Automation at scale
85%+ visit volume automated
Led invoicing and payout automation at Float, cutting billing operations time by over 75%.
Technical Program Manager
Sijae Brown
Technical Program Manager for startup execution
In short, I turn ambiguity into execution, tribal knowledge into systems, and ambitious ideas into infrastructure that scales.
Impact Snapshots
Proof from cross-functional delivery
Clinical platform ownership
100% of visits supported
Spearheaded zero-to-one eChart development powering all patient visits for the last 3 years.
Execution speed + compliance
8 minutes to seconds
Led HIPAA-compliant document workflow modernization, dramatically reducing PHI sharing time.
Featured Case Studies
Clinical Staffing Engine
Problem: Staffing decisions relied on tacit operational knowledge and informal coordination, introducing bias, variability and scale constraints under growth pressure.
Insight: Inconsistency was not a people problem; it was a systems problem. Critical matching logic lived in undocumented heuristics, with regulatory constraints and acuity signals applied unevenly across operators.
System Built: Encoded nurse skillsets, regulatory constraints and patient acuity into a production-grade matching engine, converting tribal knowledge into structured, enforceable decision logic.
Business Shift: Transformed a high-variance, manually curated workflow into scalable infrastructure, unlocking growth without proportional scheduling headcount, standardizing decision quality, and reducing operational entropy.
Artifact: Matching logic architecture + deployment instrumentation
Revenue Orchestration System
Problem: Billing and nurse payouts relied on repetitive manual coordination across clinical, finance, and operations, creating latency, human error risk and scaling constraints as visit volume grew.
Insight: Sustainable scale required treating revenue flow as a system, not a series of handoffs.
System Built: Designed and deployed an automated visit-to-revenue pipeline integrating clinical documentation, invoicing logic and Stripe-based payout scheduling, transforming manual handoffs into event-driven financial infrastructure.
Business Shift: Shifted 85%+ of visits to automated processing, reduced billing time by 75%+, and transformed finance operations from reactive task execution to scalable infrastructure.
Artifact: Revenue automation dashboard + payout trigger instrumentation
PHI Governance & Workflow Modernization
Problem: Clinical document exchange depended on fragmented systems, exposing the organization to HIPAA risk and operational inefficiency.
Insight: Sustainable scale required embedding compliance into infrastructure, not relying on process discipline alone.
System Built: Architected and led migration to a centralized, HIPAA-compliant document management system with role-based access, audit trails and controlled PHI lifecycle management.
Business Shift: Collapsed PHI exchange time from minutes to seconds while materially reducing compliance exposure and enabling scalable, secure clinical operations.
Artifact: Launch sequencing plan + enterprise risk mitigation register
Working Style
- Formalize the problem before scaling the solution
- Institutionalize context by replacing tribal knowledge with shared systems
- Surface risk before it compounds
- Move with urgency - build for durability
If you are hiring a TPM to make high-ambiguity work shippable, let's talk.