James Fishwick

I lead solutions architecture at Livefront, a boutique digital consultancy where I manage a growing team of Solutions Architects and AI Solutions Engineers. My focus: making AI adoption practical and sustainable for engineering organizations, and navigating the complexity of enterprise healthcare integrations.

What I'm working on now:

  • Building Livefront's AI engineering practice—strategy, implementation patterns, tooling, and team development
  • Leading complex B2B integrations in the Optum/RVO ecosystem (authentication, attribution, API orchestration)
  • Growing and mentoring a technical team that bridges architecture, AI, and client delivery

Background:
20+ years building for the web, back and front, across many tech stacks. I've survived (and thrived through) PE acquisitions, scaled consulting teams, and shipped products across healthcare, fintech, and consumer domains.

What I care about:
Practical AI adoption over hype. Clear technical communication. Teams that ship. Leaders who develop people, not just products.

Always open to conversations about AI-native development, healthcare tech complexity, or building engineering culture that lasts.