Sudarshan Seshadri—VP of AI, Data Science, and Foundations Engineering at Alto Pharmacy—joins us to explore what it takes to build high-stakes AI systems that people can actually trust. He shares lessons from deploying machine learning and LLMs in healthcare, where speed, safety, and uncertainty must be carefully balanced. We talk about designing AI to support pharmacist judgment, the shift from bottlenecks to decision backbones, and why great data leaders are really architects of how irreversible decisions get made.

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