Modalities
Option-space and override audits, co-design sprints, and longer-term advisory.
Work
Work & systems practice
Product strategy, research, and delivery work focused on building steerable systems that keep people safe—while protecting the people doing the right thing inside imperfect systems.
Book a working session
Tell me about the team, the system, and the safety stakes.
Systems
AI safety, clinical reliability, civic infrastructure, and other high-stakes stacks.
Impact
Ships accountable controls with measurable incident reduction and clearer governance.
Safety for the team
Safety first
Safety for the team
A lightweight guardrail layer that keeps the work from creating more exposure than it resolves.
- Most engagements stay quiet and corrective, resolving risk without adding exposure.
- Exit clause: If the work creates more risk than relief, we stop.
- No surprise escalations; accountability points upward, not at operators.
Featured outcomes
Proof points to start with
Scan the results first, then dig into the artifacts and log entries that back them up.
Clinical reliability
100M+ trusted patient–clinician connections
Shipped caller ID and safety guardrails that helped clinicians reach patients with verified context at telehealth scale.
Jump to proof →Governance design
Accountable controls for founder-led teams
Built decision logs, playbooks, and override rituals so leadership actions stayed auditable during growth.
Jump to proof →Systems delivery
Safety controls that ship with operators
Co-designed release plans and training loops so safeguards were adopted by frontline teams, not parked in docs.
Jump to proof →At a glance
A quick scan of outcomes
Start here to see the proof points before diving into the full practice narrative.
Fit & boundaries
Who I’m for, who I’m not for, and the incentives I’ll work inside.
Jump to section →Engagement packages
Clear outputs for audits, sprints, and ongoing advisory.
Jump to section →Case study arcs
Problem-to-shipping narratives with baselines and measured change.
Jump to section →Operational proof
Artifacts, logs, and metrics that show how reliability holds up.
Jump to section →Fit & focus
Fit
Who I’m for (and not for)
I work with good-faith teams in imperfect incentives, protecting people who do the right thing while making constraints real.
Teams that love this work
- Regulated or safety-critical teams who need decisions to stick (health, finance, civic).
- Leaders who want enforceable constraints, not just principles or promises.
- Operators who need clear escalation paths, refusal options, and dependable handoffs.
- Teams ready to instrument trust signals and close the loop on outcomes.
Not a fit
- If you need a compliance stamp, I’m not the right partner.
- If the launch is pre-decided and you want cover, I’m not the right partner.
- If accountability rituals double as surveillance, I’m not the right partner.
- If the business model depends on exhaustion or endless intake, I’m not the right partner.
Regulated system signals
- HIPAA-conscious telehealth and clinical communication.
- EHR workflow design and clinical governance.
- Fiduciary-safe financial guidance with compliance review.
- Civic and public-sector service delivery constraints.
Start here by role
- Founders & CEOs: Start with engagement packages to scope an audit or sprint. Start here →
- Product leaders: Read the case study arcs, then skim the artifacts. Start here →
- Safety & compliance leads: Review working norms, accountability stance, and the operational log. Start here →
- Clinician operators & policy teams: Start with the operational log to see where the work lands in practice. Start here →
Practice spine
How I partner with teams
A systems-first engagement model that couples design, delivery, and coaching so safety controls ship with the teams who maintain them.
- ModalitiesOption-space and override audits, co-design sprints, and longer-term advisory.
- SystemsAI safety, clinical reliability, civic infrastructure, and other high-stakes stacks.
- ImpactShips accountable controls with measurable incident reduction and clearer governance.
Writing bridge (optional)
Escalation clocks + queue ownership
Define decision timers, auto-routing, and refusal paths so “in review” can’t stall forever.
Read the essay behind this: Pending: The Politics of Non-Decision →Decision object formation + authority maps
Clarify who can create a decision object and who signs off when stakes rise.
Read the essay behind this: Not Belief. Standing. →Exhaustion audits + closure criteria
Design intake that ends, with closure metrics and operator-safe exits.
Read the essay behind this: The Legitimacy Machine →Frame
Align on the safety case
Translate vague risks into clear requirements by mapping actors, incentives, and failure modes.
