At Symplast, I built an ambient clinical note-drafting workflow around an LLM, with clinician approval, audit logging, PHI-aware request handling, and deterministic fallbacks. I also moved shared libraries and high-change services toward .NET 8 while preserving compatibility boundaries.
At PatientNow, I improved appointment and invoice filtering, cutting p95 latency on a frequently used practice dashboard by roughly 30%. Earlier, at Amazon, I added idempotency keys and replay-safe handlers to address duplicate entitlement records, and at Nextech Systems I developed C# features for specialty-practice scheduling and EHR workflows.
