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Healthcare engineering
Clinical decision support, prior authorization and claims lineage — HIPAA-bound from the first line of code and audited continuously.
Capabilities · HealthTech · FinTech · GovTech · CRM
Domain Solutions
Engineered for the institutions that depend on it.
Manifesto / Domain Solutions
Engineering practice · est. 2018
Regulated industries are where engineering discipline matters most.
They are also where the most software is built badly, because the requirement to ship runs into the requirement to be audit-grade — and the second one usually loses. We don’t generalize across verticals: we go narrow, into healthcare, finance, public sector and CRM-led customer intelligence, and we go deep.
The codebases we ship live inside HIPAA, SOC 2, GDPR, PCI and jurisdiction-specific regimes from the first commit. Code that touches a patient, a transaction, a citizen or a customer of record is held to a standard no consumer app would tolerate. The audit log isn’t an afterthought; it’s the architecture.
Discuss this opportunityThe pillars
What we engineer — and how we hold the line.
Each pillar is staffed by the same senior engineers, from first architecture review to production.
02 / 06
Financial systems
Fraud detection, KYC/AML and audit-grade transaction systems. Every event is a receipt with the rule that fired and the data it fired on.
03 / 06
Public sector
Jurisdiction-aware compliance, case management and data residency — built to survive administration changes and external audit.
04 / 06
CRM intelligence
Salesforce-led customer intelligence, identity resolution across channels and journey orchestration — turning a CRM into an intelligence layer.
05 / 06
Compliance-first engineering
Audit logs, change history and role-scoped access from day one. Audit prep is a build artifact, not a six-week scramble.
06 / 06
Jurisdiction-aware delivery
Shipped under US HIPAA and state law, EU GDPR with national data residency, FedRAMP, Singapore PDPA, Australia OAIC, Brazil LGPD and Mexico FLDP.
The verticals
Four verticals. Each built to be audited.
We go narrow and deep — each vertical carries its own compliance posture, platforms and engagement pattern.
- 01
Healthcare
Prior-auth agents across Medicare, Medicaid and commercial plans, CV pipelines for imaging and claims documents, decision support inside the EHR.
- 02
Financial services
Streaming fraud detection, KYC/AML and transaction systems with a cryptographic chain of custody.
- 03
Public sector
Case management, data residency and jurisdiction-aware compliance on AWS and Azure GovCloud.
- 04
CRM intelligence
Salesforce Health Cloud and journey orchestration — the data engineering and ML that make a CRM intelligent.
Posture
Receipts,
not slides.
Figures from the practice dossier. Client identities are held back by default and available under NDA.
- 4
- Vertical specializations
- 14
- Jurisdictions deployed
- 5
- Audited frameworks
- 0
- Compliance findings · 2025
“Prior-authorization agent across Medicare, Medicaid and commercial plans for a multi-state healthcare network. Approval rate up 18%; clinician time per authorization from 30 minutes to 5.”
Engagement · redacted sample · client identity available under NDA
Frameworks, standards & certifications
Discover more
Four practices, one studio. Keep exploring.
The same engineers sit behind every capability — no siloed teams handing work over walls.
01
Data & Intelligence
Enterprise data and AI, shipped as intelligence — engineered to run in production.
02
Platform Implementations
Implementations led by engineers who built these platforms.
03
Security
Engineered defense for the systems we build.
