- Engineering
Learn what a forward deployed engineer does, how the role differs from traditional software engineering, and why hire one to support enterprise customers.
Trenton Alderman
Christiansburg, VA 24073, USA
Fractional VP of Engineering | Healthcare RCM Automation | AI & Integration Architect
Trenton Alderman blends deep technical expertise with visionary leadership to sculpt the future of healthcare technology. With over a decade of experience, he has propelled products from concept to market, scaling engineering teams and growing revenues exponentially. He's a master of Agile methodologies, microservice design, and AI-enhanced workflows, driving innovations that significantly improve marketability and customer satisfaction. Trenton's drive for excellence and continual improvement is at the core of transforming healthcare revenue cycles and product development.
Work
Janus AI | Various RCM Automation Product Development, Launch, Scaling, Staffing
https://www.janus-ai.com/janusiq/Partnered to build, then independently scaled and built the support for the Prior Authorization automated product, automating Prior Authorization Requirements gathering, submissions, and case status/follow up. Major revenue driver >50% of company revenue. Scaled from POC client to 10+ clients on platform. Hired/staffed entire RCM product engineering organization for Claim Status, Prior Authoriz…
Voice/Draft | AI Transcription and Document Generation Application
https://apps.apple.com/md/app/voice-draft/id6757166851Record your thoughts. Get polished documents.
Voice/Draft transforms your voice memos and recordings into structured, ready-to-use documents using AI. Stop typing - just talk.
CAPTURE IDEAS INSTANTLY
Record directly in-app or import existing audio and video files.
Voice/Draft handles meetings, voice notes, site visits, sales calls, lectures, travel memories, and quick reminders.
MULTILINGUAL SUPPO…
Experience
Shipwright Labs
Founder
Feb 2026 - Present
Shipwright Labs is a software development and consulting studio specializing in mobile applications, web platforms, and custom software solutions.
- Founded software development studio providing fractional engineering leadership, technical consulting, and mobile application development to healthcare technology and enterprise clients.
- Successfully launched VoiceDraft, an AI-powered voice-to-document mobile app, utilizing Groq/OpenAI Whisper and Claude APIs.
- Developed additional products including HydroStreak, Parseflow, and TradeStack using modern technologies such as React Native and Cloudflare Workers.
- Delivered expert consulting in areas like mobile architecture, API design, and AI-powered workflow integration, improving technical strategy across various projects.
maxRTE
Director of Engineering
May 2025 - Present
maxRTE helps healthcare providers find insurance for patients, focusing on locating unknown coverage from various plans.
- Led engineering organization for the B2B Healthcare RCM platform, overseeing architecture, vendor selection, and product strategy.
- Scaled platform to support 4x daily transaction volume, enabling onboarding of the largest client and contributing to exceeding revenue targets by 120%+.
- Architected database restructuring, reducing batch processing times by 6+ hours and leading a PostgreSQL migration for improved cost efficiency.
- Maintained AWS infrastructure spend at less than 1% of total revenue while supporting a 50%+ projected revenue growth.
Janus Health
Engineering Manager - Automation Enablement
Nov 2024 - May 2025
Janus Health is transforming revenue cycle management through operational intelligence, integrating AI, analytics, and workflow automation.
- Managed engineering organization of up to 14 developers, owning a $3M+ annual budget and optimizing team structures for scalability.
- Led 5x product revenue growth by expanding the customer base to 10+ enterprise clients, each generating $300K+ annually.
- Transitioned team processes from SCRUM to Kanban, enhancing support for multiple client implementations while maintaining feature delivery.
- Implemented monorepo migration, evolving architecture to microservices for increased flexibility and third-party payer API integrations.
Janus Health
Engineering Manager - Prior Authorization Enablement
Aug 2023 - Nov 2024
Janus Health
Team Lead, Automation - Prior Authorization
Nov 2022 - Aug 2023
Janus Health
Software Engineer II
Mar 2022 - Nov 2022
Olive
Team Captain, Product Support Engineering
Jul 2021 - Feb 2022
LinkedIn is a professional networking site that allows its members to create business connections, search jobs, and find potential clients.
Olive
Product Support Software Engineer
Oct 2020 - Jul 2021
DISH Network
Beta Software Tester/Analyst
Feb 2020 - Jun 2020
Dish Network is a leading satellite television provider in the United States, offering a range of programming options and services to customers.
DISH Network
Technical Case Manager
Oct 2017 - Feb 2020
DISH Network
Coach/Supervisor
Oct 2016 - Sep 2017
DISH Network
Classroom and On the Job Trainer
Oct 2014 - Sep 2016
DISH Network
Advanced Technical Support
Mar 2013 - Sep 2014
DISH Network
Customer Service Representative
Nov 2012 - Mar 2013
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