Kafka → LLM tool-use → Snowflake → dbt.
~85% of claims cleared without an LLM call — deterministic NCCI gate, sub-ms. 10% holdout arm for provable lift.
Tiered action router: 3-condition auto-correct gate (FCA defense) → immutable audit log → kill-switch. Feedback loop compares intervention vs. holdout denial rates; >20% drift activates kill-switch. $0.003/claim · 50,000× ROI. 251 tests, CI green.
FHIR R4 → Snowflake → dbt → Dagster.
25,958 records · 226 patients · 6 enrichment categories.
LLM enrichment cross-validated by LLM-as-Judge + deterministic rules engine. Every record routes to Gold (trusted) or Review (explainable reason, always traceable). Dual-validation: neither LLM nor rules engine alone decides.
FHIR R4 → Snowflake → dbt → Dagster.
257K denied claims · 51.9% denial rate · $1.2M+ recoverable.
CARC-based root-cause classification — systematic vs. documentation failures. T2D+CKD RWE cohort. 12 dbt models, 83 tests, CI green.
Airflow → S3 → Athena → Power BI · Terraform IaC.
+92% Sharpe ratio premium for AI-native builders vs. integrators.
Spearman ρ = +0.800, p ≈ 0.005. 184 pytest tests · SEC EDGAR + FRED + live market data.