Now accepting design partners

AI Underdelivered
for Health Plans.
Until Now.

80% of healthcare AI projects fail before they reach production. PulseSync puts 105+ pre-trained healthcare AI skills in the hands of your operations team — guided agent workflows with full explainability, deployed in days.

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What we are

The Multi-Intelligence
Health Plan Workflow Factory.

We specialize in helping health plans automate all of their workflows while integrating machine learning, trigger-based rules, and LLM inference — all in a single no-code, auto-explaining agentic platform so your employees can capture efficiency with only knowledge of your operations. No coding, no data science, no prompt engineering experience required.

Why PulseSync?

Four reasons PulseSync was
built for health plans.

AI-native · Built for Health Plans & TPA
Your data, connected instantly
  • Plugs into your existing systems — no rip-and-replace
  • Claims flow in and get checked for fraud in seconds
  • One unified view across all your data sources
No AI expertise required
  • Your ops team configures it — no data scientists needed
  • Ready-to-use templates for the most common use cases
  • AI that speaks health plan, not tech jargon
Every decision is explainable
  • Every fraud flag comes with a plain-language evidence trail
  • Catches overpayments before money leaves the door
  • Audit-ready from day one — no extra compliance work
Works across every use case
  • Fraud, cost containment, stop-loss — one platform
  • Covers pre- and post-payment, claims and clinical
  • Up and running on day one, no lengthy implementation

Bottom line: PulseSync is the only platform built end-to-end for health plans — integrated, explainable, and ready to deliver value from day one.

The problem

Healthcare AI keeps
failing to reach production.
We built for that reality.

80% of healthcare AI projects fail before they go live — black-box decisions regulators reject, brittle integrations that break, and point solutions that never talk to each other.

PulseSync was built differently: pre-trained healthcare skills, glass-box explainability, and agents that compound their intelligence with every claim processed.

80%
Healthcare AI projects fail before they reach production. Integration complexity and black-box outputs are the top two killers.
$300B
Lost annually to fraud, waste, and abuse in US healthcare. Legacy rules catch less than half.
6mo
Average time to deploy enterprise AI in healthcare.
PulseSync: days, not months.
The four pillars

Purpose-built to break through
every barrier.

Four barriers held the industry back. PulseSync was purpose-built to break through every one of them.

Pillar 01
Transparency Solved
Healthcare demands auditability. PulseSync delivers glass-box AI — every decision explainable, every output traceable. No black boxes.
Auditable
Pillar 02
Your Investments Amplified
You’ve already invested in ML and RPA. PulseSync doesn’t replace them — it orchestrates them into a unified intelligence layer.
Amplified
Pillar 03
Integration Built In
Deep integration with legacy systems, data sources, and existing automation — pre-built, not custom. Weeks to deploy, not years.
Connected
Pillar 04
Expertise Embedded
Context engineering, continuous evaluation, and iterative tuning — all embedded. Your team focuses on outcomes, not AI operations.
Turnkey
Platform suite

Six capabilities,
one intelligence platform.

Pre-trained Skills Library
105+ healthcare-specific AI skills, ready to deploy. No-code assembly for your operations team.
Pre-trainedNo-code
Real-time FWA Detection
Pre-payment fraud, waste, and abuse detection across all claim types. Evidence trails for every flag.
Real-timePre-payment
Stop-Loss Intelligence
Predictive analytics that identify high-cost claimants before they breach thresholds.
PredictiveCost containment
Compounding Intelligence
Findings feed each other. Three signals become one compound finding. Every new client enriches detection.
Multi-agentNetwork effects
Adaptive, Self-Learning
AI agents adapt to new patterns in real-time — no model retraining. Every claim is a training signal.
AdaptiveReal-time
Denial Prevention
Catches documentation gaps and coding errors before submission. Reduces denial rates from first claim.
PreventionRevenue
The founding team

Built by people who’ve
done this before.

Healthcare technology veterans with 100+ combined years of experience, 30M+ lives managed, and $3B+ in enterprise value created.

AJ
Amit Jain
Founder & CEO
25+ years in technology. Built and managed global platforms serving 30M+ members. Led $3B+ in M&A transactions across tech.
Previously: CTO, Personify Health · CTO, RSi · Infor · Moody’s
CM
Chris Michalak
Executive Chairman & Chief Growth Officer
Former CEO of Personify Health. Experienced public company leadership with deep expertise in health plan growth strategy and execution.
Previously: CEO, Personify Health · CEO, Alight · CCO, Aon Hewitt
LS
Lisa Siragusa
SVP Operations & Professional Services
25+ years in healthcare operations. Hands-on health plan and TPA claims, analytics, and provider operations leadership across UHG, Molina, and Somatus.
Previously: Excellus BCBS · MVP HP · Molina · Yourcare HP
HM
Heath McCarthy
UX Consultant / Strategic Advisor
Healthcare UX architect and product leader. Shapes how AI workflows get translated into interfaces that health plan and TPA operations teams actually use.
Previously: VP, Product Management, Personify Health
AJ
Amisha Jain
Director, Product Management
Drives product requirements, agent prioritization, and healthcare domain translation across the FWA, clinical, and stop-loss suites.
PulseSync: Product
?
This Could Be You
Strategic Advisor / C-Suite
We’re building a world-class team of healthcare technology veterans. If you have deep expertise in health plan strategy, payment integrity, or healthcare operations — we want to talk.
Get in touch →
Design partner program

Become a
Design Partner.

We’re pilot ready in production and selecting 3–5 mid-size health plans and TPAs to shape PulseSync together. Design partners get founder-level access, priority roadmap input, and preferred pricing at GA.

Request early access Meet the founders
✓ SOC 2 roadmap active·✓ HIPAA-ready architecture·✓ BAA available at pilot
Auditable · Amplified · Connected · Turnkey