A concrete paid sprint before a larger commitment.

Most teams start with a 2-week fixed-fee sprint: Architecture & Sequencing Sprint. You get a technical, compliance, and AI-governance sequence before deciding whether a Fractional Head of Engineering retainer is the right next step.

Recommended start
Architecture & Sequencing Sprint
Discussed in a fit review
2-week fixed-fee sprint
Architecture & Sequencing Sprint

You leave with a prioritized technical, compliance, and AI-governance roadmap you own — whether or not we continue together.

Architecture, risk, and compliance assessment
AI-governance and interoperability review
Prioritized technical sequence and roadmap
Clear recommendation for the right engagement
Scope the sprint
Fractional Head of Engineering
Discussed in a fit review
16 hrs/week reserved · 3-month minimum
Fractional Head of Engineering

Ongoing executive engineering capacity — architecture, AI governance, hiring, and delivery systems on retainer.

Technical strategy and architecture ownership
AI governance and regulated-data decisions
Hiring, mentoring, and team leverage
Delivery systems and execution cadence
Book a fit review
Regulated AI Engineering & Governance
Discussed in a fit review
Delivered within a Fractional Head of Engineering retainer
Regulated AI Engineering & Governance

Governed AI adoption with PHI boundaries, provenance, and human-in-the-loop review for regulated workflows.

AI feasibility and risk assessment
PHI and sensitive-data boundary design
Provenance, auditability, and traceability
Human-in-the-loop governance and rollout
Book a fit review
Technical Due Diligence
Discussed in a fit review
Scoped to the decision at stake
Technical Due Diligence

Independent technical assessment and build-vs-buy guidance for founders and investors before a major decision.

Architecture and codebase assessment
Technical risk and scalability review
Team capability and delivery assessment
Build-vs-buy and platform recommendation
Book a fit review
Marketing contact
Working hours

Mon-Fri: 9 am — 6 pm

Located at

Marlton, NJ, 08053

Got questions?

Book a fit review directly

30 minutes. You'll leave with a clear read on your top architecture and compliance risks — whether or not we end up working together.

Best fit for founder-led healthcare and regulated software teams entering the phase where architecture, compliance, interoperability, and AI governance start to matter more than raw build speed. Probably not a fit if you are looking for build capacity or hours.

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Or send a message

Share the engagement type, the outcome you want, and your technical context so Anova can confirm fit and the clearest next step.

30 minutes. You'll leave with a clear read on your top architecture and compliance risks — whether or not we end up working together. Share enough context to confirm fit, conflicts, and whether the right next step is a 2-week fixed-fee sprint: Architecture & Sequencing Sprint.

Examples: EMR/EHR, CRM, scheduling, intake, RCM, data warehouse, cloud platform, AI tooling, internal services. Please do not include PHI or patient details.
This helps separate urgent revenue, operations, or customer-experience problems from nice-to-have work.

Areas of focus

FAQS

Questions buyers usually ask before starting.

It is executive engineering leadership on a fractional basis — the judgment, architecture, AI governance, hiring, and delivery systems a team would get from a Head of Engineering or CTO, without the cost or commitment of a full-time hire. Anova owns the important technical decisions and the systems that make a team effective, not a fixed list of tasks.

Anova is an engineering-leadership firm, so the work is judgment, architecture, governance, and delivery systems first. We go hands-on where it has the most leverage — proving out an architecture, setting patterns, or unblocking a critical path — but the engagement is not sold as build hours or headcount.

By the decisions and systems that multiply a team rather than the hours logged. The right architecture choice, a governed AI rollout, a hire that raises the bar, or a delivery system that removes recurring friction is worth far more than any single feature. Leverage over effort is the operating principle.

Yes — regulated and healthcare teams are the core focus. Anova treats PHI boundaries, provenance, auditability, and human-in-the-loop review as design inputs, especially when adopting AI inside regulated workflows. Please do not send PHI or patient details through the contact form; we will set up an appropriate channel during the engagement.

The Architecture & Sequencing Sprint is a fixed fee for two weeks. The Fractional Head of Engineering retainer is monthly, with reserved hours and a three-month minimum. Technical Due Diligence is scoped per engagement, and Regulated AI Engineering & Governance is delivered inside a retainer rather than priced separately. Figures are shared in a fit review, once the scope is clear enough for the number to mean something.

Most engagements start with the sprint. It is a standalone engagement rather than a deposit, so the fee is not credited against a later retainer — you leave with a roadmap you own whether or not we continue.

Anova works with a small number of teams at a time so each gets real executive attention. We are deliberate about conflicts and will flag any concern before an engagement begins. The fit review is where we confirm there is no conflict and that the capacity is there to do the work well.

Founder-led healthcare and regulated software teams entering the phase where architecture, compliance, interoperability, and AI governance start to matter more than raw build speed — teams that need executive engineering judgment but are not ready for, or do not need, a full-time CTO.

You share the business context, the technical situation, and what is at stake. In 30 minutes, Anova gives you a clear read on the top architecture and compliance risks, confirms fit and conflicts, then recommends the right next step.

When there is fit, that next step is usually a 2-week fixed-fee sprint: Architecture & Sequencing Sprint. When there is not, you still leave with an honest recommendation.

Faqs
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