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Health missions · Data science

From claim line to care decision.

Health data is unlike any other: fragmented across standards, governed by layered privacy law, and consequential in a way ad clicks never are. This is the domain we chose — and the discipline it demands shapes everything we build.

HDS · Geo surveillance

TAMPA BAY · WK 30 · PER 100K

Choropleth map of the Tampa Bay region — real Census ZIP-code boundaries for Hillsborough, Pinellas, and southern Pasco counties — shaded light to dark blue by weekly syndromic rate per 100,000. A three-ZIP cluster in East Tampa is flagged in amber and under review; a milder rise shows in south St. Petersburg. Illustrative rates over real geography.

Low → highFlagged cluster122 ZCTAs · real boundaries, illustrative rates
ZIP-level surveillance, Tampa Bay — illustrative product concept

Mission domains

Where we operate

Four problem spaces, each with its own data shapes, statutes, and stakes.

CMS-scale missions

Claims & Payment Integrity

Fraud, waste, and abuse detection across billions of claim lines; risk-adjustment analytics; provider network analysis; and prior-authorization decision support.

Public-health missions

Population Health & Surveillance

Syndromic surveillance pipelines, outbreak detection models, social-determinants integration, and jurisdiction-level dashboards that hold up during a crisis.

VA / DHA-scale missions

Clinical Operations

Risk stratification for care management, capacity and wait-time forecasting, clinical NLP over provider notes, and decision support embedded in the EHR workflow.

NIH-scale missions

Research Data Platforms

OMOP-based research enclaves, registry and trial data systems, de-identification pipelines, and reproducible analysis environments for scientific teams.

Delivery

Health missions, run on the line.

Everything above ships through the Dark Factory™ — our proprietary spec-driven pipelines with programmatic, AI, and human validation at every stage. One example release from each pipeline:

DF/SW

Prior-auth API, in production

A production API shipped through the Dark Factory: twelve signed deploys in thirty days, p95 latency brought under its service-level objective — and every release landed with its accreditation evidence attached.

See the pipeline

HDS · DF/SW · Prior-auth API

PROD · 30 DAYS

Uptime · 30d

99.98%

SLO 99.9%

p95 latency

130 ms

SLO 180 ms

Signed deploys

12

all gates green

p95 latencySigned deploySLO

DF/DA

Claims ingest, governed

Claims ingest released from the Dark Factory: 412 million claim lines in thirty days, with quality gates quarantining bad batches at the door — before they can poison the models and reports downstream.

See the pipeline

HDS · DF/DA · Claims ingest

30 DAYS · 42 SOURCES

Claim lines · 30d

412M

+3.4% vs prior 30d

Quality pass rate

99.4%

schema · lineage · privacy

Quarantined

3

batches held at gate

Passed gatesQuarantined

DF/ML

Readmission model, calibrated

A readmission model held to its signed-off spec: calibration a review board can read at a glance, and drift monitoring that triggered an automatic retrain at the gate — before the program ever felt it.

See the pipeline

HDS · DF/ML · Readmission model v4.2

RUN 2381 · IN PRODUCTION

AUC

0.81

spec floor 0.78

Calibration error

1.2%

expected ≤ 2%

Last retrain

WK 19

drift gate · auto

DecileDriftDrift gateAuto retrain

DF/AI

Clinical assistant, held to spec

A clinical assistant verified against its behavior spec on every release: compliance meters for what it must do, must refuse, and must escalate — and red-team findings driven to zero before ship.

See the pipeline

HDS · DF/AI · Clinical assistant

RELEASE 48 · SPEC v12

Eval cases

1,912

derived from spec

Behavior pass

99.6%

gate floor 98%

Open findings

0

2 releases clean

ComplianceFindingsClean release

DF/DX

The console leadership opens

A decision product off the Dark Factory: live feeds, a two-week trend, and jurisdiction rankings — where the one flagged region traces back to governed data and a validated model.

See the pipeline

HDS · DF/DX · Executive console

WK 30 · LIVE FEEDS

ED visits · 7d

12.4K

+6.1% vs prior wk

Occupancy

84%

surge floor 90%

Signals open

1

Region 03 · wk 30

Rate per 100kJurisdictionFlagged

DF/YOU

Your mission’s release

A pipeline stood up for your release class — spec kinds, gates, and sign-off authorities defined together.

Define it together

Fluency

We speak the standards natively.

No translation layer between your data and our engineers.

  • FHIR R4
  • HL7v2
  • C-CDA
  • X12 837/835
  • OMOP CDM
  • USCDI v4
  • SNOMED CT
  • LOINC
  • RxNorm
  • ICD-10-CM

Trust architecture

Compliance, engineered in.

The regulatory frame isn't an obstacle to good engineering — it's part of the spec.

HIPAA
Privacy and security rules engineered into every data flow, not bolted on.
FedRAMP
Cloud architectures aligned to High-baseline controls from the first design review.
NIST 800-53
Controls as code with automated evidence collection for continuous ATO.
Section 508
WCAG 2.2 AA accessibility tested with assistive technology, every release.
42 CFR Part 2
Substance-use data segmentation and consent management where missions require it.
IRB & dbGaP
Research data governance for human-subjects and genomic datasets.

Have a health data problem that’s outlived three contractors?

Talk to us