01
Agentic systems & LLM workflows
Multi‑agent pipelines that produce evidence‑backed, auditable output rather than
plausible prose. Custom agent development kits, MCP and agent‑to‑agent architectures,
retrieval, fine‑tuning, and evaluation harnesses.
Typical problems: document generation that has to stay internally
consistent across a whole corpus; extraction from messy records; workflows where a wrong
answer is worse than no answer; inference costs that don't survive contact with volume.
02
Machine learning in production
Prediction systems that run every day rather than in a notebook. Distributed training and
deployment, drift and bias monitoring, and the integration work connecting a model to the
systems people already use.
Typical problems: a model that performs in validation and not in the
field; no monitoring, so nobody knows when it degrades; predictions nobody acts on because
they arrive somewhere no one is looking.
03
Data operations & infrastructure
The plumbing that decides whether any of it works. EHR and FHIR integration, lab
instruments, LIS, CRM, warehouse. ETL and feature pipelines from prototype to production,
with monitoring that holds up under audit.
Typical problems: data that exists but can't be joined; manual
reconciliation nobody has time for; integrations that break silently; reporting the business
argues with instead of using.
04
Risk, forecasting & analytics
Claims forecasting, financial risk modeling, cohort and outcomes analysis, supply chain
vulnerability. Numbers a leadership team can act on and defend.
Typical problems: forecasts that miss badly enough to be ignored;
risk scores without an intervention attached; analysis that can't be explained to the person
who has to sign off on it.