- Option-space audits that surface incentives, decision rights, and override paths.
- Decision briefs that clarify stakes, guardrails, and measures of success before we ship anything.
Build
Ship steerable controls
Pair co-design sprints with accountable delivery so controls land with the teams who rely on them.
- Prototypes that balance qualitative signals with measurable telemetry.
- Incident playbooks, failsafes, and supporting ops rituals baked into the release plan.
Coach
Keep the loop honest
Establish rhythms that keep the system observable—so the work stays grounded in reality, not decks.
- Working sessions that unblock leadership, founders, and frontline operators together.
- Instrumentation reviews that tie metrics to ethical commitments and care outcomes.
Engagements
What you get
Engagement packages
Clear outputs, bounded timelines, and success checks at 30/60/90 days.
We start by understanding and stabilizing, reduce harm quietly where possible, then decide what must bind—and who is ready for that.
30-minute system read
A low-risk scan of a single workflow to flag the highest-leverage safety or governance risk.
Duration: 30 minutes
Pricing: Flat fee.
Outputs
- One-page summary of the biggest risk and fastest relief path.
- Optional follow-up checklist with next steps if you want them.
- No deck, no internal emailing, no stakeholders unless you invite them.
- Take the one-pager and run; no follow-on required.
What success looks like early
- Week 1: quick intake, workflow map, and the highest-risk node flagged.
- Week 2: one-page summary delivered with a clear relief path.
- Week 3+: you implement (or park) the recommendation without ongoing obligations.
Success (30/60/90)
- 30 days: one change adopted or a clear next step agreed.
- 60 days: the workflow has a named owner and escalation path.
- 90 days: measurable reduction in rework or escalations.
Constraint audit
A fast, focused assessment that maps where decisions stall, where overrides bypass policy, and what to bind first.
Duration: 2–3 weeks
Pricing: Low five figures (scope-dependent).
Outputs
- Constraint map with owners, refusal paths, and escalation clocks.
- Redacted incident review plus risk register.
- Prioritized backlog of the first safety controls to ship.
What success looks like early
- Week 1: scope, data intake, and decision-stall hotspots logged.
- Week 2: constraint map and refusal paths drafted with owners.
- Week 3+: backlog prioritized and ready for delivery planning.
Success (30/60/90)
- 30 days: decision owners and clocks agreed and documented.
- 60 days: first binding control shipped with audit trail.
- 90 days: incident review cadence running with operator input.
Co-design sprint
Hands-on design and delivery to ship controls with the operators who will maintain them.
Duration: 4–6 weeks
Pricing: Mid five figures.
Outputs
- Prototype and usability readout from frontline operators.
- Release plan, rollout guide, and change-management scripts.
- Instrumentation plan for trust signals (pickup rates, override coverage, SLA timing).
What success looks like early
- Week 1: operator interviews and prototype plan confirmed.
- Week 2: prototype tested with frontline feedback.
- Week 3+: pilot rollout, instrumentation, and training underway.
Success (30/60/90)
- 30 days: prototype validated with operator feedback.
- 60 days: controls live for a pilot cohort.
- 90 days: measurable deltas in trust signals and fewer exceptions.
Advisory & governance
Ongoing partnership to keep decision logs, metrics, and escalation paths honest over time.
Duration: Quarterly or ongoing
Pricing: Monthly retainer (high four to low five figures).
Outputs
- Monthly governance reviews and decision log hygiene.
- Quarterly audit refresh with updated constraint map.
- Leadership coaching on conflict, escalation, and operator safety.
What success looks like early
- Week 1: baseline audit and governance cadence locked.
- Week 2: dashboards and decision logs cleaned up.
- Week 3+: escalation drills and steady-state rituals in motion.
Success (30/60/90)
- 30 days: governance cadence and dashboards live.
- 60 days: escalation paths exercised with clear owners.
- 90 days: reduced reliance on manual overrides and stable feedback loops.
Engagement details
- Availability: 1–2 new engagements per quarter to keep the work hands-on.
- Time zones: Based in CT with overlap for PT and EU mornings.
- Async rhythm: Async-first documentation with 24–48 hour response windows.
