The problem
Health AI startups build powerful technology — but most lack the clinical depth to make it safe, trustworthy, and regulatory-ready. A full-time Chief Clinical Officer at $250-400K is premature before Series A. Clinical consultants advise on theory. They don't build.
What I do
I bridge the gap between clinical safety and engineering velocity — hands-on, not theoretical. I've built a production clinical AI platform from zero, and I practice pharmacy at a Level 1 trauma center every week. Most advisors bring one of those. I bring both.
Built
Pharmacy360
Production AI clinical decision support — multi-agent engine, 10 OTC domains, 100 FDA-cited ingredients, HIPAA-compliant infrastructure
Lead
40+
Pharmacy professionals at a Level 1 trauma center — emergency, critical care, ambulatory
Impacted
1M+
Patients through medication therapy management programs at Mirixa Corp (now Tabula Rasa Healthcare)
Advise
Health AI
Advisory board member and angel investor in funded health AI startups — clinical validation and safety architecture
Services
Advisory
$3.5-5K/mo
pre-seed to seed 4-6 hrs/month
Monthly strategy call, async availability, clinical review of AI outputs, regulatory positioning, investor credibility support, clinical network introductions
Fractional head of clinical product
$8-12K/mo
seed to Series A 15-20 hrs/month
Everything in Advisory — plus own the clinical product roadmap, design validation workflows, hands-on AI output review, HIPAA/compliance architecture, clinical hiring strategy, weekly team sessions
Fractional CTO (clinical AI)
$15-20K/mo
pre-seed, non-technical founders 20-30 hrs/month
Everything in Fractional Head — plus technical architecture (LLM, RAG, pipelines), code review, build and manage early engineering team, CI/CD and infrastructure, full ownership of clinical AI stack
Technical expertise
| AI / ML | LLM orchestration (LangGraph, multi-agent), RAG pipelines, structured outputs, prompt engineering, clinical NLP |
| Backend | Python / FastAPI, Node.js / Next.js, Prisma ORM, REST + webhook architectures |
| Data | Postgres (RLS multi-tenancy), Neo4j (drug knowledge graphs), Qdrant (vector search), Redis (pub/sub, caching) |
| Clinical | OTC pharmacotherapy, drug interactions, medication therapy management, symptom triage, clinical decision support |
| Compliance | HIPAA (PHI encryption, PII redaction, audit logging), FDA OTC monograph framework, clinical content versioning |
| Product | Consumer health UX, marketplace design, tiered pricing, paywall strategy, provider workflow integration |
Good fit for startups that
Build consumer or provider health AI
Touch medications or OTC products
Need clinical credibility for investors
Navigate "health info" vs. "medical advice"
Want a builder, not just an advisor
Engagement terms
Minimum: 3 months (advisory), 6 months (fractional) · Equity: 0.1-0.5% advisory, 0.5-1.0% fractional — negotiable alongside cash · IP: Pre-existing IP (including Pharmacy360) remains mine; work product for your company is yours · Non-compete: None — I work with multiple clients; conflicts disclosed upfront · Termination: 30-day notice, either side