Selected Work

Operating Experience Behind High-Stakes Mandates

Selected work showing how high-stakes mandates were turned into clearer decisions, accountable execution and measurable operating evidence.

Client identities are withheld where confidentiality is part of the mandate.
OperatingLeadership$1.5BProgram Recovery at Scale20KProduct users97%Workflow Acceptance$28M → $80MStrategic Account Growth
Showing work related to: Clear
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Selected Work

Full case library

TRANSFORMATION & PROGRAM RECOVERYPUBLIC HEALTH / MEDICAID

Restore Operating Control in a $1.5B Medicaid Program

$1.5B program scope
State Medicaid / MMIS operating environment

Reset accountability, risk management, release discipline and KPI cadence to restore operating control in a high-stakes Medicaid environment.

GOVERNANCE, CONTROLS & EVIDENCE
FINANCIAL SERVICES

From Broad GenAI Experiments to a Governed RFP Workflow

97% final acceptance
55 sec average response · existing platform retained

Moved broad enterprise AI experimentation into a private, source-grounded RFP workflow with defined acceptance criteria, evidence controls and accountable human review.

GO-TO-MARKETENTERPRISE

Turn a $28M Strategic Account Into an $80M Growth Path

$28M → $80M reported account growth
Over two years

Aligned account strategy, executive sponsorship, delivery dependencies and growth priorities around the customer’s operating requirements.

TRANSFORMATION & PROGRAM RECOVERYHEALTHCARE & LIFE SCIENCES

Modernize Regulated Clinical Data Without Breaking Validation or Auditability

21 CFR Part 11 modernization context
Regulated-data modernization

Aligned data architecture, workflow redesign, validation requirements, governance and delivery into a modernization path that preserved data integrity and auditability.

AI STRATEGY & OPERATING MODELPRODUCT PIVOT

When Commoditization Made the Roadmap the Wrong Problem

3 platform generations
20K-user product base

Redirected capital, team capacity, product work and GTM from a commoditizing meeting-intelligence market into private, governed AI for control-sensitive enterprise work.

GOVERNANCE, CONTROLS & EVIDENCELEGAL / LITIGATION

Reduce First-Pass Review Time Without Losing Counsel Control

94% first-shot review accuracy

Applied a private, evidence-linked workflow that automated retrieval and synthesis while preserving privilege, source traceability, and final legal determination with counsel.

GOVERNANCE, CONTROLS & EVIDENCEDEFENSE / DUAL-USE

Focus Specialist Review on the Cases That Carry Material Risk

8 hours → 5 minutes per target
30% → 3.2% false-positive rate

Standardized screening and evidence assembly while preserving controlled sources, escalation thresholds, traceability and specialist decision authority.

GOVERNANCE, CONTROLS & EVIDENCEPUBLIC SECTOR / JUDICIAL REVIEW

Evidence-Linked Bias Analysis for Judicial Review

43 verified instances
7 bias mechanisms · published work

Applied an AI-assisted evidence workflow to verify source-linked hits, remove false positives, and classify recurring bias mechanisms.

AI STRATEGY & OPERATING MODELHEALTHCARE & LIFE SCIENCES

Rebuild a $1M License Case the CFO Could Test

$1M–$5M+ modeled annual value
2–3x modeled ROI expansion

A $1M+ license rested on ~$300K of emergency dept. avoidance value. Four pathways expanded the modeled case to $1M–$5M+ a year, with a value model tool so buyer executives could test local assumptions. The practical tool opened doors for deeper enterprise sales conversations.

GO-TO-MARKETHEALTHCARE & LIFE SCIENCES

Stand Up the Commercial System for a Genomics Health-Risk Product

Commercial operating system
Market selection through sales execution

Built the commercialization path from market and buyer definition through proof-of-value design and sales execution.

PROGRAM, PRODUCT & WORKFLOW LEADERSHIPHEALTHCARE & LIFE SCIENCES

Do Not Force One Digital Workflow on Every Clinical Role

Five-site workflow study
Redirected the rollout decision

Field research across five sites shifted the decision from digitizing every interaction to where digital change justified the interaction cost.

GO-TO-MARKETHEALTHCARE & LIFE SCIENCES

Pick the First Civilian Market Before More Capital and Filings

Rapid Go/No Go Validation
Before additional spend

Commercialization under uncertainty: Military-tested IV platform, many plausible civilian markets, no clear beachhead. Compressed validation cycles to 30 days across 10 market segments and anchoring a $498M promising market. Validate which buyers will adopt, preserve capital for regulatory filings.

GO-TO-MARKETHEALTHCARE & LIFE SCIENCES

Prove Episode Economics Before Scaling the Orthopedic Platform

$1.86M modeled net impact
Across 1,407 episodes

Combined clinical beta results, site-specific ROI models, and business-development evidence into a field-tested business case before advancing investment.

GO-TO-MARKETHEALTHCARE & LIFE SCIENCES

Define the Buyer and Use Cases Before Scaling

Prioritized commercialization plan
Use cases · personas · PMF hypotheses · sales enablement

Structured buyer, use-case, persona, product-market-fit and sales-enablement decisions into a commercialization plan.

FRACTIONAL & INTERIM EXECUTIVE LEADERSHIPENTERPRISE OPERATIONS

Lead Enterprise Operations at $90M P&L Scale

$90M P&L scope
1,100-person global team

Led enterprise planning, delivery, execution and operating accountability across a $90M P&L and 1,100-person global team.

FRACTIONAL & INTERIM EXECUTIVE LEADERSHIPHEALTHCARE TECHNOLOGY

Build and Scale a Healthcare SaaS Business Through Exit

$50M+ healthcare technology exit
IMS Health, now IQVIA

Built and led a 100+ employee healthcare technology company across mobile applications, SaaS products and professional services through exit.

PROGRAM, PRODUCT & WORKFLOW LEADERSHIPLIFE SCIENCES

Reduce Specialist Review Burden Without Compromising Diagnostic Confidence

$400K client-reported annual savings
80% faster fulfillment · 20% increase in orders

Built a customized AI capability after general-purpose models did not meet the workflow’s accuracy and privacy requirements.

Bring the mandate

When important decisions need operating experience, get principal-led support.