- Engagement boundaries: No vibe consulting, no rubber-stamp ethics, no surveillance-first monitoring.
- Pricing note: Bands above are directional; final scope confirmed after a short intake.
Working together
Working with me
Relational signals that shape meetings, conflict handling, and safe collaboration.
Low ego, high specificity. Fewer meetings, clearer decisions. Pushback is expected, and escalation paths stay explicit.
Working rhythm
Meetings
Short working sessions with agendas upfront, owners named, and decisions captured.
Working rhythm
Feedback
Direct, documented feedback loops with written summaries after key milestones.
Working rhythm
Conflict
Name the tradeoffs, separate people from constraints, and use escalation clocks.
Working rhythm
Under stress
Slow the cadence, widen operator input, and re-ground in the risk map before changes.
Working rhythm
Safe collaboration
Clear roles, opt-out options, and no forced consensus on high-stakes calls.
Working rhythm
Accountability direction
Accountability points upward at leadership decisions, system defaults, and institutional memory; logs track decisions, not operators or end users.
Working rhythm
Stop conditions
If the work starts to raise risk for the team, we pause or stop—no forced escalation.
Working rhythm
Accessibility commitment
Screen-reader checks, reduced-motion defaults, and plain-language summaries to lower cognitive load.
Case studies
Proof depth
Case study arcs (redacted)
Problem → constraints → intervention → what shipped → measured change. Metrics are rounded and de-identified.
Outcomes in one line
- Pickup rate ~30% → >60% in two quarters (telehealth caller ID).
- Avoidable escalations fell ~25% in 90 days after unified records + metric shift.
- High-risk recommendations reviewed within 48 hours; missing-owner overrides <10%.
How I protect your team: I don’t name sensitive internal politics, and I never publish identifying details without consent. Metrics stay rounded and de-identified, artifacts are redacted, and access is limited to the stakeholders you choose.
Verified caller ID for HIPAA-conscious telehealth
Built trusted caller identity and guardrails so clinicians could reach patients without exposing private numbers.
- Problem: patients ignored unknown numbers, stalling telehealth care.
- Constraints: HIPAA privacy, carrier spoofing rules, and clinician adoption risk.
- Intervention: verified caller ID, clear consent copy, and fallback workflows.
- Shipped: Dialer trust indicators and audit-ready call logs.
- Measured change: pickup rate climbed from ~30% baseline to >60% within two quarters; spoofing incidents dropped after launch.
Care navigation that cut avoidable escalations
Reframed success metrics around completed care plans to reduce rework and clinician load.
- Problem: escalations surged because guidance was fragmented across teams.
- Constraints: clinical governance, benefit partner rules, and variable patient acuity.
- Intervention: unified member record and clinician-led routing rules.
- Shipped: care plan completion dashboards and handoff rituals.
- Measured change: avoidable escalations fell ~25% in 90 days; care plan completion moved from ~50% to ~75%.
Fiduciary-safe financial planning workflows
Balanced automated guidance with human oversight so recommendations stayed compliant and trusted.
- Problem: clinicians needed financial guidance without opaque sales pressure.
- Constraints: fiduciary duty, compliance review, and high-stakes decision anxiety.
- Intervention: advisory board governance and human-reviewed routing for riskier plans.
- Shipped: plain-language summaries and override logs tied to advisors.
- Measured change: high-risk recommendations reviewed within 48 hours; overrides with missing owners dropped from ~35% to <10%.
Artifacts to skim
Two-minute scan
Artifacts you can skim
Redacted samples available on request to help teams evaluate the work quickly.
Redacted decision logs
How a system records who decided, why, and what the reversal path looks like.
Constraint maps
Visual maps of override paths, refusal rules, and escalation clocks.
Incident review memos
Problem → constraint → intervention → outcome narratives with measurable deltas.
Instrumentation reviews
Trust-signal definitions, baselines, and dashboard snapshots for operators.
Playbooks & audit checklists
Operator-facing rituals for safe releases, rollbacks, and escalation handling.
Experience (outcome-shaped)
Human-readable snapshots of shipped systems.
Privacy Membrane
Doximity DialerI built a call-forwarding shield so patients never see a clinician's real number. Care teams can return calls without leaking identity.
