Fractional Executive Leadership

AI strategy &
security leadership
built for medicine.

Independent medical practices are navigating a pivotal moment — AI adoption, rising compliance demands, and cybersecurity risks that didn't exist five years ago. Meridian Advisory provides fractional CAIO and CISO leadership for the practices that need C-suite expertise but not a full-time hire.

Schedule an Intro Call
Jason Elmore, Meridian Advisory
Expertise
AI Strategy & Governance HIPAA Compliance Cybersecurity Strategy HITRUST Frameworks Board-Level Risk Reporting

The rules changed.
Fast.

Independent medical practices are under pressure from every direction. AI tools are moving from novelty to necessity — and with them come new obligations around patient data, vendor risk, and regulatory compliance that most practices aren't equipped to navigate alone.

A full-time CISO or Chief AI Officer costs $250K–$400K per year. A consultant gives you a report and leaves. Neither fits the reality of how independent practices operate.

Meridian Advisory was built to close that gap — embedded, fractional leadership that works alongside your team, not just for it.

AI adoption without governance
Clinical AI tools, ambient documentation, and diagnostic support are arriving faster than policies and guardrails can keep up. Who owns that risk?
HIPAA exposure is growing
Third-party vendors, cloud platforms, and staff devices create an expanding attack surface that traditional IT support wasn't designed to manage.
No C-suite bandwidth
Physicians and practice operators are already stretched. Cybersecurity strategy and AI governance don't get the attention they need because no one owns them.
Compliance demands are intensifying
HIPAA, state privacy laws, and emerging AI regulations aren't slowing down. The cost of a breach — financial, reputational, operational — keeps rising.

Two disciplines.
One trusted advisor.

01
Fractional CAIO
Executive-level AI leadership embedded in your practice — strategy, vendor evaluation, governance frameworks, and responsible adoption of clinical and operational AI tools.
AI Strategy Governance Vendor Risk Roadmapping
02
Fractional CISO
Ongoing security leadership for practices that need more than a firewall and annual training — HIPAA compliance, HITRUST alignment, incident response planning, and board-ready risk reporting.
HIPAA HITRUST Risk Management Compliance
03
Advisory & Assessment
Targeted engagements for practices not ready for ongoing fractional work — security posture assessments, AI readiness reviews, and strategic planning sessions that produce real deliverables.
Assessment Gap Analysis Strategy
What sets Jason apart is a rare combination: deep technical credibility paired with genuine executive-level communication. He doesn’t just assess risk — he builds the strategy to address it, and he can walk a board of directors through that strategy with a clarity that earns trust and drives decisions.
Denise Hatzidakis
CIO, Vori Health  ·  Former CIO, WellBe Senior Medical
Jason Elmore
Jason Elmore
Founder & Principal Advisor

I've spent 11+ years building and operating Tuearis, a managed security services firm, from the ground up. In that time I've led HIPAA and HITRUST compliance engagements, built security programs for healthcare-adjacent organizations, and learned what it actually takes to execute — not just advise.

The programs I've built have passed roughly 30 HIPAA audits and two HITRUST certifications — both on the first attempt, with zero remediation required. That matters more than it sounds: a failed certification means months of rework and a second audit cycle to pay for. Getting it right the first time takes about nine months to initial certification and three to four for recerts, and the systems and response processes behind them now measure incident response in seconds and minutes rather than the hours or days most organizations accept as normal. Today those programs protect care delivery for roughly 90,000 patients.

On the AI side, I've run the same engagement I'd run for a client — twice, on my own operations. Use-case selection, vendor and architecture evaluation, governance guardrails, and the deployment decisions that follow from them, including private AI infrastructure operating under the same compliance constraints my clients face. Most fractional AI advisors deliver the strategy and hand off the consequences. I've owned both ends of it.

Meridian Advisory exists because independent medical practices deserve the same quality of technology and security leadership that health systems have — without the overhead that only health systems can afford.

90K
Patients protected
2/2
HITRUST certs passed first attempt
30+
HIPAA audits passed

Embedded. Accountable.
No retainer surprises.

01
Intro Call
30-minute conversation to understand your current situation, goals, and where the gaps are. No pitch deck.
02
Discovery & Scoping
A structured review of your current posture — security, AI tools in use, compliance obligations — and a clear engagement proposal.
03
Fractional Engagement
Monthly retainer-based work, embedded in your operations. Available to your team, attending key meetings, moving the needle consistently.
04
Outcomes You Own
Every engagement produces documentation, policies, and frameworks your practice keeps — even if the engagement ends.

Ready to take AI & security
off your plate?

A 30-minute conversation is enough to understand whether Meridian Advisory is the right fit for your practice. No commitment required.

Schedule Your Intro Call

No pitch. No deck. Just a real conversation.