious caller ID workflow that reduced routing friction

    View case study →

  • Transcarent

    Care navigation systems with accountable handoffs

    View case study →

  • Andwise

    Built and governed a 60-member medical advisory board with explicit decision custody

    View case study →

Case excerpt

What this work looks like in practice

An anonymized engagement where stalled escalation routing was replaced with named owners and a 48-hour closure clock.

Active ventures & R&D

Building what comes next, not only reflecting on what shipped

Current projects focused on decision infrastructure, resilience, and accountable clinical support under uncertainty.

Active venture

NextConsensus

Designing decision-support infrastructure that helps clinical teams converge on accountable recommendations under uncertainty.

  • Consensus protocols for high-stakes clinical decisions
  • Traceable rationale layers for clinicians, operators, and governance leads
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Concept & technical scoping

Whether

A translation engine for converting macroeconomic indicators into practical operational guardrails so teams can adapt risk posture before disruption compounds.

  • Signal translation from macro conditions to team-level constraints
  • Real-time guardrail updates for systemic resilience
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Governance & systems research

Frameworks for accountability in algorithmic institutions

From Ethotechnics to proof-based governance policy design, this work defines how systems prove responsibility under real-world pressure.

Systems framework

Ethotechnics

A method for mapping burden, accountability, and failure transfer in algorithmic and organizational systems.

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Field writing

The Crumple Zone

Essays and operator notes on institutional governance, escalation design, and the moral physics of automated systems.

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Policy proposal

Proof-Based Governance for Algorithmic and Automated Systems (v1.2)

A proposal for proving accountability claims with evidence trails, not trust theater.

v1.2 · April 2026 · Policy draft

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Writing

Latest writing

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

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Updated Apr 2026 · 50 total essays

Latest essays

Contact

If you'd like to continue, here's one way forward.

Share the bottleneck you're facing, and I'll reply with a practical first step.

Tell me the single change most likely to unblock progress, and I’ll recommend the next move.

Email Kanav