View details about Privacy Membrane
Market Balance
Talent FinderI published real salary data so clinicians could negotiate fairly with hospitals instead of guessing their worth.
View details about Market Balance
Risk Detection
Andwise NLPI made software that reads job contracts and points out the traps—like sneaky non-competes—before you sign.
View details about Risk Detection
Adaptive Systems
Georgia Tech / NASAI studied how cells ignore bad signals. That research now guides how I help software ignore harmful inputs.
View details about Adaptive Systems
System Hardening
Infrastructure AuditI led a full safety review of our healthcare platform—checking code, policies, and office security—to keep patient data safe.
View details about System Hardening
Social Mycelium
Bread SFI promoted Bread.fm parties around San Francisco—booking lineups, shaping the brand with friends, and keeping the dance floor welcoming.
View details about Social Mycelium
Detailed Experience
Proof of practice
Systems that stayed steerable
A few shipped artifacts that blend safety guardrails with usable experiences.
The Crumple Zone
Documenting playbooks for steerable AI and civic systems, blending neurodiversity-informed design with safety guardrails.
- Published essays that translate alignment theory into facilitation scripts teams can pilot immediately.
- Ran reader salons that pressure-tested governance patterns with clinicians, founders, and public sector leaders.
- Maintained a public log of experiments so learnings stayed reproducible and accountable to participants.
Andwise
Co-founded Andwise with Dr. Varun Verma to transform physician financial wellness through personalized guidance, expert access, and education.
- Raised funding for the Contract Analyzer and shipped it with governance that paired automated reviews with human oversight.
- Designed advisor routing that kept high-risk recommendations human-reviewed and compliant by default.
- Built a 60-member medical advisory board with equity ownership to anchor product and policy decisions.
- Shipped reporting that translated complex plans into plain-language commitments for physicians and their families.
Transcarent
Directed care experiences across surgery, maternity, fertility, and musculoskeletal (MSK) care, aligning clinicians and benefits teams around completed care plans.
- Covered multiple divisions (surgery, maternity, fertility, musculoskeletal/MSK) with unified playbooks for clinicians and benefits partners.
- Created a unified member record so nurses and navigators shared the same facts during live handoffs.
- Piloted utilization rules that reduced avoidable escalations while keeping high-risk cases clinician-led.
- Reframed success metrics around completed care plans rather than app opens or call volume.
City of Hope / CancerCompass
Shipped oncology navigation that translated clinical protocols into clear guidance for patients and caregivers.
- Shipped navigation flows that translated clinical protocols into plain-language steps for patients and families.
- Built feedback loops with nursing teams to continuously tune triage rules and reduce avoidable escalations.
- Introduced reliability rituals so content updates and model changes stayed aligned with clinical governance.
Rough Draft & Red Sea
Built coaching rhythms and governance templates for early-stage founders shipping regulated products.
- Codified facilitation templates that kept investor–founder conversations accountable and non-coercive.
- Introduced operating reviews that paired qualitative founder health signals with quantitative runway snapshots.
- Supported portfolio teams shipping regulated products without freezing momentum.
GC Venture Fellows
Evaluated early-stage teams with diligence templates surfacing safety, governance, and traction signals together.
- Built diligence templates that surfaced regulatory and ethical risks alongside traction metrics.
- Facilitated founder workshops that clarified decision rights and escalation paths pre-investment.
- Benchmarked portfolio experiments to keep learnings shareable across fellows and partners.
Red Sea Ventures
Supported seed investments and portfolio rituals that kept founder health, mission fit, and growth aligned.
- Mapped investment memos to post-close milestones so teams and partners stayed aligned on outcomes.
- Piloted light-touch portfolio reporting that combined qualitative founder signals with quantitative KPIs.
- Helped spin up sourcing and screening rituals that centered mission fit alongside market potential.
Doximity
Joined Doximity's early team to manage the clinician communication portfolio—including Dialer, mobile messaging, and profiles—to safeguard patient identity at telehealth scale.
- Launched HIPAA-conscious Doximity Dialer that now powers 100M+ patient–clinician connections and 300K+ clinician users.
