Agentic operations
Role and authority design, isolated profiles, persistent context, human approval gates, audit trails, and recurring executive cycles.
DFW or remote
AI systems built with operational discipline.
I’m Graham Hill, an agentic systems builder and operations specialist with roughly two decades of enterprise healthcare IT experience. I design practical AI workflows around clear authority, durable context, deterministic automation, and human approval where consequences matter.
ProfileAgentic systems & operations automation
Foundation~20 years
Healthcare IT, service operations, documentation, and process improvement
Current workGoverned AI operations
Multi-agent orchestration, evidence gates, persistent context
Working styleArchitecture first
Bounded decisions, visible state, safe recovery
Selected evidence
Systems, not claims.
Representative work with concrete operating boundaries.
01 / Lead system
02 / Automation
03 / Case study
Governed multi-agent operating system
A persistent executive orchestrator and two dozen specialist roles, with isolated contexts, auditable delegation, deterministic support scripts, and approval gates for external action.
Evidence-gated career operations
A local, auditable pipeline that collects and normalizes leads, applies employer and evidence checks, and cannot contact anyone or submit an application without explicit approval.
V’ger autonomous knowledge agent
A zero-API-spend experiment in which Python handles execution while a small local model makes constrained editorial decisions.
Capabilities
What I bring.
Automation & applied AI
LLM workflows, RAG prototypes, Python, PowerShell, Bash, APIs, MCP-connected tools, and deterministic control layers.
Service operations
ITIL/ITSM, incident and problem practices, service catalogs, knowledge management, workflow design, and support ownership.
Enterprise systems
PeopleSoft HCM and Procurement, Epic, Cerner, OpenVistA, CareVue, PointClickCare, SQL, Power BI, and Power Automate.