Fractional clinical informatics leadership for healthcare AI startups, digital health companies, and health systems navigating the complex intersection of clinical workflows and emerging technology.
Kari Miller has done something most clinical consultants haven't: she has built healthcare software from concept to deployment - not as an observer, but as the architect. From defining business requirements and leading cross-functional design teams to building training programs, driving adoption, and measuring outcomes at scale, she has owned the full product lifecycle across enterprise health systems serving millions of patients.
That end-to-end experience is rare. She knows how to translate clinical reality into product requirements engineers can build, how to align C-suite stakeholders across competing priorities, how to build and lead high-performing informatics teams, and - critically - how to design for the customer who actually has to use the system at the bedside. The result is technology that gets adopted, not abandoned.
At Optum across 13 years and five senior leadership roles, she designed and launched award-winning clinical platforms that reduced documentation burden by 15 minutes per clinical event, increased member engagement by 11.7%, and delivered over $3 million in annual savings - including the first platform ever to standardize care management practice across all lines of business at UnitedHealth Group. She also completed the AI/ML Executive Leadership program at Carnegie Mellon and holds deep interoperability expertise across FHIR, USCDI, SNOMED CT, LOINC, and the Omaha System.
Through Precision Care Consulting, she brings that full-stack clinical and technical depth to healthcare AI startups and health systems - the senior executive voice that turns promising technology into proven clinical practice.
Most consultants know technology or clinical care. Rarely both. Kari has triaged patients in the ER, managed 67-person nursing units, built enterprise documentation platforms, and presented recommendations to C-suite leadership - she understands every layer between the patient and the data.
Frameworks developed and validated at Optum across 13 years and 45 national programs serving millions of patients. The whole person care platform she designed increased member engagement by 11.7% and reduced documentation time by 15 minutes per clinical event. Not theoretical - measured.
Technology doesn't fail because it doesn't work. It fails because clinicians don't use it. Kari designed and launched the first platform to standardize care management practice across multiple lines of business at UnitedHealth Group - Medical, Behavioral, and Social programs across Community & State, Employer & Individual, and Medicare & Retirement - then led the migration of 5,000+ clinical staff to it while improving productivity and reducing turnover. Every recommendation is filtered through one question: will the nurse, the physician, the caregiver actually adopt this?
An AI/ML Executive program at Carnegie Mellon combined with direct experience defining AI requirements, selecting training data, and creating safety benchmarks for clinical use in care management settings. Ethical, safe AI adoption in healthcare is not aspirational - it's practiced.
FHIR, USCDI, SNOMED CT, LOINC, ICD-10, Omaha System, NCQA, CMS, HIPAA - not as a checklist, but as working knowledge built through published research, invited speaking at HIMSS and the Omaha System International Conference, and years of production data mapping at enterprise scale.
Fractional engagement means you get senior executive clinical leadership without the full-time overhead. At Optum, Director-level scope spans what many organizations would consider C-suite responsibility - enterprise strategy, cross-LOB standardization, and executive stakeholder management. Whether you need a defined-scope project or an embedded executive for 10-20 hours a week, the engagement scales to where you are - from pre-seed through Series A and beyond.