Lead the technical direction, architecture, and delivery of production agentic AI systems. Build AI platform abstractions, agent workflows, evaluation and guardrail infrastructure, cloud-native services, and operational tooling using TypeScript/Node.js and Python. Own deployment, monitoring, troubleshooting, and measurable outcomes while partnering with product, clinical operations, and business leaders. Mentor engineers, establish reusable patterns, communicate architectural trade-offs, and ensure privacy, security, compliance, reliability, safety, and cost controls for sensitive healthcare data.