Portfolio / Case Study
AI-Assisted Delivery National Healthcare / IME Services Strategy Lead & Solution Consultant

ExamWorks: parachuting into an in-flight program — 80+ build-ready stories in one week.

This case study isn't about screens. It's about ramp-up velocity: how AI-assisted delivery turned a cold start on a live program into the engine of its backlog — and a fragmented 80-document library into a governed 14-template system.

Client
ExamWorks
My Role
Strategy Lead & Experience Designer
Context
In-flight program, solution-consultant seat
Toolkit
Claude Code · NotebookLM · DocGen / OmniStudio
01 — Context

A live program that couldn't wait for a normal ramp-up

ExamWorks is a national provider of independent medical examinations — a business that runs on documents. Referral letters, exam reports, notices, invoices: a library that had grown across multiple acquired brands into 80+ overlapping source documents, each a variation on the others, none governed.

I joined the Salesforce program mid-flight, in a solution-consultant role — developers already sprinting, documentation sparse, and a backlog that wasn't keeping up with the build team's appetite. There was no runway for a six-week discovery. The program needed someone producing build-ready work in days.

02 — The Challenge

Two problems, one clock

  • Feed the build team. Developers were outpacing the backlog. Every sprint without ready stories was paid-for capacity doing nothing.
  • Tame the document library. 80+ fragmented, multi-brand templates needed to become a scalable document-generation system — with an architecture and governance model, not just fewer files.

The traditional consulting answer — weeks of stakeholder interviews before producing anything — wasn't available. The question became:

How fast can one consultant get from zero context to work a developer can pick up and build?
03 — The Approach

AI-assisted delivery, human judgment in the loop

I built the ramp-up itself as a system: every scrap of program documentation went into an AI-readable knowledge base, then Claude Code drafted against it while I supplied the judgment — what's right, what's missing, what a developer actually needs to see in acceptance criteria.

  • Knowledge base first — program docs, org metadata, and meeting notes consolidated into NotebookLM so every AI draft was grounded in the client's reality, not generic patterns
  • Claude Code as the drafting engine — user stories generated from sparse documentation across Billing, Revenue, and document generation, complete with acceptance criteria in the program's own format
  • Judgment stays human — every story reviewed, corrected, and stress-tested against what I knew of the org before it touched the backlog
  • Documentation became infrastructure — I set the standard for the program's Confluence page setup, so the knowledge that powered my ramp-up became a durable, structured asset for the whole team
  • The method scaled beyond me — I authored the install and getting-started guidance and set up colleagues on Claude Code, making AI-assisted delivery a team capability instead of a personal trick
04 — The Week

Cold start to backlog engine in five days

By the end of the first week, the backlog had 80+ accurate, build-ready user stories spanning Billing, Revenue, and document generation — three domains, ramped cold, with enough runway that developers never idled waiting on requirements again. What normally takes a consultant a month of ramp-up happened inside a sprint.

05 — The Architecture

80 fragmented documents → 14 governed templates

In parallel, I owned the document-generation strategy. The answer to 80+ overlapping templates wasn't deleting files — it was an architecture that made variation cheap and sprawl impossible:

  • Tokens for every piece of variable data, so one template serves many contexts
  • Conditional blocks for brand- and state-specific language, replacing whole duplicate documents
  • Custom metadata driving assembly, so business users configure instead of clone
  • Exception governance — a process for when someone wants template #15, so consolidation survives contact with the future

I ran the design workshop that aligned stakeholders on the model and authored the 15-story delivery set that took it into build.

06 — Outcomes

Velocity, structure, and a repeatable method

80+
Build-ready stories in one week — spanning Billing, Revenue, and DocGen
80 → 14
Document library consolidated into governed templates (11 DocGen + 3 email merge)
Scaled
Colleagues set up on Claude Code with my install & getting-started guidance; Confluence documentation standard set for the program

Beyond the engagement, this became my calling card internally: the go-to example of what AI-assisted delivery looks like when it works — not AI replacing the consultant, but AI collapsing the distance between joining a program and contributing to it.

07 — Reflection

What this engagement taught me

Ramp-up is a design problem. Nobody designs their own onboarding — they just endure it. Treating "get productive fast" as a system to engineer, with a knowledge base and a drafting pipeline, turned a weakness of consulting (the cold start) into an advantage.

AI moves the bottleneck to judgment. Drafting 80 stories was never the hard part once the machine did it — knowing which 80, catching what the docs didn't say, and writing acceptance criteria a developer trusts: that stayed human, and that's where the value concentrated.

Governance is what makes consolidation stick. Anyone can merge 80 documents into 14 once. The exception process — what happens when someone wants #15 — is the difference between a cleanup and an architecture.

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