John Holstein — AI Technical Product Architect — Novant Health Candidate Brief

Why This Candidate for This Role

Healthcare AI in production — covers both open positions.

Revenue Cycle: Evernorth (value-based care, 147 CMS KPIs standardized) and Optum (Medicaid/TPA analytics, unified Snowflake source). Clinical: Invistics (drug diversion ML deployed to 300+ U.S. hospitals, 96% detection accuracy) and Optinosis (early cancer detection, active production with paying customers).

Agentic AI and RAG — deployed systems, not pilot projects.

Multi-agent GenAI at Amgen cut FDA regulatory submission cycle time 40% and expanded scope after first production milestone triggered Board approval. Agentic evaluation pipeline at NewsRx governs clinical biomedical content quality at scale.

Responsible AI embedded in every deployment.

HIPAA, GxP, and Human-in-the-Loop governance across every healthcare system. FDA-submission GenAI required GxP change control. The governance is the practice, not the objective.

Owns the full execution stack.

Sole contributor at NewsRx against a four-person staffing plan, delivering infrastructure beyond contracted scope. Product Owner at Amgen when the prior PO was promoted mid-project. Architecture through delivery — not advisory only.

What Makes This Candidate Different

Most AI architects have cloud credentials. Few have shipped AI into regulated clinical environments and kept it running. Zero production failures across five systems in eight years.

Healthcare governance is a lived operational constraint — not a slide deck credential. NRC, FDA, HIPAA, GxP, EU MDR have all been active production conditions.

Covers both open positions. The Revenue Cycle hire and the Clinical hire require different backgrounds for most applicants. Not here.

Functions as Solutions Architect and Principal Engineer. The JD specifically requires both. Most candidates are one or the other.

Lean-team multiplier. Consistently delivers at multiples of traditional team capacity: 4-person scope solo, 23-person legacy rebuilt with 3.

Logistics

Rate$85/hr — confirmed alignment Contract3-month C2H — aligned AvailabilityImmediate Work modelOpen to hybrid or onsite LocationAtlanta, GA — travel flexible

Understanding the Resume — Why the Breadth Is the Qualification

The resume is long because the career spans every environment Novant Health operates in. The through-line is consistent: AI systems in regulated healthcare, from strategy through production delivery.

Clinical AI Invistics — drug diversion ML, 300+ hospitals, 96% accuracy, NIH SBIR named contributor • Optinosis — early cancer detection, active production

Revenue Cycle / Enterprise Evernorth — value-based care, 147 CMS KPIs • Optum — Medicaid/TPA Snowflake analytics • Cardinal Health — $21M SAP cGMP implementation

Regulated AI / Life Sciences Amgen — first GxP-validated GenAI for FDA submissions (ICH) • J&J MedTech — EU MDR / EUDAMED • NewsRx — biomedical LLM, GxP-grade governance

Healthcare Operations Depth Nuclear pharmacy (NRC/FDA/DOT/EPA — deepest regulated supply chain in U.S. healthcare) • DARPA pattern recognition — origin of AI methodology