Transformational Blueprints

Peter Csiba has spent twenty years building infrastructure that can't afford to be wrong. Web search at Google. Platform engineering at Robinhood, handling roughly a billion dollars a day in transactions. Now he's Engineering Manager at Assort Health, leading the team responsible for EHR interoperability at a company that just hit unicorn status, a $120M Series C from Menlo Ventures, $222M raised total, revenue up 20x in fifteen months.
Mario talks to Peter about what actually breaks when you try to write data back into Epic without disrupting a health system's workflow, why he moved too fast with EHR partners early on and had to rebuild that trust, and what the Robinhood outage of January 2021 taught him about engineering for systems where the cost of being wrong is high. Peter also gets into the "write-only code era," the tension between flashy AI-generated demos and real engineering rigor, and why he thinks getting your first EHR integration right is a people problem before it's a technical one.
For any CTO or VP of Engineering thinking about their first healthcare data integration, or any engineer wondering what actually predicts a good hire in a fast-scaling startup, this one's dense with specifics.
What Makes Great Engineers
EHR Interoperability with Epic
Scaling Integrations Seed to Unicorn
AI Code Output vs Healthcare Rigor
Lessons from Robinhood Outages
Risk vs Compliance Balance
Outages and Shipping Speed
EHR Interop Edge Cases
API Limits and Monetization
Voice AI Startup Lessons
Founder Stress and Volatility
First EHR Integration Advice
Finance vs Healthcare Mindset

Watch the episode on YouTube: https://www.youtube.com/@SynaxiaGroup
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Extra Stuff:
Do you want a copy of our Startup Engineering Market Report?
What's in the report?
Who's hiring the most engineers in your region/industry?
Gender diversity statistics
Is demand for engineers increasing or decreasing?
What are the key trends in the startup market?

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Get in touch: https://www.linkedin.com/in/mario-michaels/
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Follow the Podcast: https://www.linkedin.com/company/transformational-blueprints-podcast/
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Follow Synaxia Group: https://www.linkedin.com/company/synaxia-group/

In this episode of Transformational Blueprints we speak with Doug Nissinoff, the founder of Intelligent Ventures, a pre-seed to Series A VC focused on AI and healthcare.
Doug shares his path from biology and clinical research to biotech investor relations, startup consulting across 25+ life sciences companies, and launching a $1M fund with 25 hands-on LPs and five investments, plus a 10-week accelerator offering $25K checks and a NYC demo day. He explains how they assess founders—especially “grit,” coachability, and traction like LOIs and early angels—and why clinicians on the committee better judge workflow fit and real demand.
Doug discusses why most AI healthcare startups default to SaaS, why regulated diagnostics/devices are underbuilt, how to spot AI-washing via weak data strategy and superficial partnerships, and predicts growing agentic AI, consolidation, and fewer “me too” products like scribes.
We discuss;
- Doug’s Early Career Path
- Startup Breakthrough Story
- From Consulting to VC Fund
- Accelerator Program Launch
- What Makes a Great Founder
- Why Healthcare SaaS Dominates
- Avoiding Me Too Products
- Clinicians in Deal Review
- Funding Filter Signals
- LOIs and Angel Proof
- Data Moat Not Wrappers
- Pitch Fine Print Traps
- Passing on a Weird Bet
- Team Changes the Read
- Signals and Hiring Advice
- 2027 Agentic AI Outlook
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Get in touch: https://www.linkedin.com/in/mario-michaels/
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Follow the Podcast: https://www.linkedin.com/company/transformational-blueprints-podcast/
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Follow Synaxia Group: https://www.linkedin.com/company/synaxia-group/

Watch the episode on YouTube: https://www.youtube.com/@SynaxiaGroup
-------------------------
Extra Stuff:
Do you want a copy of our Engineering Market Report?
What's in the report?
Who's hiring the most engineers in your sector?
Gender diversity statistics
Is demand for engineers in startups increasing or decreasing?
What are the key trends in the startup market?

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Enterprise Architecture looks neat on paper — until reality hits.
In this episode of Transformational Blueprints we sit down with Jon Hill, VP of Enterprise Architecture, Data, and Analytics at Alvotech, to strip away the theory and talk about what really makes architecture work in the real world.
With over two decades in the field, Jon brings pragmatic insight into how EA can align with business growth, foster innovation through diversity, and stay grounded in outcomes rather than buzzwords.

