AI · Agentic Systems · Healthcare Innovation

I build agentic AI
that ships real outcomes.

I'm Rajiev Timal — an engineering leader who turns frontier AI, automation, and hard software problems into products used by hundreds of thousands of people. Clinician turned technologist, now architecting the next generation of intelligent systems in healthcare and beyond.

$60M+
Annual business unlocked at Mount Sinai
Startups founded & led as CTO
10,000s
Patients served by apps I've shipped
Petabytes
Of genomics data engineered at MSK
Agentic AIRAG & LLMsAWS BedrockGolangNode.jsTypeScriptReact / Next.jsPythonKubernetesApache AirflowData EngineeringiOS & AndroidCloud ArchitectureAutomation
Why it matters

A rare blend: deep technical craft, real leadership, and a clinician's instinct for the problem.

I've spent my career at the intersection of engineering and impact — building the AI and automation that make complex organizations move faster, and the products that people actually love to use.

Agentic AI, in production

Built conversational and agentic AI systems — from a "4-SINAI" text-to-care chatbot to an AI book-club facilitator — driving up to +1000% engagement and +40% workflow efficiency.

🧠

Gen AI & RAG frameworks

Stood up enterprise Gen AI and RAG on AWS Bedrock for a next-gen genomics lab, plus AI-driven tooling across clinician and patient experiences.

From OR to the codebase

A former orthopedic-surgery Physician Assistant who scrubbed into hundreds of surgeries — I build healthcare tech that understands the clinician and the patient.

🚀

Founder-grade execution

Co-founded and led engineering on multiple startups as CTO — owning architecture, team, and delivery, and taking products from zero to launch and scale.

👥

Leaders, not just code

Scaled teams from 2 to 30+ engineers, ran $5M+ budgets, and influenced enterprise architecture across 1000-person IT organizations.

📊

Data at massive scale

Architected pipelines over petabytes of genomic data, HPC delivery, disaster recovery, and analytics warehouses that turn raw data into decisions.

What I build

Intelligent products, engineered end‑to‑end.

Backend to mobile, model to interface, strategy to shipped. Here's where I go deep.

🤖

Agentic & Conversational AI

LLM agents, RAG pipelines, and chatbots that automate real workflows — patient scheduling, pre-registration, triage, and facilitation.

Cloud & Platform Engineering

Event-driven, multi-tenant backends on AWS with ECS/Fargate & Kubernetes. Golang, Node.js, TypeScript, Python.

📱

Mobile & Digital Front Doors

Native iOS & Android apps serving 10,000s of patients — MyHSS, Mount Sinai, Readfeed — featured by Google, integrated with Epic.

Capabilities

Full-spectrum engineering depth.

From frontier AI down to the data layer — here's where the craft runs deepest.

Agentic AI & LLMs0
Cloud & AWS Architecture0
Backend (Go, Node, Python)0
Data Engineering at Scale0
Mobile (iOS & Android)0
Engineering Leadership0
The journey

Leading engineering where the stakes are highest.

2025 — Present
Software Engineering Manager
Memorial Sloan Kettering · Integrated Genomics Operation

Leading software, AI & data engineering for next-gen genetic sequencing. Built custom LIMS & enterprise apps, a Gen AI/RAG framework on AWS Bedrock, and pipelines managing petabytes of genomics data.

2023 — 2025
Senior Director of Engineering, Digital
Hospital for Special Surgery · #1 Orthopedic Hospital

Led digital engineering for a surgical care guide used by 95% of surgical patients and an AI-driven chatbot that lifted pre-registration efficiency 40%. Drove enterprise architecture across a 500-person IT org.

2020 — 2023
Senior Director of Engineering, Consumer Digital Innovation
Mount Sinai Health System

Architected a subscription platform enabling a $60M/year commercialization business. Built the team from 2 to 30, and shipped conversational AI that grew engagement 1000%+.

2015 — Present
Chief Technology Officer & Founder
Readfeed

Founder-operator behind AI-powered products. Built an AI book-club facilitator featured by Google — 40,000 users in two weeks.

Educated at NYU (M.S. Computer Science), Illinois (MBA, Innovation & Entrepreneurship), and Stanford (AI Professional Certificate — NLP & Deep Generative Models).

Let's build something
intelligent.

Advising, building, or leading the next frontier of AI and healthcare innovation. If it's ambitious, I want to hear about it.