I work with founders who need someone who has sat in all three rooms. The clinic, the software, and the hardware. Not a generalist PM. Not an agency slide deck.
01 — Work
Numbers below come from products I helped ship at Cavista, Numen Health, Navya, and as an independent consultant at WiseRx.
12+ healthcare systems could not exchange patient data reliably. Care teams reconciled by hand.
Mapped flows, put FHIR/HL7 in as the exchange layer, sequenced the noisiest integrations first. Product role.
Incidents arrived from users first. Root-cause across the portfolio was slow and reactive.
Prometheus and Kibana with anomaly signals and playbooks so the team could act before the ticket pile. Product role.
Need to launch AI mobile apps for 20K patients and 500+ providers without knowing which features would actually get used.
Roadmap from instrumentation, not opinions. Fast cycles. Product role.
Doctors and patients had no fast, compliant channel. Response times stretched to hours.
End-to-end encrypted in-app messaging, built to pass a HIPAA review. 2,500+ doctors, 50K+ patients. Product role.
A medication-management device had to qualify as Medical Device Software — not an app glued onto hardware.
Consulting on SDLC, QMS, process building, the firmware-to-cloud path, and two-way device ↔ patient communication. Current consulting.
Also: onboarding work with ML / multivariate testing (30% conversion, 45% less drop-off) on a health platform — scoped product work, same stack of habits.
02 — Offer
Same method: understand, ship, measure. Different size of problem. Price is scoped after a call — not a rate card on this page.
Project
Weeks. Inside your team. One owner of the brief.
Lead
A quarter or more. One accountable lead.
03 — Practice
I am Adarsh Kumar Tiwari (Adarsh Tiwari), founder of Adarsh & Consultants. I have worked the clinical side, the software side, and now the device side, which is why I am slow to romanticize features. Product at Navya, Numen Health, Cavista. Current consulting on a smart medication device at WiseRx.
I founded PillSwift in 2024, an online retail pharmacy and wholesale delivery platform for Tier 2 and Tier 3 cities in India. Early signal was weak, so I halted working on it.
McKinsey Forward, MIT Sloan product design, IBM Scrum, HIPAA work at Navya and Cavista. Useful, not the pitch. The pitch is pattern-matching in this domain.
04 — Words
LinkedIn recommendations, excerpted.
I had a delightful experience working with Adarsh. He is a quick learner and took initiative on his own to go beyond the responsibilities assigned to him. Very open and easy to communicate with.
Adarsh is an enthusiastic person with so many inbuilt talents. I had the opportunity to work with him on ISPOR student chapter activities — it was wonderful working with such a motivated person. He deserves my highest recommendation.
We worked together on the Chapter Development Committee for a year and it was a great experience. Adarsh has very good communication and decision-making skills — I would work with him again without a doubt.
Adarsh has worked with Navya Care for over a year, and I was personally happy to note his commitment, enthusiasm and engagement with the organization. He executed well in support as well as clinical operations.
Adarsh is a very enthusiastic and skilled individual. He has taken very little time and scaled up in his role as a product analyst. I can see him growing into his current role very rapidly and being an asset to the organization.
He was found to be a very empathetic analyst with fair clinical knowledge. As a fresher in the field of Project Management, Adarsh exhibited an impressive eagerness to learn and a natural ability to grasp new concepts quickly.
Adarsh is a quick learner, dedicated, and hardworking. He joined Navya as a Clinical Analyst and grew into a Product Analyst role. I observed him to be dynamic and enthusiastic about every task given — a true multi-tasker and team player.
Adarsh consistently showcased exceptional analytical skills, ensuring a deep understanding of client needs. His dedication to refining these requirements played a pivotal role in our team's accomplishments.
We worked together at Navya Care as clinical analyst and later as product analyst. He did great job at whatever work was assigned to him. He is curious to explore many things, which makes him different from others. He is a team player.
His strong product management skills and data driven approach were evident. He brings clarity and structure to discussions, and I'm confident he'll add value to any team that he joins.
1 / 2
05 — Straight answers
Yes. FHIR/HL7, HIPAA, clinical workflow, device software — that is the pattern library. Everything else I decline.
Yes, as a scoped project: validate direction before you fund a bigger build.
Yours or mine, before any detailed discussion.
Scoped after a call. Project and lead land in different ranges. A number within a day of scoping — not a guess on the website.
Either side can stop. Projects use short checkpoints. Lead has a trial window before a longer commit.
You do. In the agreement before we start.
06 — Ask
Pick a time if you already know you want a call. Form if you want it in writing first.