Jason Merkoski

About Jason Merkoski

As a seasoned technology executive with 25+ years of experience, I bring a rare blend of strategic vision, technical depth, and executional rigor to the table. I’ve held multiple CTO roles, led cross-functional teams at scale, and driven innovation at the intersection of AI, product, and engineering—delivering measurable business impact through production-grade machine learning solutions.Trained as a mathematician at MIT and an early Amazon leader, I was one of the founding members of the multi-billion-dollar Kindle initiative—transforming global access to information. Since then, I’ve continued to build and scale high-performing tech organizations, leading the end-to-end development of AI-first products from concept to production across SaaS, growth engineering, and big data environments.I specialize in setting AI strategy and building teams from the ground up, overseeing ML system architecture (including MLOps, scalable data pipelines, and model deployment), and aligning cutting-edge AI capabilities to real-world business outcomes. I’ve mentored engineers and scientists while driving cross-functional collaboration between product, engineering, and leadership.With deep expertise in Python, PyTorch, and TensorFlow, and a strong command of full-stack system design (including frontend/backend interfaces like TypeScript/React/Flask), I understand how to architect, scale, and ship robust AI systems under go-to-market pressure. I\'m passionate about creating humanistic impact through technology—and continually use my leadership platform to mentor, guide, and drive purposeful innovation.

Experience

1. Chief Technology Officer

   Physicianstrust Ai

   Apr 2023 — Present · Santa Fe, NM, US

   As the CTO and head of product, engineering, and analytics, I lead our end-to-end technology strategy and execution—building and scaling AI-powered healthcare platforms from the ground up. I’ve spearheaded the integration of Large Language Models (LLMs), Voice AI, and agentic automation to drive clinical transformation, unlock operational efficiencies, and deliver intelligent patient engagement at scale.AI-Driven Innovations & Impact:Virtual Nurse Technology (LLMs + Generative AI + Twilio): Designed and launched a production-grade virtual nurse solution powered by LLMs and voice interfaces. This system significantly accelerated patient response times, increased adherence, and boosted engagement metrics—while reducing human workload.Conversational AI with RPA & Speech Models: Orchestrated the deployment of agentic workflows that combine Conversational AI, speech-trained LLMs, and Robotic Process Automation (RPA). These autonomous agents now handle patient intake, scheduling, and follow-ups—delivering material cost savings and enabling 24/7 intelligent support.LLM-Based Transcription & Summarization Infrastructure: Built a secure, HIPAA-compliant pipeline for real-time call transcription and AI-powered summarization to assist clinical teams. The solution cut documentation time in half, improved data fidelity, and enhanced the quality of patient follow-ups—contributing directly to improved care ratings.Agentic Healthcare Workflows: Pioneered the design of agent-based systems that proactively engage, triage, and escalate care scenarios—enabling smarter population health interventions and unlocking new avenues for value-based care delivery.Through these initiatives, I’ve helped position our company as an industry frontrunner in AI-enabled, voice-first, and automation-centric healthcare. Our work has not only improved patient outcomes but also proven that scalable, intelligent systems can deliver meaningful ROI in complex, regulated environments.

Education

• Massachusetts Institute of Technology

  BS, Theoretical Mathematics, Creative Writing

  1990 — 1994

Skills

• Mobile Devices
• User Interface
• Big Data
• Cms
• Java
• Web Applications
• Databases
• Integration
• Agile Project Management
• Product Management
• Strategic Partnerships
• Cross-Functional Team Leadership
• User Experience
• Analytics
• Content Management
• Project Management
• Web Services
• Technical Leadership
• Enterprise Software
• Enterprise Architecture
• Mobile Applications
• Digital Media
• IT Strategy
• Sdlc
• Product Development
• Perl
• Oracle
• Cloud Computing
• Software Design
• Saas
• Javascript
• Xml
• Rest
• E-Commerce
• Linux
• Agile Methodologies
• Mysql
• Distributed Systems
• Management
• Software Development