Wesley Combs

Building AI-powered clinical documentation platform with architecture provisioned for CDS Hooks and real-time decision support.

• •Multi-model LLM pipelines using AWS Bedrock, OpenAI, Claude, and Claude Agent SDK
• •Full-stack development: iOS (SwiftUI), Android (Jetpack Compose), Web (Next.js/TypeScript)
• •Serverless infrastructure design with infrastructure as code
• •FHIR R4 integration via Medplum for EHR data exchange
• •HIPAA-compliant voice agents handling live clinic phone traffic with warm human escalation

Stack: AWS Bedrock, OpenAI, Claude, Serverless, IaC, SwiftUI, Jetpack Compose, TypeScript, FHIR

Built the technology organization for a 280-provider, 38-practice ESOP medical group targeting growth to 2,000 providers.

• •Secured $4M infrastructure modernization approval from board
• •Led 1 clinic/month acquisition cadence with data migration and integration
• •Built self-service analytics platform with value-based care dashboards
• •Architected data pipelines for clinical, claims, and operational data

Led AI-first clinical strategy for $1.8B enterprise (acquired by Thoma Bravo).

• •Shipped first Ambient AI on mobile EHR (November 2023), an industry first
• •Led $320M clinical product portfolio across EHR, Mobile, and clinical content
• •Architected CDS Hooks platform with $182M revenue opportunity
• •Designed FHIR-based strangler fig architecture for legacy modernization
• •Managed cross-functional teams across engineering, product, and data science

Built and led the healthcare data platforms behind two Medicare ACOs and a nine-state health information exchange.

• •Led 50+ person technology organization; built team now leading at Cerner, Optum, PointClickCare
• •Architected HIE platform serving 3M+ lives across 9 states with 5x ROI; OnePartner has since been acquired by Optum
• •10 consecutive years of positive ACO performance ($76M+ in earned shared savings)
• •Built data pipelines processing ADT, claims, and clinical data from 100+ practices
• •Negotiated national Allscripts reseller partnership, expanding to new markets

Healthcare IT pioneer during formative era of health information exchange.

• •Participated in NHIN1/NHIN2 pilots under David Brailer (first National Health IT Coordinator)
• •Built HL7/CCD data interfaces for healthcare interoperability
• •Grew from sole proprietor to 10 employees
• •Successfully exited via sale in 2011

Entry into healthcare technology on the hospital floor, building the interface work that became a career.

• •HL7 interfaces on Cloverleaf and eGate for lab and clinical integration
• •Claims processing, transcription, patient indexing, and critical care monitoring
• •Authored and sold Ultimate HL7 for .NET, a commercial parsing tool, across several hundred licenses
• •System administration and scripting across AIX, DGUX, and Windows

Client delivery while finishing school, working across eCommerce, banking, and municipal systems.

• •Converted Wideners.com from a FoxPro catalog to SQL Server and Classic ASP e-commerce in 30 to 45 days
• •Moved roughly $1M, about 30% of mail order and call center volume, online in the first year
• •Early loan application workflows against AS/400 financials
• •Content management system used by banks and medical groups