Founder-led systems design for healthcare and AI teams operating under real-world pressure.

I am a founder-operator and systems architect who designs high-stakes decision infrastructure for healthcare and AI teams.

I turn policy, macro volatility, and safety constraints into operational defaults teams can actually run.

From product to board-level operations, I design how systems behave, how humans intervene, and how teams quickly correct failures.

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

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

At a glance: I turn abstract risk into executable system behavior: guardrails, intervention points, and repair paths teams can run under pressure.

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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 production trust controls teams could inspect and improve
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
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Transcarent

Care navigation systems with reliable handoffs and clear intervention patterns
View case study →
Andwise

Built and governed a 60-member medical advisory board with explicit decision ownership
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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 clear recommendations under uncertainty.

Consensus protocols for high-stakes clinical decisions
Visible rationale layers for clinicians, operators, and leadership teams

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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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Systems research & field notes

Frameworks for behavior that stays understandable and fixable

From Ethotechnics to production policy design, this work shows how teams make system behavior visible, diagnosable, and correctable under real-world pressure.

Systems framework