You’ll learn:
Why the best enterprise architects think like business strategists
How to balance governance, agility, and AI innovation without killing momentum
The overlooked soft skills that make EA actually stick
How to build diverse, high-performing teams that challenge convention
What it takes to earn stakeholder trust and deliver transformation that lasts

No frameworks. No fluff. Just the straight talk on what it takes to make enterprise architecture work.

05:17 – The Role and Value of EA
10:00 – Practical Skills for Real-World Architecture
20:17 – Choosing the Right Team and Company
25:20 – EA in Successful Digital Transformations
26:57 – The Importance of Diversity in EA Teams
29:30 – Developing Well-Rounded Solution Architects
31:40 – Challenges in Architectural Leadership
39:53 – The Impact of AI on EA

Watch the episode on YouTube: https://www.youtube.com/@SynaxiaGroup
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Extra Stuff:
Do you want a copy of our Architecture Market?
What's in the report?
Who's hiring the most architects in your region?
Gender diversity statistics
Is demand for architects increasing or decreasing?
What are the key trends in the architecture market?

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Get in touch: https://www.linkedin.com/in/mario-michaels/
-------------------------
Follow the Podcast: https://www.linkedin.com/company/transformational-blueprints-podcast/
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Follow Synaxia Group: https://www.linkedin.com/company/synaxia-group/

Enterprise Architecture is evolving—fast. In this episode, we break from tradition and dive into what modern architecture really needs to look like: pragmatic, relevant, business-aligned, and AI-augmented.
🎯 We explore:
Why so many architects are disillusioned with rigid frameworks—and what to do instead
What the “full-stack architect” of the future looks like
How to build adaptive “town plan” roadmaps that survive real-world volatility
What it means to lead with cultural awareness, business value, and technical fluency
How AI will elevate—not replace—the architect

Whether you're new to architecture or leading transformation at scale, this is the conversation we all need right now.
Watch the episode on YouTube: https://www.youtube.com/@SynaxiaGroup
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Extra Stuff:
Do you want a copy of our Architecture Market?
What's in the report?
Who's hiring the most architects in your region?
Gender diversity statistics
Is demand for architects increasing or decreasing?
What are the key trends in the architecture market?

-------------------------
Get in touch: https://www.linkedin.com/in/mario-michaels/
-------------------------
Follow the Podcast: https://www.linkedin.com/company/transformational-blueprints-podcast/
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Follow Synaxia Group: https://www.linkedin.com/company/synaxia-group/

In this episode of Transformational Blueprints, we welcome Sam Slade, Head of Group Software Architecture at BPP Education Group, to discuss the journey 'From Monoliths to Event-Driven Architecture.'
Sam shares his career path from software engineering to architecture, the challenges of transforming large tech stacks, and real-world insights on implementing event-driven architecture. He covers key aspects like the importance of anti-corruption layers, handling failures, and maintaining strategic alignment in enterprise architecture.
Additionally, Sam provides valuable advice for newly appointed chief architects and reflects on the impacts of emerging technologies like generative AI on the industry. Tune in for expert strategies, practical lessons, and an in-depth look at modernizing legacy systems.
Sam's Journey in Software and Architecture
BPP's Global Expansion and EA Team Insights
The Role of a Great Architect
Event-Driven Architecture: Key Considerations
Real-World EDA Implementation: A Case Study
First 100 Days as Head of Group Software Architecture
The Importance of Anti-Corruption Layers

Watch the episode on YouTube: https://www.youtube.com/@SynaxiaGroup
-------------------------
Extra Stuff:
Do you want a copy of our Architecture Market?
What's in the report?
Who's hiring the most architects in your region?
Gender diversity statistics
Is demand for architects increasing or decreasing?
What are the key trends in the architecture market?

-------------------------
Get in touch: https://www.linkedin.com/in/mario-michaels/
-------------------------
Follow the Podcast: https://www.linkedin.com/company/transformational-blueprints-podcast/
-------------------------
Follow Synaxia Group: https://www.linkedin.com/company/synaxia-group/