Fractional CTO • Fractional Chief AI Officer
Fractional Chief Data Officer
I'm Murali Makkena. I help healthcare and enterprise organizations modernize their data platforms for AI readiness, operationalize AI responsibly, and accelerate digital transformation — without the cost of a full-time executive.
Specializing in HIPAA-compliant data architecture, healthcare AI, and cloud modernization.
Who I Help
I partner with:
Engineering teams that need senior leadership, architectural direction, or platform modernization
Founders & CEOs who want a hands-on technology leader they can trust
Health tech startups (Seed → Series C) accelerating product, data, or AI development
Provider, payer, and digital health organizations modernizing analytics and building AI-driven workflows
What I Do
Fractional CTO • Fractional Chief AI Officer • Fractional CDO
I provide executive-level technology leadership for organizations that need strategic direction without hiring a full-time CTO, CAIO, or CDO. I modernize data platforms for AI readiness, guide architecture and delivery, shape technical strategy, mentor teams, and ensure technology decisions support long-term business outcomes.
AI & Data Strategy
I help organizations design and execute actionable AI and data strategies — building modern, compliant architectures; identifying high-value use cases; and creating a clear 30/60/90-day roadmap. The focus is practical value: moving from experimentation to production-grade AI that is safe, responsible, and aligned with business goals.
Healthcare AI Solutions
I design and implement clinical workflow AI solutions, including clinical documentation AI (CDI) and HCC coding support, HEDIS automation, ambient intelligence, guideline-grounded summarization, and outcomes analytics. Solutions are built with a strong emphasis on safety, accuracy, regulatory compliance, and seamless integration into clinical and operational environments.
Why Teams Work With Me
Hands-On + Executive Leadership
I operate at both levels — designing data architectures, building POCs, debugging pipelines, and tuning models, while also providing CTO/CAIO/CDO-level guidance across strategy, compliance, product decisions, and long-term technical direction.
Deep Healthcare & Data Expertise
I've built HIPAA- and FedRAMP-compliant platforms, population-health outcomes models (PHQ-9, GAD-7, A1c, BP), FHIR-based longitudinal records, HEDIS quality frameworks, and AI-driven CDI/HCC workflows. I understand both clinical realities and the technical infrastructure required to support them.
Pragmatic, Not Theoretical
I don't deliver slide decks and disappear. I deliver architectures, systems, and processes your team can actually operate — grounded in real-world constraints, safety considerations, and measurable outcomes.
Flexible, Senior Execution Capacity
You work directly with me. When additional hands are needed, I bring in senior engineers and specialists from my trusted network — offering top-tier execution without the overhead or complexity of a large consulting firm.
Let's talk.
If you're scaling your AI, data, or engineering capabilities and want senior leadership without hiring a full-time CTO, I'd be happy to explore how I can help.