Four shapes of engagement.
Scope is written down before anything starts, and you keep everything that gets built.
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01 Make the numbers defensible.
Reimbursement and benchmark models, price-transparency data, payer-facing analysis, outcomes and effect-size work. Sourcing you can hand to a skeptic without bracing for it. Where a figure has no anchor in a primary source, it gets listed as a gap rather than estimated into place.
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02 Build the platform underneath them.
Microsoft Fabric: medallion lakehouse, PySpark notebooks, OneLake shortcuts, capacity sizing, workspace and gateway governance, refresh orchestration. Power BI: semantic models, DAX, Power Query M, row-level security. Fix the model once and everything downstream gets easier.
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03 Ship the tool people use.
Next.js and Postgres on Vercel: auth-gated internal applications, importers, export packs, CRMs. Built by the same person who modeled the data, so the model and the interface never drift apart.
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04 Sit in the room for the decision.
Fractional analytics leadership. Roadmap, governance, vendor evaluation, and the translation between data, operations, and leadership that most teams are actually short of. Most organizations do not need another report.
You get the code, the models, and the documentation. Not just a slide deck.