james@coast:~/work$ find . -type project

A selection of the client work I've led or contributed to across healthcare, edtech, and developer tooling — plus a few tools I build for myself. Select any entry to expand.

~/twentyideas/ 2022 – present

Helped Nsight Health close remote care technology gaps to scale vital aid to millions of patients. PRVNT is a unified remote patient monitoring platform that lets Nsight providers monitor, communicate with, and assist enrolled patients with one purpose-built tool. Rolled out in January 2025, supporting Nsight's expansion into three top-10 US health networks.

  • End-to-end RPM integration with device support for glucometers, blood pressure cuffs, and spirometers
  • Fully integrated auto-dialing with SOAP notes and real-time patient data
  • Role-based permissions for clinicians, admin teams, PCPs, and conditional specialists
  • PRVNT mobile app for patients to monitor device readings and health data
  • HIPAA compliant, AWS-native security with least-privilege access and encrypted data

~/emberex/ 2016 – 2022

~/side/ free browser tools I build for myself