Hi, I'm Josh (aka DiscRisknBisque πŸ₯πŸŽ²πŸ¦ž)

I'm a technically grounded product leader who began as a software engineer, scaled developer infrastructure products in web3, and now builds AI-native healthcare systems. Experienced in translating complex technical capabilities into production products, from developer platforms serving millions of requests to agentic workflows that reason over longitudinal medical records and patient-facing clinical content.

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Recent talks
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Recent projects
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Work Experience
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  • Oct 2024 - Present
    Obtego
    Co-Founder, CEO
    • Co-founded an AI-first healthcare platform that transforms discharge summaries and visit notes into interactive, plain-language patient companions while generating decision traces and for care coordination workflows.
    • Led product strategy and technical direction across patient engagement, clinical/admin workflows, and external specialist review, with early pilots spanning wound care, antimicrobial stewardship, and billing coordination.
    • Developed the agent harness and evaluation workflow for the patient-facing product, designing graph- and FHIR-aware approaches for temporal reasoning over longitudinal medical records.
    • Improved internal graph-Q&A performance beyond Meta’s Coconut latent-reasoning baseline (97 to 98.2% zero-shot), helping validate a more reliable reasoning stack for patient-facing clinical context.
  • Nov 2024 - Jul 2025
    BuildBear
    Lead Product Manager
    • Led product development of BuildBear CI/CD, enabling continuous smart contract testing across multiple forked sandboxes through GitHub Actions and a single YAML-based workflow.
    • Expanded test realism for web3 dApps by incorporating off-chain services into the testing environment, allowing teams to validate more production-like scenarios instead of isolated on-chain flows.
    • Shaped workflows around persistent sandboxes, debugging, profiling, and analysis so automated test runs were easier to inspect, share, and iterate.
Let's Connect

If you want to get in touch with me about something or just to say hi, reach out on social media or send me an email.