AI GOVERNANCE + FRACTIONAL CAIO

AI governance that survives the audit, gets used by the workforce, and earns its ROI.

I help mid-market healthcare and insurance organizations build AI governance that survives a regulatory audit, then I make sure the workforce will actually use it. Most consultants stop at a written policy. I do the second half of the job.

Tiago Ferreira, Founder. Two Master's in cyberpsychology and digital transformation leadership. Federal government and startup background. Same playbook holds in adjacent regulated work.

"I do this work because the technology question was always the secondary one. The real question is whether the people charged with using it were ever asked if they were ready."

Tiago Ferreira, Founder
WHAT YOU RECEIVE DAY 14
AI Readiness Sprint · Deliverable Preview
Shadow AI Inventory MAPPED
Governance Charter DRAFTED
Acceptable Use Policy DRAFTED
ROI Roadmap 3 USE CASES
Regulatory Checklist IN REVIEW
BOARD-READY Executive Summary delivered.
REGULATORY FLUENCY
NAIC AI Model Bulletin alignment
HHS December 2025 AI Strategy
JCAHO Algorithmic vigilance, DSI standards
WHAT WE DO

Three pillars. One integrated practice.

Most AI consulting separates strategy, governance, and adoption into different teams. We don't. The work is the same problem, viewed from three angles.

01

AI Governance & Compliance

Model Governance Committee charters, Acceptable Use Policies, vendor risk frameworks, and regulatory alignment for NAIC, HHS, and JCAHO. The infrastructure that lets your board sign off on AI decisions with confidence.

02

Behavioral Adoption Design

Workforce readiness, psychological safety, and the change architecture that gives people sanctioned AI workflows before they go looking elsewhere, with cyberpsychology applied to clinical and operational teams and training designed for the humans who will actually use it.

03

AI Data & Infrastructure Hygiene

AI amplifies dirty data. We rebuild the foundation before the agents touch it.

INDUSTRIES WE SERVE

Healthcare-led. Regulated industries throughout.

The methodology is the same. The regulatory context, clinical realities, and operational stakes shift by vertical.

Healthcare & Health Systems

Hospitals, health systems, mental and behavioral health, digital health, specialty clinics. Clinical AI adoption, HIPAA-aligned implementation, NAIC-relevant payer work.

SEE THE HEALTHCARE PRACTICE →
Life Insurance & Financial Services

Carriers and payers navigating NAIC AI Model Bulletin (Iowa 24-04 et al.), claims and underwriting AI, vendor risk frameworks, and AIS Program documentation.

Government & Public Sector

Federal modernization, public agency AI governance, MBE-certified procurement, workforce transformation in regulated environments.

FIVE WAYS TO WORK TOGETHER

A clean ladder. Start where your spend, your urgency, and your buyer fit.

Three productized entry tiers under VP discretionary spend, a fixed-price Sprint that earns the right to the retainer, and an embedded Fractional CAIO when AI leadership becomes a permanent need. Every tier maps to the same regulatory standards. Every tier ships an artifact your board will recognize.

02 · FULL DIAGNOSTIC

AI Readiness Sprint

$9,500

Duration 14 days Buyer C-suite, SVP, board sponsor

All six board-ready deliverables in one package: Shadow AI Inventory, Governance Charter, Acceptable Use Policy, Vendor Risk Framework, ROI Roadmap, and Regulatory Alignment Checklist. The fixed-price diagnostic that earns the right to the retainer.

Learn more →
03 · ONGOING

Fractional CAIO Retainer

$15K–$20K / mo

Duration 12-month minimum Buyer CEO, COO, board, audit committee

Embedded executive AI leadership at the leadership table. 3 to 4 days per month, ownership of governance, vendor diligence, and workforce adoption. Begin with the AI Readiness Sprint or NAIC AI Audit; the diagnostic earns the retainer and replaces a separate onboarding fee.

Learn more →

The Sprint is the most common starting point for buyers who want a single board-ready package. The entry tiers exist so a VP with a discretionary budget and a specific question can start the work without procurement friction. Every tier earns the right to the next, and none of them require it.

Tiago Ferreira, Founder of Elevida
MS, CYBERPSYCHOLOGY · WALDEN MS, DIGITAL TRANSFORMATION · CHAMPLAIN MBE-CERTIFIED · FEDERAL JMIRx MED, 2024
THE FOUNDER

Tiago Ferreira

Founder & Fractional Chief AI Officer

NOWEmbedded with a U.S. life insurance carrier ADVISINGA healthcare AI startup

My career started in U.S. federal government, where audit and compliance are baseline expectations, and then moved into high-growth startups where you ship under real constraint. Both lenses show up in the work I do today, and they're why governance frameworks I deliver actually survive a regulatory review while still moving under deadline pressure.

Two Master's degrees give me the lens most fractional CAIOs do not bring to the room. Cyberpsychology covers how people interact with technology under load, deadline, and identity threat, while Digital Transformation Leadership covers how to lead organizations through structural change without breaking the people inside them. Together they explain why the adoption side of AI stalls and how to design around it. Published research on technology and behavioral adaptation in JMIRx Med (2024).

READY TO START?

Two weeks. Board-ready. Then you decide what's next.

The AI Readiness Sprint is the cleanest way into the practice. $9,500 fixed, 14 days, governance and adoption deliverables that earn the conversation about whatever comes after.