Healthcare AI Engineering
Ship AI that nurses
actually use.
We embed inside health plans to build clinical AI that works in production — not in a demo. Utilization review, case management, clinical decision support that ships in weeks, not quarters.
The AI Implementation Bottleneck
Why health plan AI pilots fail.
60% of healthcare organizations report AI expertise shortages. But the real problem isn't talent — it's how the work gets done.
Vendors ship demos, not workflows
Most AI tools are built by people who've never watched a nurse work a case. The result: software that looks great in a boardroom and collects dust in operations.
Pilots stall at 'promising'
POCs get green lights. Then they sit in staging for 6 months waiting for IT, compliance, integrations. Meanwhile, the clinical team moves on.
Evaluation paralysis
Too many options. Every vendor claims 90%+ accuracy. Nobody can tell you what happens when the model is wrong and a nurse has to clean it up.
Scale economics don't work
Per-seat SaaS pricing at enterprise rates. Health plans need tools that make economic sense across hundreds of reviewers, not executive dashboards.
Your Team + Our AI Expertise
We embed with your team. Then we ship.
Not a 12-month consulting engagement. Not a SaaS login. We sit inside your operations and build AI tools alongside the people who use them.
Embed & Discover
Weeks 1-2- -Shadow your clinical reviewers
- -Map actual workflows (not the documented ones)
- -Identify highest-impact automation targets
- -Build trust with the ops team
Build & Deploy
Weeks 3-8- -Ship production code into your environment
- -Integrate with your EHR, claims systems, clinical data
- -Iterate daily with the people doing the work
- -Go live incrementally — not a big-bang launch
Improve & Scale
Ongoing- -Measure outcomes against your KPIs
- -Expand to adjacent workflows
- -Train your team to own the tools
- -Build internal AI fluency
What We Build
Clinical AI for utilization review.
We focus on the clinical operations workflows where AI has the highest leverage — the repetitive, criteria-driven work that burns out your best reviewers.
Capabilities
AI-Powered Case Review
Automated clinical criteria matching against medical policies. Surfaces relevant evidence, flags gaps, recommends decisions — with full audit trails.
Clinical Decision Support
Real-time guidance during case review. Not a chatbot — structured, criteria-driven support that fits your existing workflow.
Intelligent Case Routing
Auto-triage incoming cases by complexity, urgency, and reviewer expertise. Route the right case to the right nurse.
Documentation Automation
Generate determination letters, clinical summaries, and compliance documentation from structured review data.
Who We Serve
Regional Health Plans
10K-500K members, resource-constrained UR teams
Blue Cross Blue Shield Plans
Multi-state operations, legacy system environments
Medicaid Managed Care
High volume, complex populations, strict timelines
Third-Party Administrators
Multi-client operations needing scalable review tools
Common Challenges We Solve
- -AI pilots that stalled after the demo
- -Reviewer burnout from repetitive criteria lookups
- -Inconsistent determinations across reviewers
- -Compliance documentation taking longer than the review itself
- -Vendor tools that don't fit your actual workflow
Why Health Plans Choose Us
Healthcare operators building AI for healthcare.
We're not consultants
Consultants write reports. We write production code. We ship tools that your nurses use tomorrow morning, not next quarter.
We're not a SaaS vendor
No off-the-shelf platform that 'just needs configuration.' We build custom tools inside your environment, against your data, for your workflows.
We're clinical insiders
Our team comes from healthcare operations. We know what a UR nurse's morning looks like. That context is the difference between AI that ships and AI that sits.
Who We Are
Healthcare operators who build.
We're not a research lab. We're not ex-FAANG engineers discovering healthcare. We come from the industry and we build for the people doing the work.
Thomas Startz
Co-Founder · Product & Engineering
Full-stack engineer focused on healthcare AI systems. Builds the product, the infrastructure, and the tools that power clinical operations. Previously in health tech product development.
Focus: Product, engineering, technical strategy
Michael Langer
Co-Founder · GTM & Clinical Relationships
Healthcare operations background with deep relationships across health plans and clinical organizations. Understands the buyer, the user, and the regulatory landscape.
Focus: Sales, partnerships, clinical validation