AI Engineering

AI across the full SDLC.

We don't treat AI as an add-on. We embed it across the SDLC, engineer the architecture that makes production AI possible, and operate as a fractional AI team inside regulated environments.

01 / AI in the SDLC

Governance in the pipeline, not in a slide.

An AI Compliance Agent sits between every pull request and CI/CD — checking architecture, conventions, lint, dependencies, and writing the PR summary, so reviewers spend their time on the decisions that matter.

  1. 01 Author Engineers · PMs · designers
  2. 02 Pull Request Any change, any contributor
  3. 03 AI Compliance Agent Architecture · conventions · lint · deps · PR summary
  4. 04 CI/CD Pipeline Build · test · IaC · staged rollout
  5. 05 Production Mobile + web + observability

Five phases of the SDLC

  1. 01
    Plan

    Specs, ADRs, and acceptance criteria — co-authored with senior engineers.

  2. 02
    Design

    System diagrams, interface contracts, and data models reviewed before code.

  3. 03
    Implement

    AI-assisted code generation paired with senior engineering judgment.

  4. 04
    Verify

    Automated test generation, evals, and compliance checks on every PR.

  5. 05
    Operate

    Observability, on-call rotations, and post-incident review baked into delivery.

What agents enforce automatically

  • Architectural rules and module boundaries
  • Coding conventions, lint, and formatting
  • Dependency policy and SBOM hygiene
  • Test coverage thresholds and eval harnesses
  • PHI / PII handling and secret scanning
  • PR summary, risk callouts, and reviewer routing

Senior judgment stays with senior engineers. Consistency work becomes inherited, not negotiated.

01

Governed, not ad-hoc.

An AI Compliance Agent sits inline on every PR — checking architecture, conventions, lint, and dependencies before a human review even begins.

02

Architecture first.

Agents are scoped against the architecture we designed, not the one the model imagines. Drift gets flagged before it lands.

03

End-to-end traceability.

Every PR carries a generated summary, risk callouts, and eval results — an audit trail your compliance team can read.

02 / Production AI Architecture

Built for real
patient data,

not demos.

Four product domains sitting on a four-layer architecture, wrapped by orchestration and evaluation, inside a HIPAA / SOC 2 / HITRUST perimeter that stays in your VPC.

Compliance perimeter
  • HIPAA
  • SOC 2
  • HITRUST
  • in-VPC
L1 Sources
  • Claims & Rx
  • EHR & clinical notes
  • Medical journals
  • Provider & NPI data
L2 Ingest & Store
  • PHI de-identification
  • Data warehouse
  • Vector index
  • Feature store
L3 Models & Retrieval
  • RAG & embeddings
  • LLMs
  • Fine-tuned domain models
  • Guardrails & prompt registry
L4 Surfaces
  • Clinical chat & copilots
  • Cohort & semantic search
  • NL → analytics
  • Automated NLP pipelines
Orchestration
  • LangChain
  • LangGraph
  • Tool-using agents
  • Stateful judge workflows
Eval & Observability
  • LangFuse traces
  • LLM-as-judge
  • Offline evals
  • Drift & cost monitoring
03 / Fractional AI

A senior AI team,
on tap.

Most healthcare and life-sciences companies cannot hire a full AI org overnight — and shouldn't. We operate as a fractional AI team that builds the first capability, embeds with your engineers, and hands off when you're ready to own it.

  1. 01 Build

    Build the AI capability.

    A senior AI team — architects, ML engineers, MLOps — designs and ships the first production system end-to-end inside your environment.

  2. 02 Adapt

    Adapt to your stack.

    We integrate with your cloud, IAM, data warehouse, and compliance posture — no greenfield assumptions, no rewrites.

  3. 03 Embed

    Embed alongside your team.

    We pair with your engineers — code reviews, design docs, on-call rotations — so the capability lives where your team works.

  4. 04 Become

    Become your AI muscle.

    When you are ready to own it, we hand off with documentation, runbooks, and a hiring profile. No lock-in.

04 / What we've shipped

Production AI,
in production.

A selection of recent systems — each running on real data, under real compliance, with real users.

01 Clinical NLP

Clinical NLP extraction pipeline

A high-throughput pipeline that ingests unstructured clinical text — notes, journals, contracts — classifies it, extracts entities, and normalizes the output into a structured warehouse.

Outcome Millions of pages processed monthly with auditable evals on every model version.

02 Multilingual Clinical Assistant

Multilingual clinical assistant

A physician-facing assistant grounded in local drug, clinical, and protocol data — answers in the clinician's language, citing the source of every claim, with hallucination guardrails at the orchestration layer.

Outcome Adoption across multiple LATAM markets with citation-backed answers in physicians' native languages.

03 Provider Identity Resolution

Provider identity resolution

A four-tier matching stack that resolves provider identities across NPI, claims, directory, and EHR sources — with deterministic exits at every tier so cheap matches never wait on expensive ones.

Outcome Match precision over 99% on tier-1, with downstream model load cut by an order of magnitude.

04 LLM-as-Judge

LLM-as-Judge report bifurcation

Generated reports run through an LLM judge that scores them on factuality and policy; high-confidence reports go straight to the analyst inbox, low-confidence ones bifurcate to a human reviewer with the judge's rationale attached.

Outcome Analyst review queue cut by ~70% while keeping zero policy escapes in audit.

05 Voice AI

Patient outreach at scale

Voice agents that handle routine outreach — appointment reminders, care-gap follow-up, intake screening — handing off to humans on any signal that needs one.

Outcome Coverage on populations that were previously unreachable inside staffing budgets.

06 MLOps & Evals

Eval-first model lifecycle

Offline evals, LLM-as-judge harnesses, and LangFuse traces wired into every release — so model regressions are caught before they reach production.

Outcome Every model change ships with a quantitative story, not a vibe check.

07 Compliant Deployment

In-VPC AI on AWS, GCP, and Databricks

Reference architectures and IaC for running LLMs and vector stores inside customer VPCs — no data egress, full audit trail, BAA-friendly.

Outcome Production AI that passes HIPAA, SOC 2, and HITRUST review the first time through.

05 / Tools we ship with

The stack behind the systems.

Opinionated but not dogmatic. We meet you on your stack and extend it — these are the tools we reach for first.

Cloud & Infra

AWSGCPAzureTerraformAWS BedrockAWS ECSDockerKubernetesPulumi

Data & Analytics

DatabricksBigQuerypgvectorOpenSearchApache SparkDatabricks LakebaseRedisUnity CatalogdbtKafkaAirflow

Application

React / React NativeNext.jsNode.jsPythonGoJavaSwiftKotlinCopilotKit

AI & ML

Claude (Anthropic)OpenAIGeminiVertex AILangChainLangGraphLangFusePyTorchLightGBMvLLM / SGLangHuggingFaceMLflowVector DBs

From Complex Requirements to a Production-Ready Reality.

Does your organization need the architectural depth to build stable solutions? Speak with a lead consultant to discuss your infrastructure, migration, or AI needs — give us the brief, and we'll build the solution.

Outcome