- Expanded the product suite across Dialer, mobile messaging, clinician profiles, and the careers marketplace to keep engagement cohesive.
- Partnered with compliance and hospital IT to make rollout easy for teams without bespoke integrations.
- Established reliability playbooks so clinical teams could trust the service during peak demand.
Epic
Launched electronic health record (EHR) workflows that reduced alert fatigue while keeping patient safety checks intact.
- Guided multi-stakeholder go-lives that kept clinicians, IT, and compliance aligned on patient safety outcomes.
- Mapped policy constraints into decision support that reduced alert fatigue while keeping guardrails intact.
- Documented playbooks for sustaining reliability after launch so teams could iterate without breaking safety checks.
Georgia Tech / NASA
Modeled adaptive bio-systems for resilience and signal fidelity.
- Modeled thermodynamic inhibition in sRNA regulatory networks.
- Analyzed signal-to-noise regulation in complex adaptive systems.
Work
Selected work
-
led product for a telehealth platform powering 100M+ patient–clinician interactions.
Built a caller ID experience that met patient-privacy rules (HIPAA), pairing safety guardrails with clear UX so clinicians could confidently adopt telehealth at scale.
-
co-founded and led a platform guiding physicians through financial wellness with expert access and education.
Partnered with a physician advisory board of 60 equity-owning members to ship personalized, fiduciary-safe planning workflows without coercive sales tactics.
-
ongoing writing on algorithms, markets, and bureaucracies—and the care-centered alternatives ahead.
Publishing essays that translate my 2024 autism diagnosis and lived experience into practical design principles, inviting teams to build systems where consent and accessibility are defaults.
Operational Log
2012–present
Operational log
Where I've built, shipped, and kept systems accountable.
This work is the result of a progression: building systems → founding inside them → focusing full-time on governance, safety, and binding authority.
Filter by domain
Showing 10 entries
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Independent Researcher · The Crumple Zone
Documenting playbooks for steerable AI and civic systems, blending neurodiversity-informed design with safety guardrails.
AI safetyCivicResearch -
Co-Founder and CEO · Andwise
Co-founded Andwise with Dr. Varun Verma to transform physician financial wellness through personalized guidance, expert access, and education.
ClinicalFounderGovernance -
Director of Product, Care Experiences · Transcarent
Directed care experiences across surgery, maternity, fertility, and musculoskeletal (MSK) care, aligning clinicians and benefits teams around completed care plans.
ClinicalAI safety -
Director of Product · City of Hope / CancerCompass
Shipped oncology navigation that translated clinical protocols into clear guidance for patients and caregivers.
Clinical -
Advisor & EIR · Rough Draft & Red Sea
Built coaching rhythms and governance templates for early-stage founders shipping regulated products.
FounderGovernance -
Fellow · GC Venture Fellows
Evaluated early-stage teams with diligence templates surfacing safety, governance, and traction signals together.
FounderGovernance -
MBA Associate · Red Sea Ventures
Supported seed investments and portfolio rituals that kept founder health, mission fit, and growth aligned.
FounderGovernance -
Product Manager · Doximity
Joined Doximity's early team to manage the clinician communication portfolio—including Dialer, mobile messaging, and profiles—to safeguard patient identity at telehealth scale.
ClinicalAI safety -
Implementation · Epic
Launched electronic health record (EHR) workflows that reduced alert fatigue while keeping patient safety checks intact.
Clinical -
Research Assistant · Georgia Tech / NASA
Modeled adaptive bio-systems for resilience and signal fidelity.
Research
Impact metrics
Impact in numbers
What I'm optimizing for
100M+
Built and shipped Doximity Dialer to make telehealth feel trustworthy.
0 → 1 → scale
Co-founded Andwise and continue advising teams navigating regulation-heavy spaces.
Weekly
Publishing essays on neurodiversity, non-coercive systems, and care-centered tech.
Collaboration areas
Ways I partner with teams
Systems product strategy
AI safety for care
Platform governance
Clinical experience design
Founder coaching
Accessible communication
Trust signal design
Decision flow audits
Accountability logging
Inclusive design
Trusted for short sprints and deeper advisory engagements.