Ryan Yannelli

AI clinical documentation platform for behavioral health.

• Led engineering across the full stack: Laravel/PHP backend, Vue 3/Inertia.js frontend, AI/ML pipelines, and GCP/GKE infrastructure.
• Built an LLM documentation engine on the Anthropic API that turns patient conversations into HIPAA-compliant SOAP, DAP, and BIRP notes in real time.
• Built AriaMD, a Telnyx-based AI clinical agent for live call transcription, clinical summarization, and population health monitoring.
• Built a Redis Streams relay on Laravel Reverb that decouples LLM token streaming from queue workers across multiple model providers.
• Directed external engineering partners across REST API integrations with EHR platforms (Epic, Athena, Practice Fusion) and third-party clinical hardware vendors.
• Led SOC 2, HIPAA, and ISO/IEC 42001 certification end to end, including external auditors and security consultants.
• Ran production infrastructure for 300+ practices with no dedicated ops staff: deployment pipelines, Datadog observability, and incident response.
• Published an open-source Laravel SDK for claim.md and a 14,000-record LLM fine-tuning dataset on HuggingFace.

• Directed operations staff across multi-site VoIP and data center environments; handled SIP trunking, call routing, and LCR for carrier-grade systems.
• Built proactive monitoring and incident response workflows that cut unplanned downtime across distributed infrastructure.
• Continued as Business Advisor (Apr 2023 — Mar 2025) post-transition.

• Delivered managed IT services: VoIP deployments, Microsoft Exchange migrations, and Microsoft 365 implementations for enterprise clients.
• Owned project delivery end to end, from scoping through production, and kept enterprise clients long-term.

• Designed and maintained enterprise networks on Avaya and Nortel infrastructure across multiple client environments.
• Owned incident response and monitoring that prevented business-impacting outages at client sites.