Fractional & Interim CPO / CTO / Chief AI Officer

I help teams working on impactful problems ship the right thing, faster.

Product direction, AI in the product and the build, and scaling sustainably, for healthcare and mission-driven organizations.

Selected outcomes

15×
Revenue & patients scaled in two years, margin doubled. As CPTO in digital health.
~40M
Members reached with a new virtual-care marketplace, at a Fortune 10 health plan.
0 → $XXXM
ARR built from zero on a platform supporting $1B+/yr in spend.

How

Fractional & Interim CPO, CTO, Chief AI Officer, Chief Transformation Officer.

I engage as Advisor, Operator, Fractional CXO, or Interim, starting with a 30-day diagnostic. Priced by role and cadence, not hours. In the trenches with you, for healthcare and mission-driven organizations. Details on request.

Company, product & commercial strategy

North star to a roadmap a team can ship, product-market fit, pricing and packaging across B2B2C, B2B, and B2C, operating-model design and interim leadership.

AI product & development transformation

AI in the product and across the build, off the shelf or custom. Vendor and model evaluation and deployment in regulated settings. We also offer a proprietary AI orchestration and context-management system (z-os.ai).

Scaling org & growth

Margins and unit economics, R&D turnarounds, hiring and growing teams across countries and cultures.

See the one-page capabilities summary →

Healthcare

The whole stack, shipped.

Fifteen years building every layer of healthcare delivery, end to end. Each layer below is a repeatable playbook: a standard project with a known shape, run before, priced by playbook rather than hours.

Patient experience & onboarding

Onboarding and activation, async and sync care models, retention and engagement.

EHR, clinical operations & credentialing

Medplum, Elation, or custom; credentialing, provider data & directories; workflows built around the clinic, not the vendor.

AI-enabled practice

Record review, scribing, summaries, inbox and call deflection — pre, during, and post visit. Anthropic, AWS, or third party (Nabla, Zoom).

Medical records

Retrieval and aggregation via Metriport or Zus, inside the clinical workflow.

Prescribing, prior auth & labs

E-prescribing via Photon, DoseSpot, Surescripts; pharmacy routing; labs via Junction, Quest.

Billing, claims, RCM & TPA operations

Custom and insurance billing, RCM; claims adjudication in house and third party.

Care programs

GLP-1 and weight management, coaching, dietitian services, with unit economics that hold.

Population health & value-based care

Engagement at payer scale, measurement, contracting readiness.

Plan & benefits design

Self-funded and level-funded, single and multi-payer, tiered networks, plan design.

See the healthcare playbook one-pager →

Writing & online presence

Where I think out loud.

Writing is thinking. If I can’t explain it simply, I haven’t thought hard enough.

Let's talk.

If your team is setting product direction, leaning into AI, or scaling with margin, I'd love to hear what you're working on.

Opens your mail app, pre-filled. Nothing sends until you do.