Review the tradeoffs.
Platform direction, agent/tool boundaries, system evolution, and written architecture decisions.
Fractional CTO
Senior judgment.
Alongside your team.
For companies with an engineering team that needs an experienced technical counterpart: architecture, agent adoption, technical decisions and the conversations with your board and investors.
An initial three-month term, with scheduled reviews and leadership readouts.
Within the scope
A technical counterpart for the decisions that matter.
Make the work legible.
Prioritization, risk reviews, delivery expectations, technical hiring input and operational ownership. For agent adoption: what to delegate, what engineers retain, and how generated changes are reviewed.
Translate evidence into a decision.
Technical readouts for leadership, boards and investors, grounded in the available system evidence.
Agent adoption
Improve the workflow, not just tool usage.
Work with the engineering lead on task boundaries, repository context, review capacity and architecture drift. Judge progress by accepted useful changes and the effort to maintain them.
A team-owned way of working.
Agree where agents can act, what evidence a reviewer needs, who accepts risk and when to stop. Document the decisions and review the next increment against them.
When it is time to build, a forward-deployed team sets up the harness and ships the product alongside your engineers.
Explore harness engineeringHow it runs
Architecture, delivery and leadership decisions.
Scheduled reviews, written decisions and leadership readouts. When the plan calls for building, we scope a forward-deployed build.
- Included
- Architecture and delivery reviews, written decisions, and a leadership or board readout.
- When you build
- A forward-deployed build, and a monthly retainer to run it after launch.
- For a deal
- Technical and AI diligence in two to four weeks.
Healthcare / selected work
Technical leadership through acquisition
- The problem
- A regulated EHR and revenue-cycle platform connecting clinical workflows, revenue operations and patient access.
- What we built
- The core EHR/RCM system, with HL7 orders and labs, telehealth and a patient portal, then a Microsoft Fabric data layer after the acquisition.
- What it made possible
- A platform the acquiring a16z-backed company chose as its technology foundation, with 100+ reports in use by hospitals and healthcare organizations.
- CTO
- platform leadership through acquisition
CTO leadership, TeqEngine software development and technical diligence through acquisition.
Read case studyContinuity through a technical transition
- Understand the estateArchitecture, dependencies and technical risks
- Make the decisionDiligence findings · leadership communication
- Carry the platform forwardSystem and data delivery after acquisition
- Maintain ownershipOperational context · decisions · handoff
Start a conversation
What are you building—or deciding?
Tell us where you are. We reply within one business day, and the first conversation ends with a recommended next step.