How We Work

Flexible engagement models built for healthcare execution.

Some teams need clarity before deciding. Some need one workflow deployed fast. Some need ongoing leadership or embedded capacity. Every engagement follows the same clear path, scoped to what your organization actually needs.

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Engagement Models

Matched to your situation

Strategy Sprint

Fixed scope2–4 wks

Workflow AuditRecommended

Fixed scope2–3 wks

Implementation

Fixed scope4–12 wks

Fractional CTO

Retainer3–12+ mo

Managed AI Ops

RetainerOngoing

Deployment Pod

Retainer6–12+ mo

“One workflow is clearly painful” → Workflow Audit

How an engagement works

Every engagement, fixed-scope or retainer, moves through the same four steps. No surprises, no open-ended hours.

Discovery call

A 30-minute conversation about your systems, your workflows, and where the friction actually is. No pitch, no charge.

Honest assessment

Scope & proposal

We translate the problem into a specific outcome, timeline, and price. You know exactly what you are getting before anything starts.

Fixed scope & price

Build & deploy

We do the work inside your environment, your EHR, PM, RCM, and tooling, with one senior operator accountable for delivery.

Working system

Measure & hand over

We verify the outcome against the goal, document the workflow, and hand it to your team so it keeps running without us.

Docs & handover

What every engagement includes

A defined outcome

Every engagement is built around a specific result, not an open-ended bucket of hours.

An accountable operator

One senior technical owner is responsible for delivery, start to finish.

Work inside your systems

We build in the tools you already run, not a parallel platform you have to adopt.

Documentation & handover

Your team gets the workflow documented so it keeps running after we step back.

Engagement models

Fixed-scope projects for a specific outcome; monthly retainers for ongoing leadership and embedded capacity.

Fixed-scope projects

Strategy Sprint

Teams unsure where to start

Fixed scope2–4 weeks

Workflow Audit

Teams with one painful workflow

Fixed scope2–3 weeks

AI Readiness Assessment

Teams evaluating AI tools

Fixed scope2–3 weeks

Implementation Project

Teams ready to deploy a specific workflow

Fixed scope4–12 weeks

Monthly retainers

Fractional CTO Retainer

Organizations needing ongoing tech leadership

Monthly retainer3–12+ months

Managed AI Operations

Teams running live AI workflows

Monthly retainerOngoing

Forward-Deployed Specialist

Teams needing embedded technical capacity

Monthly retainer3–12+ months

Deployment Pod

Startups or orgs with complex deployment needs

Monthly retainer6–12+ months

Where to start

Find the line that sounds like your organization, then look at the model we'd recommend as a first step.

"Operations are messy but I do not know what to fix first."

Start with

Strategy Sprint

Fixed scope · 2–4 weeks

"One workflow is clearly painful and needs to change."

Start with

Workflow Audit

Fixed scope · 2–3 weeks

"We are exploring AI but unsure what is safe and practical."

Start with

AI Readiness Assessment

Fixed scope · 2–3 weeks

"We know what needs to be deployed. We need execution."

Start with

Implementation Project

Fixed scope · 4–12 weeks

"We need ongoing technical leadership but cannot hire a CTO."

Start with

Fractional CTO Retainer

Monthly retainer · 3–12+ months

"We have AI live but nobody is monitoring or improving it."

Start with

Managed AI Operations

Monthly retainer · Ongoing

"We need someone technical embedded in our team."

Start with

Forward-Deployed Specialist

Monthly retainer · 3–12+ months

"We have a complex deployment that needs a dedicated team."

Start with

Deployment Pod

Monthly retainer · 6–12+ months

How pricing works

No packages, no per-seat licensing. You pay for a defined outcome, scoped after we understand your operation.

Priced per engagement

There is no rate card. Two RCM teams with the same headcount can need completely different work, so we put a number on your project only after a discovery call, once we know your systems, your workflows, and what “done” looks like.

You approve the scope first

Before any work starts you get it in writing: the outcome, the timeline, and the price. If something needs to change mid-engagement, you hear it before we do the work, never on the invoice.

What shapes the price

Number of workflowsSystem & vendor complexityIntegration requirementsAI deployment needsDocumentation scopeSecurity & complianceTimeline urgencyEmbedded resources

The discovery call is free, so you get a real number before you commit to anything.

Not sure which model fits? Let's figure it out together.

Book a 30-minute strategy call. No pitch. Just an honest assessment.

Book a Strategy Call