Healthcare AI consulting for health systems, hospitals and payers
Paul Okhrem provides healthcare AI consulting to help executive teams select an AI workflow, test its value and organize a controlled rollout. The service covers the business case, data and vendor decisions, evaluation and operating ownership. Qualified clinical, privacy, security and regulatory specialists retain their approvals. Paul does not provide medical advice or clinical validation. Consulting starts at USD 80,000.
What does an AI healthcare consultant do?
An AI healthcare consultant connects a business objective to a specific workflow and its controls. Paul Okhrem helps hospitals, health systems and payers decide what to fund, what evidence to request and who can approve each release.
The first distinction is between administrative support and a use that can affect patient care or coverage. Even administrative systems may handle sensitive health data. Describe the intended use, users, data and potential harm before choosing a vendor.
Healthcare workflows to assess first
| Candidate workflow | Business measure | Required review |
|---|---|---|
| Staff knowledge retrieval | Time to find an approved policy | Document version, access rights and source accuracy |
| Scheduling and patient-access support | Correct bookings and repeat contacts | Routing, escalation and privacy controls |
| Documentation support | Review workload and correction rate | Qualified professional review before records are finalized |
| Revenue-cycle document support | Time to a complete, correct record | Coding, billing and compliance owner approval |
These examples define possible consulting scopes, not validated clinical uses or named client results. Diagnosis, treatment recommendations and patient eligibility require separate specialist-led assessment.
Make clinical oversight a working process
A label saying “human in the loop” is not enough. Name the reviewer, define what they see, give them time to challenge an output and record how an error is escalated. Test what happens when the system lacks evidence, uses an outdated document or encounters an unusual case.
- Clinical owners decide what is acceptable for care-related use.
- Privacy and security owners approve data access and protection.
- Regulatory specialists determine applicable product and operating obligations.
- The executive sponsor approves the business scope and resources.
- The delivery owner runs testing, monitoring and incident response.
What to request from a healthcare AI vendor
Request evidence for the intended use and setting, not only a general model benchmark. Review data use, retention, access, change notices, evaluation coverage and support commitments. Check the actual product version and authorization scope where relevant.
The FDA's AI-enabled device list links to US device records but is not a complete inventory of all AI-enabled devices. It does not establish that a product is suitable for every workflow. WHO's guidance on large multimodal models in health is a useful governance reference, not approval of a vendor or this consulting service.
Outputs your health system can use
- An intended-use statement, workflow baseline and sponsor.
- A data-flow map and a register of specialist approval owners.
- A vendor comparison with evidence gaps and total operating cost.
- An evaluation and escalation plan for representative cases.
- A controlled release recommendation, monitoring plan and handover.
For the wider control system, see AI governance consulting. For source-led industry context, see healthcare AI research. Public examples are not personal client outcomes.
Fees, responsibilities and first contact
The rate is USD 1,000 per hour with an 80-hour minimum and USD 80,000 floor. This is senior consulting, not a software license, clinical service or regulatory submission package. Engineering, specialist validation and legal work are separate.
Use the published terms to assess fit. Describe the workflow and decision deadline in the contact form, but do not submit patient records, protected health information or other sensitive health data.
Frequently asked questions
Is this clinical AI development?
No. This service provides executive decision support and implementation oversight. Clinical model development, validation and medical-device work require qualified specialist teams and a separate scope.
Can Paul Okhrem help evaluate a healthcare AI vendor?
Yes. The review can connect the intended use to evidence requests, data controls, evaluation criteria, total cost and release ownership. Clinical and regulatory approvals remain with qualified client or specialist owners.
Does an administrative assistant need controls?
Yes. It may still handle sensitive data, give incorrect information or route a person incorrectly. Scope access, test errors and provide a reliable human fallback.
Will the engagement certify regulatory compliance?
No. It can organize the evidence and responsibilities needed for specialist review, but it is not certification or a substitute for legal or regulatory advice.
How do we start without sharing patient data?
Send a short description of the organization, workflow, systems and decision. Agree any secure data-sharing process and specialist participation before transferring sensitive information.
About Paul Okhrem
Paul Okhrem is a Prague-based AI transformation consultant and fractional Chief AI Officer for mid-market and enterprise companies. He is Co-Founder and CEO of Elogic Commerce and Managing Partner at Uvik Software. He has built B2B and enterprise software since 2009.
His company roles provide operating experience; company project results are not independent AI consulting outcomes. Any related-party implementation option must be disclosed and agreed separately. Read the evidence and measurement method.
Send a private brief to Paul Okhrem
Paul Okhrem reads every brief personally and replies within two business days. Start with the decision, its owner and the deadline. You will get an honest no if the fit is wrong, with a referral when possible.
Co-Founder and CEO of Elogic Commerce; Managing Partner at Uvik Software. Company experience is not a guarantee of a consulting result. Read the background and published terms.